Release of Security Interest or Lien MVD Use Only Vehicle Services Bureau P.O. Box 201431, 302 N Roberts, Helena, MT 59620-1431  Phone (406) 444-3661 Fax (406) 444-0116  [email protected]

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:

Year: Make: Title Number:

Vehicle Identification Number:

Registered Owner:

File Date of the Security Interest or Lien shown on the title:

Security Interest Tracking Number: (Found on the lien perfection document the lender receives when the security interest/lien is initially filed at the county.)

Secured Party Name:

*Failure to provide any of the above information will delay processing.

• Under penalty of law (MCA 45-7-203), I certify that the statements made and information contained on this form are true and correct to the best of my knowledge, information, and belief; I am the person named on this form; and, if signing for a business entity or trust, 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 $25.75 for each day that the secured party fails to file the satisfaction (fee includes 3% administrative fee per MCA 61-3-111).

Secured Party Printed Name:

Secured Party Signature: Date: This is my legal signature

Montana county and state authorities reserve the right to reject any form that has been altered. MV37A (1/18) This form is available in alternate formats for people with disabilities.