Form MV90A "Odometer Disclosure Statement" - Montana

What Is Form MV90A?

This is a legal form that was released by the Montana Department of Justice - Attorney General Office - a government authority operating within Montana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2021;
  • The latest edition provided by the Montana Department of Justice - Attorney General Office;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MV90A by clicking the link below or browse more documents and templates provided by the Montana Department of Justice - Attorney General Office.

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Download Form MV90A "Odometer Disclosure Statement" - Montana

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Odometer Disclosure
Statement
Vehicle Services Bureau
P.O. Box 201431, 302 N Roberts, Helena, MT 59620-1431
Phone (406) 444-3661
Fax (406) 444-0116 
mvdtitleinfo@mt.gov
This form must be completed in its entirety.
Required for vehicles model 2011 or later. A vehicle having a gross weight rating of more than 16,000 pounds is exempt. A secure
Power of Attorney form must be used to acknowledge the odometer reading when the power of attorney is signing off for the
registered owner (i.e. seller); form MV90A cannot be used in this situation.
Vehicle
Year
Make/Manufacturer
Model
Type
Vehicle Identification Number:
Odometer Reading
Federal law (and state law if applicable) requires the current owner to state the mileage (odometer reading) upon transfer of ownership.
Failure to do so, or providing a false statement, may result in fines and/or imprisonment.
I state that this (check one) 5
or 6
digit odometer now reads _________________ (no tenths) miles, date read _______________,
and to the best of my knowledge, it reflects the actual mileage unless one of the following statements is checked (do not check
unless applicable):
The odometer reading reflects the amount of mileage in excess of its mechanical limits.
The odometer reading is not the actual mileage. Warning—odometer discrepancy.
Transferor (seller) Section
Printed Name of Transferor (seller)
Street Address
City
State
Zip Code
Signature
Date
Transferee (buyer) Section
Printed Name of Transferee (buyer)
Street Address
City
State
Zip Code
Signature
Date
Montana county and state authorities reserve the right to reject any form that has been altered.
MV90A (10/21)
This form is available in alternate formats for people with disabilities.
Odometer Disclosure
Statement
Vehicle Services Bureau
P.O. Box 201431, 302 N Roberts, Helena, MT 59620-1431
Phone (406) 444-3661
Fax (406) 444-0116 
mvdtitleinfo@mt.gov
This form must be completed in its entirety.
Required for vehicles model 2011 or later. A vehicle having a gross weight rating of more than 16,000 pounds is exempt. A secure
Power of Attorney form must be used to acknowledge the odometer reading when the power of attorney is signing off for the
registered owner (i.e. seller); form MV90A cannot be used in this situation.
Vehicle
Year
Make/Manufacturer
Model
Type
Vehicle Identification Number:
Odometer Reading
Federal law (and state law if applicable) requires the current owner to state the mileage (odometer reading) upon transfer of ownership.
Failure to do so, or providing a false statement, may result in fines and/or imprisonment.
I state that this (check one) 5
or 6
digit odometer now reads _________________ (no tenths) miles, date read _______________,
and to the best of my knowledge, it reflects the actual mileage unless one of the following statements is checked (do not check
unless applicable):
The odometer reading reflects the amount of mileage in excess of its mechanical limits.
The odometer reading is not the actual mileage. Warning—odometer discrepancy.
Transferor (seller) Section
Printed Name of Transferor (seller)
Street Address
City
State
Zip Code
Signature
Date
Transferee (buyer) Section
Printed Name of Transferee (buyer)
Street Address
City
State
Zip Code
Signature
Date
Montana county and state authorities reserve the right to reject any form that has been altered.
MV90A (10/21)
This form is available in alternate formats for people with disabilities.