Title and Registration Bureau
Application for
Break/Bond Title
See page 2 for instructions and fees
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1003 Buckskin Drive, Deer Lodge, MT 59722-2375 |
Phone (406) 444-3661 |
Fax (406) 846-6039 mvdtitleinfo@mt.gov |
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1 Applicant's Legal Name (First, Middle, Last) or Firm Name |
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DL/FEIN/Tribal ID/Corp ID* |
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Co-Applicant's Legal Name (First, Middle, Last) |
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DL/FEIN/Tribal ID/Corp ID* |
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Mailing Address |
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City |
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State |
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Zip Code |
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County |
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Residential Address |
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City |
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State |
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Zip Code |
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County |
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2 Identification Number |
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Year |
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Make |
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Model |
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Body Style |
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Color |
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Weight (if applicable) |
Ton (if applicable) |
CCs (if applicable) |
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Vessel MT Number |
Vessel Length |
Vessel Use |
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Vessel Propulsion |
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Vessel Material |
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Vessel Type |
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FT. |
IN. |
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Describe the facts and circumstances through which you acquired ownership and possession of the vehicle and attempts you made to
3contact the OWNER OF RECORD (attach additional sheets if needed). Proof of Purchase must be submitted with this application (e.g., bill of sale, cancelled check, invoice, etc.).
Vehicle purchased/acquired from |
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Date purchased/acquired |
Price |
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Address |
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City |
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State |
Zip Code |
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Is there a security interest or lien against this vehicle? |
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No – continue to next section |
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Yes – complete this section and submit a filing fee of $8 for each security interest or lien. |
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Dated |
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Amount |
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Perfected Date |
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In favor of
Provide full and complete name of secured party, lienholder or encumbrancer
Provide full and complete address of secured party, lienholder or encumbrancer
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***** One of the following sections (A, B or C ) and section D must be completed ***** |
A |
This vehicle is a slide-in truck camper, off-highway vehicle (not licensed for street use), motorboat, personal watercraft, sailboat or snowmobile. |
A surety bond is not required. |
BManufactured homes must be valued by the county assessor. If the value of the manufactured home is over $500, a surety bond is required. I certify under penalty of law (MCA 45-7-203 Unsworn Falsification to Authorities) that the value listed below is correct.
Assessed Date |
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Assessed By |
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Value |
Written name
CFor all other vehicles, the applicant determines the value and completes this section. If the vehicle's value is over $500, a surety bond is required.
I certify under penalty of law (MCA 45-7-203 Unsworn Falsification to Authorities) that (check the appropriate box):
The value of the vehicle is over $500, based on information from an applicable national appraisal guide for the vehicle as of January 1 for the year in which application is made, or on my knowledge and belief if a national appraisal guide is not available for the vehicle.
The value of the vehicle is $500 or less.
Note: The Motor Vehicle Division reserves the right to investigate the value of a vehicle.
I certify that the information contained on this form is true and correct to the best of my knowledge, information and belief and I have the right to have
Da certificate of title issued.
Owner/Applicant Signature (sign in presence of Notary):
Notary Use Only |
Do not notarize or verify unless signed in your presence and printed name of applicant is listed. |
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State of |
County of |
Signed before me on |
Notary Stamp/Seal |
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(date) |
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by (clearly print name of person signing form)
Notary signature
* DL=Driver License number; FEIN=Federal Employee Identification Number; Tribal ID=Tribal Identification card number; Corp ID=Corporate Identification number
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Montana county and state authorities reserve the right to reject any form that has been altered. |
MV10 (2/14) Page 1 of 2 |
This form is available in alternate formats for people with disabilities. |
Instructions for Completing this Application for Break/Bond Title (MCA 61-3-208)
This form may be used when an applicant cannot provide a certificate of title assigning the prior owner’s interest in a vehicle.
For purposes of this document, a vehicle includes a motor vehicle, trailer, semi-trailer, pole trailer, motorboat, sailboat, personal watercraft, slide-in truck camper, snowmobile, OHV and manufactured home.
Surety Bond: A one-time, non-refundable instrument that allows the issuance of a new title. The value of a vehicle determines whether or not a surety bond is required.
Note: If dealers sell a vehicle for which they don't have and can't obtain a title, they are required to complete this form and receive a break/bond title in their name before they can transfer the vehicle to a customer.
1.Complete Parts 1, 2 and 3 on page 1. Section A, B or C must also be completed:
∙Truck camper, off-highway vehicle (not licensed for street use), motorboat, personal watercraft, sailboat or snowmobile: The applicant completes Section A. The value is not required, nor is a surety bond required.
∙Manufactured Home: The county assessor assesses the value and completes Section B. If the value is over $500, a surety bond is required.
∙All other vehicles: The applicant determines the value and completes Section C. If the value is determined to be over $500, a surety bond is required. The value is based on information from an applicable national appraisal guide for the vehicle as of January 1 for the year in which application is made or on the applicant's knowledge and belief if a national appraisal guide is not available for the vehicle.
2.Have a law enforcement officer complete a stage 1 vehicle inspection - Form MV20.
3.Describe how you came to own the vehicle and attach proof of purchase (e.g., cancelled check, bill of sale, invoice, etc.).
4.The surety bond may be obtained through any insurance company authorized to do business in Montana. The surety bond must:
∙Be in an amount equal to the value of the vehicle for which the application is being made, as determined by the national appraisal guide or the applicant.
∙Be conditioned to indemnify a prior owner, lienholder, subsequent purchaser, secured creditor or encumbrancer of the vehicle and any respective successors in interest against expenses, losses or damages, including reasonable attorney fees, caused by the issuance of the certificate of title or by a defect in or undisclosed security interest upon the right, title and interest of the applicant in the vehicle.
5.The owner/applicant must sign Section D and have their signature notarized.
6.A. If you wish to title and register the vehicle, take the documents outlined in 6B to your county treasurer's office to apply for a title and obtain license plates, a registration sticker, or a Montana vessel number.
B. If you wish to only title the vehicle, send the following documents directly to the Title and Registration Bureau:
∙This form (MV10)
∙Vehicle inspection form (MV20)
O See the Title Manual for inspection information: doj.mt.gov/driving/forms.
∙Proof of purchase (e.g., cancelled check, bill of sale, invoice, etc.)
∙Surety bond (if applicable)
∙Applicable fee: $12 for light vehicles, trucks and buses - all weighing one ton or less; $10 for all other vehicles. Additional taxes and fees may be due upon registration.
7.After the bond expires, a new Montana title may be issued without the bond designation and expiration date. The bond expiration date is located on the face of the Montana title. The registered owner must submit the title or if the title is lost, the MV7 application and applicable title fees to the Title and Registration Bureau.
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Montana county and state authorities reserve the right to reject any form that has been altered. |
MV10 (2/14) Page 2 of 2 |
This form is available in alternate formats for people with disabilities. |