Form Ohv 001c - Application For Off-Highway Vehicle Registration Decal Page 2
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1
2ATTN: OHV SECTION
555 Wright Way
Carson City, NV 89711
(775) 684-4381
APPLICATION FOR OFF-HIGHWAY VEHICLE REGISTRATION DECAL
FOR AN OHV PURCHASED FROM A PRIVATE PARTY AFTER 7/1/2012
Please Type or Print Using Blue or Black Ink
Part I
OHV Registration
Large All-Terrain Vehicle Registration
(Form OHV-031, Large ATV Insurance Declaration must also be
completed and submitted)
“Large all-terrain vehicle” means any all-terrain vehicle that includes seating capacity
for at least two people abreast and: 1. Total seating capacity for at least four people; or 2. A truck bed. Large OHV
.
Registration requires insurance that meets requirements of
NRS 485.185
Vehicle Identification Number:
Year: _____________ Make: ___________________ Model: _____________________ Date Purchased: ____________
Motorcycle
Snowmobile
All Terrain Vehicle
Side-by-Side
Dune Buggy
OHV Type:
Other (Please Explain) _______________________
County Based In: _____________________________________
Fees due:
Registration
$21
$
21
VIN Assignment (If Applicable)
$2
$________
Total Fees Due
$________
Part II
Off-Highway Vehicle Owner Information
Full Legal Name:
_______________________________________________________________________________________________________
As it appears on the Nevada Driver’s License or Identification Card, or Business Name
Nevada Driver’s License Number or 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
Part III
I hereby certify, under penalty of perjury, under the laws of the State of Nevada that all statements in this application and
any accompanying documents are true and correct. I further understand that any misstatement of facts may be a
misdemeanor or felony and may be punishable pursuant to NRS 193.130.
Applicant Signature:
Date:
Company name if OHV is registered to a company:
OHV 001C (Revised 07-01-2015)
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