Title and Registration Bureau
Security Interest or Lien
MVD Use Only
1003 Buckskin Drive, Deer Lodge, MT 59722-2375 Phone (406) 846-6000 Fax (406) 846-6039 firstname.lastname@example.org
For purposes of this document "vehicle" includes: a motor vehicle, trailer, semi-trailer, pole trailer,
camper, motorboat, personal watercraft, sailboat and snowmobile.
I certify that:
The security interest or lien against the following vehicle* has been paid, and I direct the Department of
Justice to mark the record satisfied in full:
Vehicle Identification Number:
File Date of the Security Interest or Lien shown on the title:
Secured Party Name:
*Failure to provide any of the above information will delay processing.
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.
Note: MCA 61-3-103(5) requires that a secured party who has a perfected security interest or lien in a
vehicle and who fails to file a satisfaction of the security interest or lien within 21 days after receiving final
payment, must pay the department $25 for each day that the secured party fails to file the satisfaction.
This is my legal signature
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.