Bill of Sale
Title and Registration Bureau
1003 Buckskin Drive, Deer Lodge, MT 59722-2375
Phone (406) 444-3661 Fax (406) 846-6039
mvdtitleinfo@mt.gov
*** This form must be completed in its entirety. ***
As recorded on this form, I received the sum of
dollars
($________________)
and other valuable consideration to sell, transfer and deliver to
Purchaser
DL/FEIN/Tribal ID/Corp ID*
Address
my right, title and interest to the following described vehicle/vessel:
Year
Make
Model
Style
Vehicle/Hull Identification No.
License Plate No.
Salvage vehicle (must be 15 years old or older):
Yes
No
Sold for parts only: Yes
No
Odometer Statement
The
five or
six digit odometer now reads
________________ miles, date read
(check one)
(no tenths)
and to the best of my knowledge it reflects the actual mileage unless one of the following statements is checked:
DO NOT CHECK
The odometer reading reflects the amount of mileage in excess of its mechanical limits.
UNLESS APPLICABLE
The odometer reading is not the actual mileage. Warning – odometer discrepancy.
I, (purchaser) am aware of the odometer certification made by the seller above.
Purchaser’s signature
Date
This is my legal signature
Purchaser’s printed name
Electronic title acknowledgement if electronic record transfer is required
in accordance with MCA 61-3-220(1)(a) &
(2), I certify that:
I am not in possession of the title.
I am the owner of this vehicle and I authorize the transfer to the above-named purchaser.
I have not previously transferred to another person for sale.
I further certify that:
I have the right to sell the vehicle/vessel described above and will warrant and defend the title against the claims and demands
of all persons except the secured party noted on the Montana title application.
Under penalty of law (MCA 45-7-203 Unsworn Falsification to Authorities) the statements made on this form are true and
correct to the best of my knowledge, information and belief, and if signing for a commercial entity, I have full authority to do so.
Seller’s signature
Date
This is my legal signature (All owners must sign)
Seller’s printed name
DL/FEIN/Tribal ID/Corp ID*
If signing for a commercial entity, give full entity name
Address
*DL=Driver License No.; FEIN=Federal Employee Identification No.; Tribal ID=Tribal Identification Card No.; Corp ID=Corporate Identification No.
Notary Use Only:
State of
County of
Signed before me on
Notary Stamp/Seal
(date)
by (clearly print name of person signing form)
Notary signature
Printed name
Title or rank
Residing at
My commission expires
Montana county and state authorities reserve the right to reject any form that has been altered.
MV24 (10/12)
This form is available in alternate formats for people with disabilities.