Fill - Free fillable TRANSFER TITLE AFFIDAVIT INSTRUCTIONS (TL-100) (State of Nevada, Department of Information Technology) PDF form

TRANSFER TITLE AFFIDAVIT INSTRUCTIONS (TL-100)

Read instructions carefully to complete this form

ATTENTION: THIS FORM IS TO BE USED TO TRANSFER OWNERSHIP OF THE STRUCTURE

OR MAKE ANY CHANGES TO THE CURRENT RECORD. TITLE TRANSACTIONS MAY REQUIRE

ADDITIONAL DOCUMENTATION WHICH WILL VARY FROM CASE TO CASE. EXAMPLES OF

ADDITIONAL DOCUMENTATION ARE THE AFFIDAVIT OF ENTITLEMENT, PROBATE

DOCUMENT, ETC.

There is a $40 fee for each Transfer or change to the Record. Make checks 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

- The Division prefers both an email address and a phone number to contact you in case there are corrections

needed after your paperwork is submitted to the Division. If you do not have both an email address and a phone

number, one or the other MUST be provided.

- Indicate what type of transaction you will be working on. (You are required to complete only the appropriate

sections based on the transaction type.)

✓ If you are selling the structure, complete the following sections:

- Section 1. Description of the structure

- Section 2. Owner and lienholder information

- Section 3. Trust appointment & powers (ONLY if applicable)

- Section 4. Statement of Facts (BILL OF SALE)

- Section 5. New Owners

- Section 6. New Lienholder (ONLY if applicable)

- Section 7. Signatures and Notarization

- Section 8. County Endorsement

✓ If you are making any changes to the current record, complete the following sections:

- Section 1. Information of the structure

- Section 2. Owner and lienholder information

- Section 3. Trust appointment & powers (ONLY if applicable)

- Section 5. New Owners

- Section 6. New Lienholder (ONLY if applicable)

- Section 7. Signatures and Notarization

- Section 8. County Endorsement

SECTION 1. DESCRIPTION OF THE STRUCTURE

See Title Search information for part one (YEAR, MAKE, MODEL, SERIAL #, and SIZE) on our website:

https://nvmhdprod.glsuite.us/GLSuiteWeb/Clients/NVMHD/Private/TitleSearch/TitleSearch.aspx

Title records can be found by structure serial number, owner name or address. (The easiest way to find a title

record will be by serial number.)

SECTION 2. OWNER AND LIENHOLDER INFORMATION (If you are using this form to make any

changes that do not involve a sale or transfer, this section should be completed by the current registered owner.)

- Provide the registered owner name (see Title Search) and address.

- Provide current lienholder name and address if any. (see Title Search)

• If there is an existing lienholder shown on title, the lienholder must sign the form.

SECTION 3. TRUST APPOINTMENT & POWERS

This section is to be completed ONLY if the structure is in the name of a trust.

✓ If you are the Trustee(s), you will only fill out information from the left column.

✓ If you are the Successor Trustee(s), you will only fill out the information from the right column.

SECTION 4. STATEMENT OF FACTS (BILL OF SALE)

- State the dollar amount of the sale

- State the date of sale

SECTION 5. NEW OWNER(S)

- Print clearly and legibly all names to be shown on the new title and select the appropriate vesting.

✓ Difference between vesting options.

“JTWROS” JOINT TENANTS WITH RIGHT OF SURVIVORSHIP

- All joint owners have equal portions of ownership that are immediately allocated to remaining owners, if

one owner dies.

- ALL living parties are required to sign, and signatures must be notarized.

- If one of the listed owners is deceased, a certified Death Certificate will be required.

“OR”

- Only one-party will be required to sign, and signature must be notarized.

- If one of the listed owners is deceased, the remaining owners have the authority to act as a sole representative

without having to submit additional documentation to the Division.

“AND”

- ALL listed owners are required to sign, and signatures must be notarized

- If one of the listed owners is deceased, a certified Death Certificate will be required along with probate

documentation or an Affidavit of Entitlement form TL-106 (Only if the affiant meets requirements to claim

ownership through this process.) Please refer to the form TL-106 and instructions for additional information.

MAILING ADDRESS:

Provide a mailing address for the New Owner/s.

SECTION 6. NEW LIENHOLDER

Complete only if there will be a new lienholder on title. Provide Lienholder Name, Address, Email and Phone

Number.

SECTION 7. SIGNATURES & NOTARIZATION (Do not sign until in front of a Notary)

ALL signatures MUST be signed and witnessed by a notary. This section is for the notary to complete, sign and

stamp. For additional signature lines, please have the notary attach an acknowledgement form.

SECTION 8. COUNTY ENDORSEMENT

Obtain the signature of the County Assessor, in which the structure is located, indicating taxes are paid current

for the current tax year. The fiscal calendar year starts on July 1

and ends June 30

of each year. Starting July

of each year, we will not accept any documents signed by the County Assessor prior to that date.

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

TRANSFER TITLE AFFIDAVIT (TL-100)

Applicant Email Address (required):

Applicant Phone Num

ber (required):

Type of Transaction: Transfer Change to the Current Record

CTION 1. DESCRIPTION OF THE

STRUCTURE

Year: Manufacturer: Model:

Serial # Size:

Physi

cal Location:

SECTION 2. OWNER AND LIENHOLDER INFORMATION

Curr

ent Owner(s):

Mailing Address:

City State Zip_ ,

Curr

ent Lienholder (If Any):

Mailing Address

City State Zip

SECTION 3.

UST APPOINTMENT & POWERS

TRUSTEE

I/We,

Declare that I/we have been ap

pointed as the trustee(s)

of_

And have the powers g

ranted as trustee(s) to sign for the

transfer of the above described structure.

I/We the trustee(s) jointly and severally indemnify the

Nevada Housing Division, and hold the Nevada

Housing Division and the State of Nevada harmless

from any liability on the account of the issuance of a

title on said structure as aforesaid.

SUCCESSOR TRUSTEE

I/We,

Declar

e that I/we have been appointed as the successor

trustee(s) of

And have the powers granted as successor trustee(s) to sign for

the transfer of the above described structure.

I/We the trustee(s) jointly and severally indemnify

The Nevada Housing Division, and hold the Nevada

Housing Division and the State of Nevada harmless

from any liability on the account of the issuance of

a title on said structure as aforesaid.

SECTION 4. STATEMENT OF FACTS (BILL OF SALE)

__________________________________________________________________________________________________

__________________________________________________

_________________________________/__________________________________

_________ _______

_____________ _______________________________ _______________________________

__________________________________________________ _____________________________________

___________________________________________________________________________________

____________________________________________________________________________________

______________________________________________ ______________________ _________________

__________________________________________________________________________

: ______________________________

______________________________________________ ______________________ __________________,

_____________________________________________

_______________________________________________

_____________________________________________

________________________________________

(I, We) as seller further state that to (my, our) knowledge, the structure is free and clear of any liens, encumbrances, lawful

claims and demands of any person whatsoever, and that the structure is not involved in any existing or pending litigation.

That in consideration of $

__________________________ and other valuable consideration, the receipt whereof is hereby

acknowledged, the undersigned (SELLER) does hereby sell, transfer and deliver on the

_______ day of _________,

_____ his/her right, title and interest in the above described structure to the following purchaser.

TL-100 (Rev 05/2019) Page 1 of 2

That (I, we) have good right and lawful authority to request the Division to issue a title on said structure to:

New Owner(s)

Select the appropriate vesting:

SECTION 5. NEW OWNER(S) (Please print clearly and legibly all names to be shown on the title)

JTWROS,

_________________________________________________________________________________________________

__________________________________________________________________________

________________________________________

_________________________________________________________________________

________________________________________

_____________________________________________________________________________________

_________ _________ OR, _________ AND

Mailing Address: ___________________________________________________________________________________

City__________________________________________State__________________Zip___________________________

SECTION 6. NEW LIENHOLDER

New Lienholder:

____________________________________________________________________________________

Mailing Address: ___________________________________________________________________________________

City__________________________________________State__________________Zip___________________________

The statements and declarations herein contained are for the specific purpose of inducing said Division to issue a

Certificate of Ownership; that (I, we) shall and will assume, fully pay, satisfy and discharge any and all liens, claims

or encumbrances disclosed herein or any others that may be shown or proved to be upon or against said structure

and indemnify and hold harmless said Division and the State of Nevada on account of the issuance of said Certificate

of Ownership on said structure as aforesaid.

SECTION 7. SIGNATURES AND NOTARIZATION

(Do not sign until in front of a Notary)

Signature of Owner/Seller (s) Signature of Purchaser (s)

Signature of Lienholder (s) Signature of Purchaser (s)

(For Notary use only)

State of County

Subscribed and sworn to before me,

___________ ________________

(Name of Notary Public)

on this day of _, 20

______ ____________ ______

______________________________________

(Printed name of party appearing before Notary)

Notary Public Signature Notary Stamp or Seal

SECTION 8. COUNTY ENDORSEMENT

State of _ County_

Subscribed and sworn to before me,

__________ _______________

(Name of Notary Public)

on this day of , 20

by___

(Printed name of party appearing before Notary)

______ _____________ ______

___________________________________

Notary Public Signature Notary Stamp or Seal

WARNING - Endorsement required by county assessor where structure is situated that all taxes have been paid before title can be transferred.

_______________________________________

Signature of County Assessor

TL-100 (Rev 05/2019)

Date: _________________For Tax Year _______________________

Page 2 of 2

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