Print Form
Application for
Military Registration
Title and Registration Bureau
1003 Buckskin Drive, Deer Lodge, MT 59722-2375
Phone (406) 846-6000 Fax (406) 846-6039
mvdtitleinfo@mt.gov
Upon completion and submission of this application for registration, sworn to before an officer authorized
to administer oaths, a Montana resident who entered active military duty from Montana, including a
national guard or reserve member, and who is stationed outside Montana may register a motor
vehicle/vessel that he or she owns and operates without paying certain light vehicle registration fees, fees
in lieu of property tax and county option taxes as otherwise required (other taxes and fees may be due).
Application must be made each year for any motor vehicle/vessel for which Montana law requires annual
renewal of registration.
Did you enter the military from Montana?
Yes
No
I certify that
:
(please print)
•
The State of Montana is my domicile, I was a Montana resident at the time I entered
active military duty, and my Montana residence is:
Street Address
City*
*This application must be submitted to the treasurer's office for this city/county
•
I am the registered owner and operator of the following vehicle/vessel:
Year
Make
Model
License Plate #
Vehicle/Vessel ID#
Title #
GVW
•
I am on active military duty as stated below:
Name
Rank and Driver License Number
Organization Unit
Immediate Commanding Officer
Duty Address
•
Under penalty of law, the statements made on this form, as recorded in the personnel and
financial records of my military service, are true and correct to the best of my knowledge,
information and belief.
Owner/Applicant Signature
Date
DO NOT NOTARIZE OR VERIFY UNLESS SIGNED IN YOUR PRESENCE AND PRINTED NAME OF OWNER/APPLICANT IS LISTED
State of _______________________
Subscribed and affirmed to before me on (date)
by (clearly print
County of ______________________
name of person appearing before you)
Notary Signature
__
_______
(seal)
Printed Name
_______
Title or Rank
_______
For the State of
County of __________________________
Residing at
_______
My Commission Expires
____________________________
MV53 (07/08)
Montana county and state authorities reserve the right to reject any form that has been altered
This form is available in alternate formats for people with disabilities