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PART III

Completed by a Nevada DMV Agency Representative

Note: Attach copies of any title or purchase documents showing information of components used from other vehicles.

VIN & Part ________________________________________ VIN & Part________________________________________

VIN indicated in Part I Verified



Vehicle Inspection Fee

DMV Assigned VIN

VIN Assignment Fee



 Different than listed in Part I Year_________ Make________________ Model_____________ Type________________

Reason VIN assigned ________________________________________________________________________________

Odometer Reading (as shown on apparatus)

NO TENTHS

If the vehicle’s odometer apparatus only displays five numbers, please put an X in the first box.

 1. The mileage stated is in excess of its mechanical limits.

 2. The odometer reading is not the actual mileage. WARNING – ODOMETER DISCREPANCY

 3. Exempt – Model year over 9 years old.

Additional comments: ________________________________________________________________________________

_____________________________________ _____________________________________ ________ _____________

Printed name of Nevada DMV Agency Representative

Signature of Nevada DMV Agency Representative

ID NO.

Date

“Rebuilt vehicle” (NRS 482.098) means:

1. A vehicle for which one or more of the following major components have been replaced:

(a) Cowl assembly;

(b) Rear clip assembly;

(d) Floor pan assembly;

(e) Conventional frame coupled with one additional major component; or

(f) Complete front inner structure for a unibody.

Note: The term “rebuilt” does not include a vehicle for which the only change is the installation of a truck cab assembly.

Definitions



“Complete front inner structure for a unibody” (NRS 482.0154) means the weld on structure of a vehicle, including,

without limitation, the radiator support. Left and right aprons, upper and lower rails and strut towers, designed and

intended to be located forward of the cowl assembly.



“Conventional frame” (NRS 482.0157) means the main longitudinal structural members of the chassis of a vehicle

used as the major support in the construction of the vehicle.



“Cowl assembly” (NRS 482.018) to mean the forward structural portion of a vehicle to which are intended to be

attached all or a part of the windshield frame, fire wall, housing of the instrument panel and hinges for the front

doors.



“Floor pan assembly” (NRS 482.0385) means the pans designed and intended to form the floor of the passenger

compartment of a vehicle.



“Rear clip assembly” (NRS 482.0965) means the entire rear structural portion of a vehicle designed and intended

to be located behind the rear seat of the vehicle.



“Roof assembly” (NRS 482.106) means the structural parts of a vehicle, including, without limitation, more than

one-half of the vertical roof supports, the framework of the roof and the exterior metal skin that together are

designed and intended to be located over the passenger compartment to form the roof of the vehicle.

VP-64A (6-2011)

Form Vp-64a - Certificate Of Inspection For Rebuilt Vehicles (Not Salvage) - (Vp 064a) Page 2

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