APPLICATION FOR DUPLICATE NEVADA OHV CERTIFICATE OF TITLE
Please Type or Print Using Blue or Black Ink
Vehicle Identification Number
Year: ______________ Make: _____________________ Model: ______________________ Date: ________________
Motorcycle
Snowmobile
All Terrain Vehicle
Side-by-Side
Dune Buggy
OHV Type:
Other (Please Explain) ______________________________________________
Registered Owner(s)/ Lessee Name(s) – (as listed on latest certificate of title). If more than two owners, complete
and attach an additional Duplicate Title form.
Owner #1 Full Legal Name: _____________________________________________________________________________________
As it appears on the Nevada Driver’s License or Identification Card, or Business Name
Nevada Driver’s License Number, Identification Card Number, or FEIN for a Business: _______________________________________
Date of Birth: ___________________ Phone Number: ____________________ E-Mail (Optional): _____________________________
Owner #2 Full Legal Name: _____________________________________________________________________________________
As it appears on the Nevada Driver’s License or Identification Card, or Business Name
Nevada Driver’s License Number, Identification Card Number, or FEIN for a Business: _______________________________________
Date of Birth: ___________________ Phone Number: ____________________ E-Mail (Optional): _____________________________
Physical Address: _____________________________________________________________________________________________
Address
City
State
Zip Code
Mailing Address: ______________________________________________________________________________________________
Address
City
State
Zip Code
Legal Owner – (as listed on latest certificate of title, if applicable)
Lienholder/Lessor: ___________________________________________________________________________________________
Full Legal Name of Individual or Business
NV Driver’s License Number, Identification Card Number, NV ELT # or FEIN for a Business: __________________________________
Mailing Address: ______________________________________________________________________________________________
Address
City
State
Zip Code
Complete if certificate of title is to be mailed to an address other than the address listed above. If requested by a
third party, a notarized letter of authorization must be attached. If the requestor is a Nevada licensed OHV dealer, the
letter is not required to be notarized.
Requested By: ____________________________________________________________________________________
Address: _________________________________________________________________________________________
Address
City
State
Zip Code
CERTIFICATION
I certify that I am the legal owner of the described off-highway vehicle and the original Certificate of Title has been:
Lost
Stolen
Mutilated
Other
________________________________________________
Please Explain
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 ____________ by ___________________________________________________
Date
Name of person making statement
_________________________________________
Notary Public
Notary Stamp
Signatures must be originals, photocopies will not be accepted. Changes may not be made to this form once it is signed and
OHV 007 (Revised 05/2017)
witnessed.