DEPARTMENT OF BUSINESS AND INDUSTRY
NEVADA HOUSING DIVISION – MANUFACTURED HOUSING
1830 College Pkwy, #120, Carson City, Nevada 89706; Phone: 775-684-2940
3300 W. Sahara Ave. #320, Las Vegas, Nevada 89102; Phone: 702-486-4135
Website: housing.nv.gov / Email: titles@housing.nv.gov
BILL OF SALE TL-112
For Convenience Only. A Sale/Transfer Requires submittal of a completed TL-100 Form
New Owner Email Address (Required):
New Owner Phone Number (Requ
ired):
SECTION 1. DESCRIPTION OF THE STRUCT
URE
YEAR: MAKE: MODEL:
SERIAL #
SIZE:
~
HOUSING
DIVISION
_________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_____________________________ ______________________ ________________________
________________________________________________________ ___________________________
Physical Location: __________________________________________________________________________________
Street City State Zip
SECTION 2. SELLER AND LEINHOLDER INFORMATIO
N
Name of Seller(s):
___________________________________________________________________________________
Mailing Address of Seller(s):__________________________________________________________________________
Street City State Zip
Current Lienholder (If Any):
__________________________________________________________________________
Mailing Address of Lienholder:________________________________________________________________________
Street City State Zip
SECTION 3. STATEMENT OF FACTS
(I, We) as seller further st
ate that to (my, our) knowledge, the structure is free and clear of any liens, encumbrances,
lawful claims and demands of any person whatsoever, and that the structure is not involved in any existing or pending
litigation. That in co
nsideration of $____________ and other valuable consideration, the receipt whereof is hereby
acknowledged, the undersigned (SELLER) does hereby sell, transfer and deliver on the _____ day of ________, 20____
his/her right, title and interest in the above described structure to the following purchaser(s) in Section 4.
SECTION 4. Purchaser(s) (Please type or print clearly and legibly all names to be show on the title)
That (I, We) have good right and lawful authority to request the Division to issue a title on said structure to:
Purchaser(s)/New Owner(s):_________________________________________________________________________
Purchaser(s)/New Owner(s) Mailing Address:____________________________________________________________
Street City State Zip
[Sign and Notarize under Section 5. on next page]
(Revised 1/2019)
