Fillable TRANSFER TITLE AFFIDAVIT INSTRUCTIONS (TL-100) (State of Nevada, Department of Information Technology)

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TRANSFER TITLE AFFIDAVIT INSTRUCTIONS (TL-100) (State of Nevada, Department of Information Technology)

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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 $60 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
st
and ends June 30
th
of each year. Starting July
1
st
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 Number (required):
_________________________________/__________________________________
Type of Transaction:
_________
Transfer
_______
Change to the Current Record
SECTION 1. DESCRIPTION OF THE STRUCTURE
Year:
_____________
Manufacturer:
_______________________________
Model:
_______________________________
Serial #
__________________________________________________
Size:
_____________________________________
Physical Location:
___________________________________________________________________________________
SECTION 2. OWNER AND LIENHOLDER INFORMATION
Current Owner(s):
___________________________________________________________________________________
Mailing Address:
____________________________________________________________________________________
City
______________________________________________
State
______________________
Zip_
_________________
,
Current Lienholder (If Any):
__________________________________________________________________________
Mailing Address
: ______________________________
City
______________________________________________
SECTION 3.
TRUST APPOINTMENT & POWERS
TRUSTEE
I/We, _____________________________________________
Declare that I/we have been appointed as the trustee(s)
of_
_______________________________________________
And have the powers granted 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.
State
______________________
Zip
__________________,
SUCCESSOR TRUSTEE
I/We,
_____________________________________________
Declare 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 _________,
20_____ his/her right, title and interest in the above described structure to the following purchaser.
TL-100 (Rev 03/2021) Page 1 of 2
_________________________________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
SECTION 5. NEW OWNER(S)
(Please print clearly and legibly all names to be shown on the title)
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:
_________ 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 Owner/Seller (s)
Signature of Lienholder (s)
(For Notary use only)
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
SECTION 8. COUNTY ENDORSEMENT
Signature of Purchaser (s)
Signature of Purchaser (s)
Signature of Purchaser (s)
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.
_______________________________________Date: _________________For Tax Year _______________________
Signature of County Assessor
TL-100 (Rev 03/2021) Page 2 of 2
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Completed 6 August 2021

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