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
VP262 (8/2012) Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed.
ABANDONED VEHICLE LIEN TRANSFER
Please Print or Type NRS 487.270
I, _______________________________________, FEIN _______________, do hereby release my lien for the following
Name of automobile wrecker or tow car operator
vehicle to ______________________________________, DMV Garage License Number ________________________.
Name of licensed Nevada garage
Vehicle Identification Number
Year
Make
Model
Registered Owner(s) – (as listed on latest certificate of title if applicable) The Registered and legal owners and DMV must
be notified of pending lien sale within 15 days of tow NRS 487.010.
Full Legal Name
First Middle Last
Nevada Driver’s License, Identification Card Number, Date of Birth, or FEIN for
businesses (if available)
Physical Address
Address City State Zip Code
Mailing Address
Address City State Zip Code
Full Legal Name
First Middle Last
Nevada Driver’s License, Identification Card Number, Date of Birth, or FEIN for
businesses (if available)
Physical Address
Address City State Zip Code
Mailing Address
Address City State Zip Code
Legal Owner – (as listed on latest certificate of title if applicable)
Lienholder Name
Nevada Driver’s License, Identification Card Number, Date of Birth, or FEIN for
businesses (if available)
Address
Address of property the vehicle was removed from
Name of person who
authorized the tow
Address
I declare under penalty of perjury that the foregoing is true and correct.
Signature
Date