Fillable ERASURE AFFIDAVIT An individual taking full responsibility for (Department of Motor Vehicles )

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ERASURE AFFIDAVIT An individual taking full responsibility for (Department of Motor Vehicles )

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555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas area (702) 486-4DMV (4368)
dmvnv.com
VP-019 (01/2014) Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed and witnessed.
ERASURE AFFIDAVIT
NRS 482.245
An individual taking full responsibility for an error, change, or removal of information on ownership
documents must complete and sign the Erasure Affidavit. If a person is being removed from the
ownership documents, that individual is required to sign the affidavit. When representing a business,
the business name and the name of the authorized business representative must appear on the
affidavit.
Please print or type
Year _________________ Make _________________________ Model ______________________
Vehicle Identification Number _________________________________________________________
The undersigned, being duly sworn, states that the error or change appearing on the attached
ownership documents for the described vehicle was made due to:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
(Please describe what and where error is.)
I declare under penalty of perjury that the foregoing is true and correct.
Affiant’s Printed Full Legal Name ______________________________________________________
Nevada Driver’s License, Identification Card
Number, Date of Birth, or FEIN for Businesses ___________________________________________
Physical Address_______________________________________________________________________________
City State Zip Code
Mailing Address _________________________________________________________________________________
City State Zip Code
State of Nevada, County of ___________________
Signed and sworn to before me on _____________
Date
By ______________________________
Signature of Affiant Notary Stamp
______________________________________________
Notary Public or Authorized Nevada DMV Representative
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ERASURE AFFIDAVIT An individual taking full responsibility for (Department of Motor Vehicles )

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Completed 24 December 2020

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