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-210 (Rev. 11/2011)
REGISTRATION FEE REFUND REQUEST FORM
NRS 482.399
Instructions
1. The request must be made at the time the registration is cancelled.
2. The license plates must be surrendered.
3. Applicant must be a resident of Nevada.
4. The refund amount must exceed $100.
5. If documentation is not presented or attached to the request it will be deemed incomplete and
will be denied
At least one of the following criteria must be met to qualify for a refund. Check the box(es) that
applies to your situation:
Applicant’s driver’s license must have recently been relinquished and has sold or otherwise
disposed of their vehicle; or
The vehicle has been determined to be inoperable and the applicant does not transfer the
registration to another vehicle. If the vehicle is inoperable and not economical to repair, an
estimate from a motor vehicle repair shop or garage is required; or
The owner of the vehicle is seriously ill or has died and the guardians or survivors have sold or
otherwise disposed of the vehicle.
Present original receipts and/or documentation to verify circumstance and time frames.
Vehicle Information
Vehicle Identification Number
Year
Make Model
License Plate Number
AFFIDAVIT OF SALE
Please Print or Type
I certify under penalty or perjury under the laws of the State of Nevada, that I have sold the described
vehicle to ______________________________________________________ on _______________
Name of buyer(s) (Date)
Printed Name of Applicant
Signature of Applicant
Date
Physical Address
Address City State Zip Code
Mailing Address
Address City State Zip Code
For Office Use Only
Approved Denied
Supervisor _______________________________________________ Date __________________
Office _________________________________________ Phone ___________________________
