INSTRUCTIONS
The Division requires both an E-Mail Address and a Phone Number to contact you in case corrections a re needed on the paperwork
submitted to the Division. If you do not have both an email and phone number, You MUST provide one or the other.
SECTION 1. DESCRIPTION OF THE STRUCTURE (Personal Property)
The information required for part one (YEAR, MAKE, MODEL, SERIAL #, and SIZE) can be found on our website:
https://nvmhdprod.glsuite.us/GLSuiteWeb/Clients/NVMHD/Private/TitleSearch/TitleSearch.aspx
Title records can be found b y s tructure Serial Number, Owner Name or Owner Address. (Serial Number is Best Method.)
Manufacturer Certificate of Origin (If Available) (Required for a New Home)
Insignia (If Available)
Physical Location: Please provide full Address of the home where it is physically located (Street, City, State, Zip Code)
SECTION 2. DESCRIPTION OF REAL PROPERTY (Land)
Obtain the Assessor Parcel Number (APN#) for the land on which the manufactured home is located.
This c an be found on the County Assessor’s website or by contacting the Assessor’s office.
The APN# can also be found on the Deed to the land or on the Tax Bill from the Assessor.
SECTION 3. PERSONAL PROPERTY (Manufactured Home)
Provide the registered Owner Name (use the Title Search Link below) and Owner’s E-Mail:
https://nvmhdprod.glsuite.us/GLSuiteWeb/Clients/NVMHD/Private/TitleSearch/TitleSearch.aspx
Provide current lienholder (if any) Name and Address. This can also be found on the Title Search Link
Note: If there is an existing lienholder shown on title, the lienholder must sign the form.
SECTION 4. LEASED REAL P ROPERTY (Land)
(If Real Property Land is Leased in accordance with NRS 361.244.1.B)
Provide Name of the Landowner (if land is leased) and Landowner’s E-Mail
Provide Mailing Address of Landowner including Street number and name, City, State and Zip Code
Provide Name of Lienholder (If Any)
Provide Mailing Address of Lienholder including Street number and name, City, State and Zip Code
SECTION 5. ENFORCEMENT AGENCY ISSUING PERMIT & CERTIFICATE OF OCCUPANCY
The Enforcement Agency is generally the local government jurisdiction’s Building Department
Provide Name of the Government Agency Department (e.g. County Building Dept.)
Provide the Name of the Government Agency Department Official (e.g. Building Official)
Provide E-Mail Address a nd Phone Number of Government Agency Department Official or Department.
Provide the Building Permit Number for Permanent Foundation System Installation, (if applicable) OR a Certificate of
Occupancy Number, (if applicable).
SECTION 6. DEALER INFORMATION
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Provide Name & E-Mail of Nevada Licensed Manufactured Home Dealer (If a Dealer was involved in the sale of thehome)
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Provide the Dealer’s Nevada License Number (This will be located on the Dealer Report of Sale – DRS )
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Provide a Copy of the Dealer Report of Sale (DRS) Optional
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Provide the Mailing Address of the Nevada Licensed Manufactured Home Dealer (Also located on the DRS)
SECTION 7. SIGNATURES AND NOTARIZATION (Do not sign until in front of a Notary)
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The Manufactured Homeowner/Buyer Must sign in front of a Notary
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The Landowner, if different than the Manufactured Homeowner, must sign in front of a Notary
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The Lienholder, if there is a Lien on the Manufactured Home, must sign in front of a Notary
Note: The Manufactured Home and the Land Must be owned by the same person unless the Land is being Leased to the Owner of the
manufactured home in which case the Landowner Must approve of the Conversion to Real Property. Also, if there is a Lienholder on
either the manufactured home or the land, then the Lienholder must also approve of the Conversion to Real Property.
SECTION 8. AUTHORIZATION BY COUNTY ASSESSOR
The County Assessor is verifying compliance with NRS 361.244 including verification of Parcel Number, Ownership o f the
Manufactured Home (Personal Property), Ownership of the Land (Real Property) and that Personal Property Tax has been
Paid-in-Full. (See attached NRS 361.244)
When Recorded Mail To: Provide full address u nless clearly indicated in another section of the form by Recorder’s Office
AFFIDVIT OF CONVERSION TO REAL PROPERTY TL-110