Secured Party Termination Form Montana Form M-2 Rev. 10/10 Return to: Montana Department of Revenue Liquor Licensing PO Box 1712 Helena, MT 59624-1712 Instructions: Please type or print this form. Complete all portions of the form, including signatures of all parties. No fee is required for this transaction. If signing on behalf of a corporation, bank, etc. please indicate the office held. See ARM 42.12.205, for reference. Borrower/Debtor(s) Name and Address: Lender/Secured Party (ies) Name and Address: License No. _________________________ Trade Name of Business: ___________________ Loan No. Location Address: ________________________ _________________________ The undersigned no longer claims security interest in the above license and hereby requests that the name(s) listed above as secured party (ies) be removed from the face of the license. Dated this ___________day of ________________, 20________ Signature(s) of Lender/Secured Party (ies): (Please type or print name after each signature) _________________________________ Signature Title _________________________________ Signature Title 541 American LegalNet, Inc. www.FormsWorkFlow.com