Form Ohv 024 - Off-Highway Vehicle Lost Title Affidavit
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1ATTN: OHV SECTION
555 Wright Way
Carson City, NV 89711
(775) 684-4381
OFF-HIGHWAY VEHICLE LOST TITLE AFFIDAVIT
Please Print or Type
I hereby certify that Nevada Certificate of Title Number _____________________________________
issued on _____________________ for a Year _________, Make ___________, Model __________
Vehicle Identification Number
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: _______________________________________
Full Legal Name
________________________________________________________________________________
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 _________________________
I hereby declare under penalty of perjury that the foregoing is true and correct.
State of Nevada, County of: __________________________________________________________________________
Signed and sworn to before me this ________ day of ________ 20________
by: __________________________________________________________
Signature of Person Making Statement
_____________________________________________________________
Notary Public
Signatures must be originals, photocopies will not be accepted. Changes may not be made to this form once it is signed and witnessed.
*** For Department Use Only ***
The OHV Section of the DMV 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 for an Off-Highway Vehicle.
OHV 024 (Revised 8/2012)
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