Abandoned Recreational Vehicle Title Affidavit Type of ...

1 555 Wright Way Carson City, NV 89711-0700 Reno/Sparks/Carson City (775) 684-4 DMV (4368) Las Vegas area (702) 486-4 DMV (4368) VP-267 (Origination Date 7/2015) Page 1 of 2 Abandoned Recreational Vehicle Title Affidavit Type of Ownership Document Requested (Please select one Title type) Title Salvage Title An owner of private property (NRS ) who claims a lien on the Abandoned Recreational Vehicle shall: Obtain the last known address of the owner and provide notice of lien by registered or certified mail. Place notice of lien in a newspaper of general circulation in which the Abandoned Recreational Vehicle is notice of lien must contain: An itemized statement of the claim, showing the sum due at the time of the notice and the date when it became due. A description of the Abandoned Recreational Vehicle and the location where the Abandoned Recreational Vehicle wasdiscovered and providing the serial number, Vehicle identification number, registration number or any otheridentifying information relating to the Abandoned Recreational Vehicle .

2 A demand that the amount of the claim as stated in the notice and of any further claim as may accrue, must be paidon or before a date mentioned. A statement that, if ownership is not claimed and the Abandoned Recreational Vehicle is not removed within 30 daysafter the publication date of the newspaper, the owner of the property where the Abandoned Recreational Vehicle islocated will advertise the Recreational Vehicle for sale and sell the Recreational Vehicle by auction at a specified timeand place, or apply for Title to the Recreational , owner of the property located at Printed Full Legal Name Street Address City State Zip Code Claim an Abandoned Recreational Vehicle lien on the following Vehicle : Vehicle Identification Number Year Make Model Body Type Cylinders Length Federal law requires that you state the mileage upon transfer of ownership. Failure to complete or provide a false statement may result in fines and/or imprisonment.

3 This Vehicle was an involuntary transfer; at the time of transfer: Odometer Reading (as shown on apparatus) NO TENTHS 1. The mileage stated is in excess of its mechanical The odometer reading is not the actual mileage. WARNING ODOMETER DISCREPANCY3. Exempt Model year over 9 years above listed Vehicle was Abandoned on by, Date Registered Owner First Middle Last Registered Owner s Address Street Address City State Zip Code Legal Owner Legal Owner s Address Street Address City State Zip Code 555 Wright Way Carson City, NV 89711-0700 Reno/Sparks/Carson City (775) 684-4 DMV (4368) Las Vegas area (702) 486-4 DMV (4368) VP-267 (Origination Date 7/2015) Page 2 of 2 LIEN CLAIMANT S CERTIFICATION Notice of lien was sent by registered mail (include postage receipt) Date Notice of lien publication was published (include receipt) Date Date listed in demand notice Date VIN Inspection completed and enclosed Picture enclosed Title fee enclosed Complete the section below with your full legal name which the new certificate of Title will read.

4 Printed Full Legal Name of Claimant First Middle Last Nevada Driver s License, Identification Card Number or Date of Birth Physical Address Street Address City State Zip Code Mailing Address Address City State Zip Code Lienholder Name (if no lienholder, write NONE ) Mailing Address Street Address City State Zip Code I hereby certify and affirm that all provisions of NRS through have been complied with, and make this Affidavit for the purpose of satisfying the Nevada Department of Motor Vehicles that a Certificate of Title for the described Vehicle should be issued to the claimant upon the facts stated herein. I also hereby release, discharge and agree to hold harmless the Nevada Department of Motor Vehicles of and from any and all liability to anyone whomsoever which may arise by reason of any contest of the validity of the lien herein referred to, or the validity of the sale under said lien, or failure of Lien Claimant to satisfy lien in the manner prescribed in NRS and NAC 108.

5 State of Nevada, County of Subscribed and sworn to before me on by Date Signature of Lien Claimant Notary Public or Authorized Nevada DMV Representative Notary Stamp NOTE: This document must be accompanied with a completed Vehicle Inspection Certificate (Form VP-15). Signatures must be originals. Photocopies are not acceptable. Changes may not be made to this form once it is signed and witnessed.