Application For Certificate Of Title

Download a blank fillable Application For Certificate Of Title in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Application For Certificate Of Title with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Reset

State of Nebraska

Application for Certificate of Title

Vehicle or Motorboat Description

Fee $10.00

Vehicle Identification Number

Year

Make

Model

Body Style

Color

GVWR

Capacity/Propulsion

Taxi Use

Yes

Salvage

Previously Salvaged

Non-Transferable

Manufacturer Buyback

Salvage vehicle/motorboat is a late model vehicle/motorboat that has been wrecked, damaged or destroyed to the extent that the estimated total cost

of repair to restore it to its condition prior to being wrecked, damaged or destroyed, and a condition for legal operation upon the highways, exceeds

75% of the retail value of the vehicle at the time the vehicle was wrecked, damaged or destroyed OR voluntarily designated by the owner as salvage.

(if more than three (3), please attach a second application)

Owner/Applicant Information

If more than one owner, do you wish clear rights of survivorship to be transferred to the surviving owner(s) in the

event of the death of one owner?

No (probate will be required to transfer ownership - owner names separated with “And”)

Yes (ownership will transfer to co-owner upon presentation of death certificate - owner names separated with “Or”)

Owner name/Last or business name*

First Name

Owner name/Last or business name*

First Name

Check here if spouse

of owner 1.

Owner name/Last or business name*

First Name

Check here if spouse

of owner 1 or 2.

Owner’s Residential Address, City, State, Zip

Owner’s Mailing Address, City, State, Zip

Transfer On Death Beneficiary(ies), if applicable:

(Beneficiary may be individual or trust)

If indicated, upon death of last surviving owner, ownership of the vehicle will transfer to listed entity(ies).

TOD

Name*

*(Only first 35 positions will print on title)

Lien Information

Fee $7.00

Is there a lien on this vehicle?

Yes

No If yes, you must complete this section and provide a copy of the lien instrument with this application.

First Lien

PLID

Second Lien

PLID

The undersigned being duly sworn depose or affirm and say that the information provided on this application is true and complete. Use of a false or

fictitious name, knowingly making a false statement or knowingly concealing a material fact in this application can result in a fine or imprisonment

or both and cancellation of your certificate of title.

Signature

Date

All owners listed above shall sign this Application except in the case where co-owners are husband and wife, one spouse may sign; where an owner

provides proof he/she is handicapped or disabled or is too young to sign, a parent, legal guardian, foster parent or agent may sign; and if transferring

from an out-of-state title when ownership is not changing, one owner may sign.

Application for Duplicate Certificate of Title

RV-707 Revised 12/2011