555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas area (702) 486-4DMV (4368)
dmvnv.com
NVL025 (04-2015) Signatures must be original photocopies are not accepted.
PROPERTY OWNER AFFIDAVIT
TO BE COMPLETED BY THE PROPERTY OWNER
Please Print or Type
Full Legal Name of Property Owners (as documented on the Nevada driver’s license or identification card):
Property Owner(s) _________________________________________________________________________________
First Middle Last DL#
Property Owners
Physical Address __________________________________________________________________________________
Street City State Zip Code
Property Owners phone number:______________________________________________________________________
Pr
operty Owners e-mail address:______________________________________________________________________
Vehicle Identification Number
Year ___________ Make ______________________ Nevada License Plate Number
The described vehicle was stored on my property from ________________ to ________________ at below location.
Month / Day / Year Month / Day / Year
Addr
ess: _________________________________________________________________________________________
Street City State Zip Code
I decl
are under penalty of perjury that the above vehicle was stored dormant at the physical address provided during the
dates provided.
Pr
operty Owner Signature _______________________________________________________ Date _____________
Subscribed and sworn to before me this
_________ day of __________________, (20 __ )
By _____________________________________________
________________________________________________
NOTARY Public or Authorized Nevada DMV Representative
NOTARY
STAMP