Vehicle Info Page Fillable

Required Vehicle Registration Information Please complete one copy of this form for each vehicle that you intend to register. Company Information Company Name ___________________________________________ Vehicle Registration Info MSRP / Estimated Value $_________ Year_________Make_____________Model__________________ Type of Vehicle (ex. motorhome, 5th wheel, pickup, convertible, etc) ______________________ Color___________ Fuel type (Gas or Diesel) If Motorhome, what class A B C (circle one) If your vehicle is 9 years old or newer what is the current odometer reading _________________

Motorhomes: Curb/Dry/Unladen/Factory weight ________ and length _________



Trailers/Fifth Wheels: Curb/Dry/Unladen/Factory weight ________ GVW ________ and length _______



1/2 ton

3/4 ton

1 ton

over 1 ton

_________ GVW

Motorcycles Only: CCs __________ Wheel Base ________ Wheel Diameter _________



Tonnage (trucks only) 1/4 ton

Boats Only: Length _______ Use ___________________________ Propulsion __________



Fuel _______Vessel Material _______________ Vessel Type ___________________

Lien Information Is there a security interest or lien against this vehicle? (Yes or No) If Yes, please fill out below: Date of First Security Lien ______________ Amount of lien____________________________ Name of Lienholder ____________________________________________________________ Mailing Address of Lienholder ____________________________________________________ Federal EIN Number of Lienholder ________________________________________________

If you would like a different plate than the current standard plate, please write your choice here: _____________________________________________________________________________ To see other standard plate options (selected by the year) or sponsor plate options, visit the DMV website at doj.mt.gov/driving. Mailing: P.O. Box 1840 Helena, MT 59624 Shipping: 415 N Benton Ave. Helena, MT 59601 877-913-5100 • 888-587-5379 [email protected] • www.llctlc.com