Form 488 (Rtc) - Realty Transfer Certificate Page 5

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Montana Department of Natural Resources and Conservation
1424 9th Avenue, PO Box 201601
Helena, MT 59620-1601
444-6601; 444-0533 (fax)
Certifi cation of Water Right Ownership Update
The Realty Transfer Certifi cate submitted with the deed or other instrument indicates a water right is being divided
or exempted (reserved) from the property. The Clerk and Recorder may not record the deed or instrument unless this
certifi cation is completed and signed by the buyer, seller, and escrow agent (if applicable). See MCA 85-2-424(6).
The required form (DNRC Ownership Update Divided Interest Form 641 or DNRC Ownership Update Exempt/
Reserved Form 642) and the required fee are held in escrow.
I certify under penalty of false swearing that the statement appearing here is to the best of my knowledge true and
correct.
Seller Signature: ____________________________________________________
Date: ____________________
Buyer Signature: ____________________________________________________
Date: ____________________
Escrow Agent Signature: _____________________________________________
Date: ____________________
There is no escrow. The required form (DNRC Ownership Update Divided Interest Form 641 or DNRC Ownership
Update Exempt/Reserved Form 642) has been prepared and will be sent with the required fee to the Department of
Natural Resources and Conservation within fi ve business days of recording.
I certify under penalty of false swearing that the statement appearing here is to the best of my knowledge true and
correct.
Seller Signature: ____________________________________________________
Date: ____________________
Buyer Signature: ____________________________________________________
Date: ____________________
If you have questions contact your local water resources regional offi ce.
HELENA
BILLINGS
406-247-4415
406-444-6999
Big Horn, Carbon, Carter, Custer, Fallon,
Beaverhead, Broadwater, Deer Lodge, Jefferson,
Powder River, Prairie, Rosebud, Stillwater, Sweet
Lewis and Clark, Powell, and Silver Bow Counties
Grass, Treasure, and Yellowstone Counties
KALISPELL
BOZEMAN
406-752-2288
406-586-3136
Flathead, Lake, Lincoln, and Sanders Counties
Gallatin, Madison, and Park Counties
LEWISTOWN
GLASGOW
406-538-7459
406-228-2561
Cascade, Fergus, Golden Valley, Judith Basin,
Daniels, Dawson, Garfi eld, McCone, Phillips,
Meagher, Musselshell, Petroleum, and Wheatland
Richland, Roosevelt, Sheridan, Valley, and Wibaux
Counties
Counties
MISSOULA
HAVRE
406-721-4284
406-265-5516
Granite, Mineral, Missoula, and Ravalli Counties
Blaine, Chouteau, Glacier, Hill, Liberty, Pondera,
Teton, and Toole Counties
Page 5

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