Form Vp-019 - Erasure Affidavit
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1555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas area (702) 486-4DMV (4368)
Rural Nevada or Out of State (877) 368-7828
ERASURE AFFIDAVIT
NRS 482.245
An individual taking full responsibility for an error, change, or removal of information on ownership
documents must complete and sign the Erasure Affidavit. If a person is being removed from the
ownership documents, that individual is required to sign the affidavit. When representing a business,
the business name and the name of the authorized business representative must appear on the
affidavit.
Please print or type
Year _________________ Make _________________________ Model ______________________
Vehicle Identification Number _________________________________________________________
The undersigned, being duly sworn, states that the error or change appearing on the attached
ownership documents for the described vehicle was made due to:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
(Please describe what and where error is.)
I declare under penalty of perjury that the foregoing is true and correct.
Affiant’s Printed Full Legal Name ______________________________________________________
Nevada Driver’s License, Identification Card
Number, Date of Birth, or FEIN for Businesses ___________________________________________
Physical Address
_______________________________________________________________________________
City
State
Zip Code
Mailing Address
_________________________________________________________________________________
City
State
Zip Code
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
VP-019 (01/2014)
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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