Fillable AUTHORIZATION FOR VEHICLE RESTORATION (Department of Motor Vehicles )

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AUTHORIZATION FOR VEHICLE RESTORATION (Department of Motor Vehicles )

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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
AUTHORIZATION FOR VEHICLE RESTORATION
PURSUANT TO NRS 487.480
Vehicle Identification Number:
Year__________Make__________________Model__________________Type_________________Odometer______________
In Possession of:
Name _________________________________________________________________________________________________
First Middle Last
Nevada Driver’s License, Identification Card Number, or Date of Birth ______________________________________________
Physical Address ________________________________________________________________________________________
City State Zip Code
Mailing Address _________________________________________________________________________________________
City State Zip Code
I, the undersigned, have inspected the above described vehicle and authorize its restoration.
Printed name____________________________________________________________________________________________
Authorized Nevada DMV Representative
Signature____________________________________________________________________Date__________________________________
VP 209 (06/2011)
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AUTHORIZATION FOR VEHICLE RESTORATION (Department of Motor Vehicles )

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Completed 24 December 2020

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