Title and Registration Bureau
Bill of Sale
Office Use Only
1003 Buckskin Drive, Deer Lodge, MT 59722-2375
Phone (406) 846-6000 Fax (406) 846-6039
*** This form must be completed in its entirety ***
As recorded on this form, I received the sum of
and other valuable consideration to sell, transfer and deliver to
DL/FEIN/Tribal ID/Corp ID
my right, title and interest to the following described vehicle/vessel:
Vehicle/Hull identification no.
License plate no.
Salvage Vehicle (must be 5 years or older): Yes
Sold for parts only: Yes
The (check one)
six digit odometer now reads (no tenths) ________________ miles, date read
__________________ 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.
The odometer reading is not the actual mileage. Warning – odometer discrepancy.
I, (purchaser) am aware of the odometer certification made by the seller above.
This is my legal signature
Purchaser’s printed name
Electronic title acknowledgement if electronic title 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 A