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50 fee required No Yes Badge Number if applicable MV20 06/08 Fee paid No Check Number 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. Title and Registration Bureau 1003 Buckskin Drive Deer Lodge MT 59722 2375 Phone 406 846-6000 Print Form MVD Use Only Vehicle/Vessel/OHV Identification Number Inspection Certificate Fax 406 846-6039 mvdtitleinfo mt. gov Salvage vehicles only A fee of 18. 50 must be paid to your local driver services station prior to the inspection* Additional fees and taxes may be due upon registration* This Section Must be Completed by the Applicant License Plate Number Expiration Date State of Registration Owner/Applicant Name Address City State Zip Code Year Make/Manufacturer Vessel MT Number Model Vessel Use Color Vessel Propulsion Body Style Vessel Material Length Vessel Length Vessel Type FT. IN* The vehicle has check one an odometer check one five six a kilometer digits Odometer/Kilometer Reading Describe where the vehicle/vessel/OHV identification number of the Body was located List what Identifiers you found Public VIN federal standards firewall NHTSA etc* When requested to inspect the Frame or Secondary VIN indicate the number If vehicle/vessel/OHV has a salvage title indicate the title number and state it is from I certify that I have physically inspected this vehicle/vessel/OHV and determined that the information provided is correct. Remarks Use reverse side if more space is needed* Signature of Inspector Date Printed Name of Inspector Law Enforcement Department or Agency MVD use only Level of inspection check one 1 18. Title and Registration Bureau 1003 Buckskin Drive Deer Lodge MT 59722 2375 Phone 406 846-6000 Print Form MVD Use Only Vehicle/Vessel/OHV Identification Number Inspection Certificate Fax 406 846-6039 mvdtitleinfo mt. gov Salvage vehicles only A fee of 18. 50 must be paid to your local driver services station prior to the inspection* Additional fees and taxes may be due upon registration* This Section Must be Completed by the Applicant License Plate Number Expiration Date State of Registration Owner/Applicant Name Address City State Zip Code Year Make/Manufacturer Vessel MT Number Model Vessel Use Color Vessel Propulsion Body Style Vessel Material Length Vessel Length Vessel Type FT. gov Salvage vehicles only A fee of 18. 50 must be paid to your local driver services station prior to the inspection* Additional fees and taxes may be due upon registration* This Section Must be Completed by the Applicant License Plate Number Expiration Date State of Registration Owner/Applicant Name Address City State Zip Code Year Make/Manufacturer Vessel MT Number Model Vessel Use Color Vessel Propulsion Body Style Vessel Material Length Vessel Length Vessel Type FT. IN* The vehicle has check one an odometer check one five six a kilometer digits Odometer/Kilometer Reading Describe where the vehicle/vessel/OHV identification number of the Body was located List what Identifiers you found Public VIN federal standards firewall NHTSA etc* When requested to inspect the Frame or Secondary VIN indicate the number If vehicle/vessel/OHV has a salvage title indicate the title number and state it is from I certify that I have physically inspected this vehicle/vessel/OHV and determined that the information provided is correct.

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