Fillable TITLE SEARCH REQUEST (TL-109) (State of Nevada, Department of Information Technology)

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TITLE SEARCH REQUEST (TL-109) (State of Nevada, Department of Information Technology)

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BROWSE STATE OF NEVADA, DEPARTMENT OF INFORMATION TECHNOLOGY (NV) FORMS

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__________________________________________________________________________________________________
__________________________________________________
DEPARTMENT OF BUSINESS AND INDUSTRY
NEVADA HOUSING DIVISION – MANUFACTURED HOUSING
1830 E. College Pkwy. #120, Carson City, Nevada 89706; Phone: 775-684-2940
3300 W. Sahara Ave. #320, Las Vegas, Nevada 89102; Phone: 702-486-4135
Website: housing.nv.gov / Email: titles@housing.nv.gov
TITLE SEARCH REQUEST (TL-109)
INQUIRING PARTY MUST COMPLETE ALL SECTIONS OF TOP PORTION
a fee of $20.00 is to be submitted with each title search application
Make ch
ecks or money orders payable to Nevada Housing Division or use the Credit/Debit Card Authorization
(PIP 204) form:
https://housing.nv.gov/uploadedFiles/housingnewnvgov/Content/ManfHousing/PIP/PIP-204%20CC%20Form
.pdf
Title Search Request for:
_______
108 Lien Purposes
_______
General Purposes
Name of P
arty Requesting Information:
Email Address (required):
____________________________________________________________________________
Phone Number (required):
____________________________________________________________________________
Address:
__________________________________________________________________________________________
City:
__________________________________________ State:______________________________ Zip:____________
Signature__________________________________________________________________________________________
Year: _____________Manufacturer: _______________________________ Model: ______________________________
Serial #:__________________________________________________ Size: _________________________________
Registered Owner: __________________________________________________________________________________
Physical Location: _________________________________________________________________________________
Lienholder: _______________________________________________________________________________________
TITLE RECORD (To Be Completed by the Division)
Year: _____________Manufacturer: _______________________________ Model: ___________________________
Serial #:
__________________________________________________
Size:
_________________________________
Registered owner:
__________________________________________________________________________________
Physical Location:
__________________________________________________________________________________
City:
____________________________________________________________
_State:
______________
Zip:
__________
Mailing Address, if Different:
_________________________________________________________________________
City:
____________________________________________________
State:
__________________
_Zip:
______________
Lienholder:
________________________________________________________________________________________
Address:
___________________________________________________________________________________________
City:
____________________________________________________
State:
____________________
Zip:
_____________
No Record Found
______
Date Title Issued
___________
(See title attached)
Date:
_________________________
Nevada Housing Division – Manufactured Housing
TL-109 Rev 03/2021 Page 1 of 1
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TITLE SEARCH REQUEST (TL-109) (State of Nevada, Department of Information Technology)

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Completed 6 August 2021

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