Fillable Business Name Authorized Representative REGISTRATION SERVICE TRANSMITTAL FORM (State of Nevada, Department of Information Technology)

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Business Name Authorized Representative REGISTRATION SERVICE TRANSMITTAL FORM (State of Nevada, Department of Information Technology)

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U.S.A. forms for State of Nevada, Department of Information Technology

BROWSE STATE OF NEVADA, DEPARTMENT OF INFORMATION TECHNOLOGY (NV) FORMS

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Field Services Division
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
dmvnv.com
VP 193 (5-2011)
REGISTRATION SERVICE TRANSMITTAL FORM
(Please print or type)
Business Name Authorized Representative
Business Mailing Address
Business Phone Number
If the DMV is unable to process a transaction, the documents will be returned with the completed transactions when they are picked up.
No. Customer’s Full Legal Name DLN or FEIN VIN & MSRP New (N) Trans(T)
Renew (R)
Plate No
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Reason for returns:
DMV use only
Drop off date Time Total Submitted
First Time trans Renewals Total Processed
Rejected Processed by Date
Notes
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Business Name Authorized Representative REGISTRATION SERVICE TRANSMITTAL FORM (State of Nevada, Department of Information Technology)

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Completed 12 March 2022

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