555 Wright Way
Carson City, NV 89711-0700
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
dmvnv.com
Signatures must be originals. Photocopies are not acceptable.
Alterations or Erasure VOIDS this Document
VP275 (Rev 7/2019)
DONATION AFFIDAVIT WITHOUT ENDORSED TITLE
Please include a check or money order for the $11.00 Salvage Title fee, which includes a Technology fee, for the
Salvage Title. There is NO fee for a Non-Repairable Vehicle Certificate. Complete only when endorsed title has not
been received. This form must be submitted with a completed Application for Salvage Title or Non-Repairable Vehicle
Certificate (VP-213), a completed VIN Inspection form (VP-15), and proof of mailings.
First mailing must be minimum of 30 days after settlement date.
Please type or print in blue or black ink
Vehicle Identification Number
The vehicle was received on
The owner(s) did not supply certificate of title. Attached is proof of the two attempts to contact the owner(s), the
application for salvage title or non-repairable vehicle certificate and the vehicle inspection certificate.
The first mailing was sent on
The second mailing was sent on
Name (if no lienholder write “none”)
The first mailing was sent on
The second mailing was sent on
I hereby certify and affirm that all provisions of NRS 487.800 have been complied with, and make this affidavit for the
purpose of satisfying the Nevada Department of Motor Vehicles that a Salvage Title or Non-Repairable Certificate for
the described vehicle should be issued to in the name of the organization listed above upon the facts stated herein. I
also hereby release, discharge and agree to hold harm-less 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 this vehicle transfer.
I declare under penalty of perjury that the foregoing is true and correct.
Authorized Representative Printed Name
Authorized Representative Signature
