Printed on recycled paper RV-707a Rev. 7/2017
State of Nebraska
APPLICATION FOR DUPLICATE
CERTIFICATE OF TITLE
Application May Be Presented To Any Motor Vehicle Office
1
Vehicle or Motorboat Information Fee $14.00
Vehicle Identification Number
Year
Make
Model
Title Number
2
Owner/Applicant Information
of said vehicle.
Is this vehicle subject to an existing lien? Yes No Name of lienholder:
Last Name First Name Middle Initial
Last Name First Name Middle Initial
Address (Street or RR and PO Box) City State Zip
Mailing Address (If other than above) City State Zip
3
Notarization
The undersigned being duly sworn depose or affirm and say that the information provided on this application is true and complete and that the
original certificate of title has been lost, destroyed, or mutilated. Use of a false or fictitious name, knowingly making a false statement or knowingly
concealing a material fact in this application can result in a fine or imprisonment or both and cancellation of your certificate of title.
Signature of Applicant
Subscribed and sworn before me the day
of .
Signature Notary Public or Designated County Official
My commission expires on .
SEAL
Signature of Applicant
Subscribed and sworn before me the day
of .
Signature Notary Public or Designated County Official
My commission expires on .
SEAL
NOTE: Application is void unless signed by Applicant(s) and properly notarized.
Check here if
spouse of Owner 1.