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Get MT MV12 2012-2024

Printed Name Signature This is my legal signature DL Driver License number FEIN Federal Employer Identification Number Tribal ID Tribal Identification Corp ID Corporate Identification number MV12 10/12 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 406 444-3661 MVD Use Only Application for Title of a Vehicle by Right of Survivorship Fax 406 846-6039 mvdtitleinfo mt. gov This form is used when no executor or administrator is appointed provided the value of the decedent s entire estate including the vehicle that is the subject of the application less liens and encumbrances does not exceed 50 000 MCA 72-3-1101. For purposes of this document a vehicle includes a motor vehicle trailer semi-trailer pole trailer camper motorboat personal watercraft sailboat and snowmobile. The appropriate title fee must be submitted with this application 12 for light vehicles trucks and buses weighing less than one ton 10 for all other vehicles. Make checks payable to State of Montana* I Legal Name DL/FEIN/Tribal ID/Corp ID Residential address City State Zip code Mailing address certify that Name of Vehicle Owner who died on at Date County and is the registered owner of the following vehicle Year Make/Manufacturer Identification Number Model Body Style/Length Ton Title Number I further certify that The deceased left no estate necessitating administration and no letter of administration or letters testamentary have been issued to any person The vehicle has not been bequeathed by will to anyone other than myself or in the absence of a will I am the person entitled to the property by operation of law All vehicles owned by the deceased do not have a combined value in excess of 50 000 As state relationship of the deceased my right to this property is superior to that of any other person surviving I make this application for the purpose of having the above-described vehicle registered in my name and a certificate of title issued to me I indemnify the Chief of the Title and Registration Bureau and all persons acting for him/her from any and all liability that may be incurred by transferring the certificate of title and agree to defend at my own expense any suit brought against the Chief or any person acting for him/her as a result of issuing this title Under penalty of law MCA 45-7-203 Unsworn Falsification to Authorities the statements made and information contained on this form are true and correct to the best of my knowledge information and belief and I am the same person named above. Title and Registration Bureau 1003 Buckskin Drive Deer Lodge MT 59722-2375 Phone 406 444-3661 MVD Use Only Application for Title of a Vehicle by Right of Survivorship Fax 406 846-6039 mvdtitleinfo mt. gov This form is used when no executor or administrator is appointed provided the value of the decedent s entire estate including the vehicle that is the subject of the application less liens and encumbrances does not exceed 50 000 MCA 72-3-1101. .

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