Application for Registration of a Vintage or Pioneer Vehicle Form MV3

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Title and Registration Bureau 1003 Buckskin Drive, Deer Lodge, MT 59722-2375 Application for Registration of a Vintage or Pioneer Vehicle Phone (406) 846-6000 Print Form MVD Use Only Fax (406) 846-6039 mvdtitleinfo@mt.gov *** This form must be completed in its entirety *** Motor Vehicles 2850 pounds or less - $10 Motor Vehicles over 2850 pounds - $15 Snowmobiles - $10 Title Number Model Identification Number Style Weight Plate Number Fees If transferring ownership of a Montana title, you must submit the title and an additional fee of $12. If the title is from another state, you must submit the out-of-state title, an MV1 form and an additional fee of $12. Make checks payable to "State of Montana." Year Make Color Motor Vehicle/Snowmobile Description Owner Certification I certify that: • I am the owner of the motor vehicle or snowmobile described above and am the only person entitled to possession of this motor vehicle/snowmobile; • it is owned and operated solely as a collector’s item and is not used for general transportation (MCA 61-3-411 and 23-2-621); • it is insured as required by MCA 61-6-301; • if I am retaining the seller's vintage or pioneer plates, the relinquishment statement below has been completed and signed by the seller; and • Check only one: the motor vehicle was manufactured in 1934 or later, is more than 30 years old, and is eligible for a Vintage plate. the motor vehicle was manufactured in 1933 or earlier and is eligible for a Pioneer plate. the snowmobile is more than 25 years old. Name (print clearly): Address: City, State, Zip: Relinquishment Statement I (seller) relinquish Vintage/Pioneer plate____________ to (buyer)_______________________________ Signature of Seller: _________________________________________________ Date: ______________ Notarization Owner/Applicant Signature: _________________________________________________________________________ Date: ___________________ DL/FEIN/Tribal ID/Corp ID* DL/FEIN/Tribal ID/Corp ID* Do not notarize or verify unless signed in your presence and printed name of owner/applicant is listed. State of ____________________________ County of ___________________________ Subscribed and affirmed to before me on (date) _____________________ by (clearly print name of person appearing before you) __________________________________________ Notary Signature ___________________________________________________________ (seal) Printed Name ______________________________________________________________ Title or Rank _______________________________________________________________ For the State of ___________________________ County of ________________________ Residing at ________________________________________________________________ My Commission Expires ______________________________________________________ MV3 (05/08) * DL=Drivers License number; FEIN=Federal Employer Identification Number; Tribal ID=Tribal Identification card; Corp ID=Corporate Identification 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

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