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
VP-267 (Origination Date 7/2015) Page 1 of 2
Abandoned Recreational Vehicle Title Affidavit
Type of Ownership Document Requested (Please select one title type)
Title
Salvage Title
An owner of private property (NRS 108.270) who claims a lien on the abandoned recreational vehicle shall:
Obtain the last known address of the owner and provide notice of lien by registered or certified mail.
Place notice of lien in a newspaper of general circulation in which the abandoned recreational vehicle is located.
The notice of lien must contain:
An itemized statement of the claim, showing the sum due at the time of the notice and the date when it became due.
A description of the abandoned recreational vehicle and the location where the abandoned recreational vehicle was
discovered and providing the serial number, vehicle identification number, registration number or any other
identifying information relating to the abandoned recreational vehicle.
A demand that the amount of the claim as stated in the notice and of any further claim as may accrue, must be paid
on or before a date mentioned.
A statement that, if ownership is not claimed and the abandoned recreational vehicle is not removed within 30 days
after the publication date of the newspaper, the owner of the property where the abandoned recreational vehicle is
located will advertise the recreational vehicle for sale and sell the recreational vehicle by auction at a specified time
and place, or apply for title to the recreational vehicle.
I,
owner of the property located at
Printed Full Legal Name
Street Address
City
Zip Code
Claim an Abandoned Recreational Vehicle lien on the following vehicle:
Vehicle Identification Number
Year
Make
Model
Body Type
Cylinders
Length
Federal law requires that you state the mileage upon transfer of ownership. Failure to complete or provide a false statement
may result in fines and/or imprisonment. This vehicle was an involuntary transfer; at the time of transfer:
Odometer Reading (as shown on apparatus)
NO TENTHS
1. The mileage stated is in excess of its mechanical limits.
2. The odometer reading is not the actual mileage. WARNING – ODOMETER DISCREPANCY
3. Exempt – Model year over 9 years old.
The above listed vehicle was abandoned on
by,
Date
Registered Owner
First
Middle
Last
Registered Owner’s Address
Street Address
City
State
Zip Code
Legal Owner
Legal Owner’s Address
Street Address
City
State
Zip Code
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
VP-267 (Origination Date 7/2015) Page 2 of 2
LIEN CLAIMANT’S CERTIFICATION
Notice of lien was sent by registered mail (include postage receipt)
Date
Notice of lien publication was published (include receipt)
Date
Date listed in demand notice
Date
VIN Inspection completed and enclosed
Picture enclosed
Title fee enclosed
Complete the section below with your full legal name which the new certificate of title will read:
Printed Full Legal Name of Claimant
First
Middle
Last
Nevada Driver’s License, Identification Card Number or Date of Birth
Physical Address
Street Address
City
State
Zip Code
Mailing Address
Address
City
State
Zip Code
Lienholder Name
(if no lienholder, write “NONE”)
Mailing Address
Street Address
City
State
Zip Code
I hereby certify and affirm that all provisions of NRS 108.270 through 108.360 have been complied with, and make this
affidavit for the purpose of satisfying the Nevada Department of Motor Vehicles that a Certificate of Title for the described
vehicle should be issued to the claimant upon the facts stated herein. I also hereby release, discharge and agree to hold
harmless the Nevada Department of Motor Vehicles of and from any and all liability to anyone whomsoever which may arise
by reason of any contest of the validity of the lien herein referred to, or the validity of the sale under said lien, or failure of
Lien Claimant to satisfy lien in the manner prescribed in NRS and NAC 108.
State of Nevada, County of
Subscribed and sworn to before me on
by
Date
Signature of Lien Claimant
Notary Public or Authorized Nevada DMV Representative
Notary Stamp
NOTE: This document must be accompanied with a completed Vehicle Inspection Certificate (Form VP-15).
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed and witnessed.