Form Vp-206 - Lost Title Affidavit
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1555 WRIGHT WAY
CARSON CITY, NV 89711-0700
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Outside or Rural Nevada (877) 368-7828
LOST TITLE AFFIDAVIT
Please Print or Type
I hereby certify that Nevada Certificate of Title Number _____________________________________
issued on _____________________ for a Year _________, Make ___________, Model __________
VIN _____________________________________________________________________________
was never received. In the event the referenced title is located, I will surrender it immediately to the
Nevada Department of Motor Vehicles.
Department records indicate the title was mailed to:
________________________________________________________________________________.
Address
City
State
Zip Code
___________________________________________________________.
and my mailing address is
Address
City
State
Zip Code
__________________________________________________________.
and my physical address is
Address
City
State
Zip Code
______________________________________________________________
Affiant’s Printed Name
_
Nevada Driver’s License, Identification Card Number, or Date of Birth
_____________________________
State of
____________________
Nevada, County of
_______________
Signed and sworn to before me on
Date
By _____________________________
Signature of Affiant
Notary Stamp
______________________________________
Notary Public or Authorized Nevada DMV Representative
*** For Department Use Only ***
The Central Services and Records Division in Carson City was contacted on __________________;
they verified that the title in question was not returned as undeliverable by the U.S. Postal Service.
Supervisor: _____________________________,
_______________________________
Name
Title
The approval of this affidavit relieves the applicant/affiant of payment of the $20.00 fee for issuance of a Duplicate Nevada
Certificate of Title.
VP-206 (Rev. 8/2012)
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed and witnessed.
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