Fillable 555 Wright Way Carson City, NV 89711 Reno/Sparks/Carson (Department of Motor Vehicles )

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555 Wright Way Carson City, NV 89711 Reno/Sparks/Carson (Department of Motor Vehicles )

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  • 60 other fields

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File type: PDF

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555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
dmvnv.com
Any erasures or Alterations will VOID this application. Form must be original.
Photocopies are not acceptable. Changes may not be made to this form once completed.
VP-247 (12/2019)
Registration Services Transaction Request
Complete one transaction request for each vehicle. If more than one vehicle is requested for a client a transaction request must
be submitted for each vehicle. This form must be legible and completed in its entirety.
Business Name:
Reg Service Number:
Authorized Representative:
Phone #
Printed Name
Requesting (check transaction(s))
Registration
Temp Movement Permit
COA
Other
Owner information (if more than two owners, complete and attach an additional Registration Services Transaction Request form)
Owner’s Full Legal Name:
and
or
First
Middle
Last
NV Driver’s License, Identification, DAC Number and Date of Birth
(D.O.B. only needed if never issued NV DL,ID, or DAC)
FEIN # Fleet Insurance only:
Physical Address
Address
City
State
Zip Code
Mailing Address
Address
City
State
Zip Code
Owner’s Full Legal Name:
First
Middle
Last
NV Driver’s License, Identification, DAC Number and Date of Birth
(D.O.B. only needed if never issued NV DL,ID, or DAC)
FEIN # Fleet Insurance only:
Physical Address
Address
City
State
Zip Code
Mailing Address
Address
City
State
Zip Code
Customer’s Telephone Number
Customer’s Email (optional)
Vehicle Information: Vehicle Identification Number
Payment Submitted
Cash
Check
Credit Card
ACH
Year
Body Type
Model
Make
Fuel
Unladen Weight (Trailer)
Length
County based in
Axles
Declared Gross Weight (Truck)
Odometer (required)
Title and Registration Documents submitted (check all that apply)
Title or MSO
Purchase Order
Lease Agreement
NV Renewal card
Emission Certificate
Bill of Sale
EDRS or Lien Sale
VIN Inspection
NV Insurance card
Exemption #
Erasure Affidavit
Nevada LIVE
Other
Application for Registration (VP-222)
Out of State Registration (State and License Plate #)
Personalized Plate application
Temporary Movement Permit requested for
days for (reason)
.
(Ownership documents must be marked in the Title and Registration Documents section.)
License Plate Information – must be provided if available
Note: Use any/all credit (linked to customer) available in system at the time of processing registration
Yes
No
Transferring Plate
Surrendering Plate #
If box is not marked – refund will not be processed.
New Plate
Specialty Plate Type
Trailer Plate
Small
Large
Trailer Registration
1yr
3 yrs
DMV use only:
Tech ID:
Payment Type
Cash
Check
Credit Card
ACH
Completed Transaction(s)
Title
Registration
Renewal
Plate Order
Permit
NV LIVE
Other
Rejection Reason
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555 Wright Way Carson City, NV 89711 RenoSparksCarson (Department of Motor Vehicles )

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Completed 24 December 2020

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