VP-206 (Rev. 8/2012) Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed and witnessed.
LOST TITLE AFFIDAVIT
Please Print or Type
I hereby certify that Nevada Certificate of Title Number _____________________________________
issued on _____________________ for a Year _________, Make ___________, Model __________
VIN _____________________________________________________________________________
was never received. In the event the referenced title is located, I will surrender it immediately to the
Nevada Department of Motor Vehicles.
Department records indicate the title was mailed to:
________________________________________________________________________________.
Address City State Zip Code
and my mailing address is ___________________________________________________________.
Address City State Zip Code
and my physical address is __________________________________________________________.
Address City State Zip Code
Affiant’s Printed Name ______________________________________________________________
Nevada Driver’s License, Identification Card Number, or Date of Birth ______________________________
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
*** For Department Use Only ***
The Central Services and Records Division in Carson City was contacted on __________________;
they verified that the title in question was not returned as undeliverable by the U.S. Postal Service.
Supervisor: _____________________________, _______________________________
The approval of this affidavit relieves the applicant/affiant of payment of the $20.00 fee for issuance of a Duplicate Nevada
Certificate of Title.
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
