NOTICE TO PRESERVE AN INTEREST IN PROPERTY
ON LOAN TO A MUSEUM
Name of Museum.................... Date....................
Claimant's Name....................
Address....................
(street address; city; state; zip code)
Telephone....................
Date Property Loaned....................
Description of Property....................
....................
....................
Documentation of ownership -- check the appropriate box:
[] Legible copy of original loan receipt attached
[] Other documentation attached
If you are not the original lender, describe the origin of your interest in the property and attach a copy of any document that creates your interest:
....................
....................
....................
I understand that I must promptly notify the museum in writing of any change of address or change in ownership of the loaned property.
I declare under penalty of false swearing that to the best of my knowledge the information contained in this notice is true.
SIGNED....................
(claimant)
OR I declare under penalty of false swearing that I am authorized to act on behalf of the claimant and am informed and believe that the information contained in this notice is true.
SIGNED....................
(claimant's representative)
§ 22-3-506, MCA