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Whitefish Police Department 275 Flathead Avenue Whitefish, MT 59937 (406) 863-2420 STOLEN VEHICLE REPORT Name: DOB: Age: LAST FIRST MI Address: CITY STATE ZIP Lien Holder: City: State: Time of Theft: Date: Time of Report: Stolen From Possible Suspects: Vehicle Locked: Keys in Vehicle: YES NO YES NO Amount of Weapons in Vehicle: If yes, What YES NO Other Valuables: Vehicle Information: Year Make Model Style License Plate Year VIN Remarks: I, THE UNDERSIGNED, DO HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND ACCURATE. I FURTHER CERTIFY THAT I HAVE REPORTED THE THEFT OF MY VEHICLE TO THE WHITEFISH POLICE DEPARTMENT FOR ASSISTANCE IN RECOVERY OF THE VEHICLE AND WILL NOT HOLD SUCH AGENCY OR INDIVIDUAL RESPONSIBLE FOR ANY CHARGES OR DAMAGE RESULTING FROM ATTEMPTS TO RECOVER THE ABOVE NAMED VEHICLE. I, THE UNDERSIGNED, DO HEREBY UNDERSTAND THAT UNDER MONTANA STATE LAW, SECTION 94-7- 206, R.C.M. 1947, IT IS A CRIMINAL OFFENSE PUNISHABLE BY A FINE OF $500.00 AND 6 MONTHS IN JAIL, OR BOTH, FOR FURNISHING A FALSE REPORT TO A LAW ENFORCEMENT AGENCY. I CERTIFY THAT THE ABOVE STATEMENTS ARE TRUE AND CORRECT. Signature of Owner: Witness: Signature of Officer: Case Report Date Entered in NCIC: NIC Date Cancelled From