VP187 (7/2015)
555 WRIGHT WAY
CARSON CITY, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
dmvnv.com
DESI
GNATION OF USE FOR VETERANS EXEMPTION
Pursuant to NRS 371.1035, any person who qualifies for a Veterans Exemption may apply the
exemption as a donation to the Veterans Home Account at the time of vehicle registration. The
amount to be applied can be any amount up to the Governmental Services Tax amount.
Please note that you cannot use the Veteran’s Exemption for vehicle registration and for
donation to the Veterans Home Account.
Ple
ase Print or Type
I wish to donate $ of my Veterans Exemption to the Veterans Home
Account in lieu of using it on my vehicle registration.
Vehicle License Plate Number:
Applicant’s Name __________________________________________________________________________
First MI Last
Nevada Driver’s License, Identification
Number or Date of Birth _______________________________________________________
Physical Address
____________________________________________________________________
City State Zip Code
Mailing Address _____________________________________________________________________
City State Zip Code
Daytime Telephone (_____) _____________________
Applicant’s Signature____________________________________ Date___________________