Form Vp-185 - One And The Same Affidavit

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555 WRIGHT WAY
CARSON CITY, NV 89711-0700
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Rural Nevada (877) 368-7828
ONE AND THE SAME AFFIDAVIT
Please Print or Type
I, _________________________________________________, hereby swear under penalty of NRS
Full Legal Name
482.545, that the following assertions are true of my own personal knowledge:
1.
I reside at __________________________________________________________________
Physical Address
________________________________________________________________________________________________________________
City
State
Zip Code
2.
My mailing address is _________________________________________________________
Mailing Address
_________________________________________________________________________________________________________________
City
State
Zip Code
3.
I, _______________________________________________, am the same person as
___________________________________________________________________________.
4.
My Nevada Driver’s License, Identification
Number, Date of Birth, or FEIN for a business
__________________________________________________________
State of Nevada
County of _________________
Signed and sworn to before on ____________
Date
By __________________________________
Notary Stamp
Signature of Affiant
_____________________________________________
Notary Public or Authorized Nevada DMV Representative
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed and witnessed.
VP-185 (Rev 8-2012)

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