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Montana county and state authorities reserve the right to reject any form that has been altered. MV20 (10/12) Upon request, this form can be made available in an alternate format. Title and Registration Bureau Vehicle/Vessel/OHV Identification Number Inspection Certificate MVD Use Only 1003 Buckskin Drive, Deer Lodge, MT 59722 –2375 Phone (406) 444-3661 Fax (406) 846-6039 [EMAIL REDACTED] Salvage vehicles only: A fee of $18.50 must be paid to your local driver services station prior to the inspection. Additional fees and taxes may be due upon registration. This Section Must Be Completed by the Applicant License Plate Number Expiration Date State of Registration Owner/Applicant Name Address City State Zip Code This Section Must Be Completed by the Inspecting Officer Level of inspection (check one): 1 2 Notice: A Level 2 inspection must be conducted by a Montana Department of Justice employee or Montana Peace Officer. $18.50 fee required? No Yes Fee paid? No Yes Check Number Year Make/Manufacturer Model Color Body Style Length Vessel MT Number Vessel Use Vessel Propulsion Vessel Material Vessel Length FT. IN. Vessel Type Vehicle/Vessel/OHV Identification No: The vehicle has (check one): an odometer a kilometer (check one) five six digits Odometer/Kilometer Reading: Describe where the vehicle/vessel/OHV identification number of the Body was located: List what Identifiers you found (Public VIN, federal standards, firewall, NHTSA, etc.): When requested to inspect the Frame or Secondary VIN, indicate the number: If vehicle/vessel/OHV has a salvage title, indicate the title number and state it is from: I certify that I have physically inspected this vehicle/vessel/OHV and determined that the information provided is correct. Remarks (use reverse side if more space is needed): Signature of Inspector Date Badge Number (if applicable) Printed Name of Inspector Law Enforcement Department or Agency State