Fillable APPLICATION FOR NON-RESIDENT BUSINESS PERMIT (Department of Motor Vehicles )

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APPLICATION FOR NON-RESIDENT BUSINESS PERMIT (Department of Motor Vehicles )

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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
VP-264 (Rev. 07/2018)
APPLICATION FOR NON-RESIDENT BUSINESS PERMIT
NRS Chapters 445 and 482
Please select one:
New Permit Issuance
Renewal of Permit
Reprint of Decal
PLEASE PRINT OR TYPE
Business Name
FEIN
Physical Address
Street Address
City
State
Zip Code
Mailing Address
Street Address
City
State
Zip Code
Email Address
Vehicle will be based in
County.
(Nevada county)
Vehicle Information
Vehicle Identification Number (VIN)
Year
Make
Model
Manufacturer’s Gross Vehicle Weight Rating
If the manufacturer’s GVWR is 26,000 lbs. or greater, contact the Motor Carrier Division for registration requirements (NRS 706).
Registration Information
State of Registration
Expiration Date of Registration
Name on Registration
Insurance Information
NAIC/Policy Number
Effective Date
Expiration Date
Emission Information
Certificate Number
State
Station Number
The issuance of this decal allows the operation of this vehicle on Nevada roadways in conjunction with a valid registration
and insurance from another state, country, or place of which the owner is a resident.
Per NRS 482.3961, a fee of $200.00 will be charged for the first vehicle and $150.00 for each additional vehicle in which
an owner obtains a permit and this decal is non-transferable and expires one year from issuance. If you do not provide a
smog certificate from your original state, then NRS 445B.700 to 445B.815 inclusive will apply and you may be required to
get a Nevada emission test.
Trailers are exempt and do not require a decal.
When the decal is received, please follow the instructions and remove the decal from the back of the document.
NOTE: It is a gross misdemeanor to use a false or fictitious name or address in this application, knowingly make a
false statement, knowingly conceal a material fact, or otherwise commit a fraud in this application.
Signature
Date
Registered Owner
Title
For Office Use Only:
Documents Shown
Registration
Insurance Card
Emission Certificate
Technician’s initials & number
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APPLICATION FOR NON-RESIDENT BUSINESS PERMIT (Department of Motor Vehicles )

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Completed 24 December 2020

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