VP 147 Lien Sale Affidavit

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555 Wright Way

Carson City, NV 89711

Reno/Sparks/Carson City (775) 684-4DMV (4368)

Las Vegas area (702) 486-4DMV (4368)

dmv.nv.gov

LIEN SALE AFFIDAVIT

Type of Ownership Document Requested (Please select one title type)

Title Salvage Title

Please Print or Type

I, ___________________________________ on behalf of _________________________________________________,

Full Legal Name of Business Representative Business Name

Nevada DMV Business License or Registration Number ___________________________________________________,

Business Address __________________________________________________________________________________

Address City State Zip Code

Certify that on the __________ day of _________ 20______, one ____________________________________________

Name of who authorized the service from the business above

left with him/her the vehicle described as follows:

Vehicle Identification Number

Year _________ Make ___________________ Model __________________ Body Type _____________ Cylinders ____

Registered Owner(s) ________________________________________________________________________________

First Middle Last

Physical Address __________________________________________________________________________________

Address City State Zip Code

Legal Owner ______________________________________________________________________________________

Address __________________________________________________________________________________________

Address City State Zip Code

The charges assessed are for (check all appropriate boxes):

Towing

Storage Repair Accessories or Supplies, totaling the sum of $__________________

and was not paid after due notice and demand was given and made pursuant to the provisions of NRS 108.270 through

108.360. Therefore on the ______ day of ____________ 20________, the vehicle was sold pursuant to the provision of

said law, by

Public Auction or Direct Sale for the sum of $__________________, Nevada Sales Tax Collected

$__________________, The Fair Market Value for this vehicle is approximately $________________.

Nevada title and title processing fee $________________, therefore, the Total Purchase Price of $__________________. (If

purchaser is a licensed wrecker in the state of Nevada, do not collect title fee. Provide the lien sale packet to the licensed wrecker.)

and

Purchaser’s Full Legal Name ___________________________________________________________________

First Middle Last

Nevada Driver’s License, ID Card Number, Date of Birth, or FEIN for businesses ________________________________

(If no Nevada Driver’s License or ID Card Number, write “NONE”.)

Purchaser’s Full Legal Name _________________________________________________________________________

First Middle Last

Nevada Driver’s License, ID Card Number, Date of Birth, or FEIN for businesses _______________________________

(If no Nevada Driver’s License or ID Card Number, write “NONE”.)

Physical Address __________________________________________________________________________________

Address City State Zip Code

Mailing Address ___________________________________________________________________________________

Address City State Zip Code

Lienholder Name __________________________________________________________________________________

(if no lienholder, write “NONE”.) NV ELT #

Address __________________________________________________________________________________________

Address City State Zip Code

VP 147 (07/2023)

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LIEN CLAIMANT’S CERTIFICATION

Federal law requires that you state the mileage upon transfer of ownership. Failure to complete or provide a false statement may

result in fines and/or imprisonment. This vehicle was an involuntary transfer; at the time of sale the odometer reading:

Odometer Reading (as shown on apparatus) NO TENTHS

 1. The mileage stated is in excess of its mechanical limits.

 2. The odometer reading is not the actual mileage. WARNING – ODOMETER DISCREPANCY

 3. Exempt – Model year over 20 years old.

To the best

of my knowledge, at the time of lien sale this vehicle is (select any that may apply)

Salvage Flood Damaged Total Loss Rebuilt Unbranded

I have inspected the vehicle herein described and to the best of my knowledge and information do hereby certify and

affirm the vehicle is NOT a Salvage, Flood Damaged, Total Loss, previously Rebuilt or Non-Repairable vehicle.

The vehicle

Was registered (current or expired) and the license plate number is __________________________.

Expiration date ___________________________ State _______________________

Was not registered.

Date of Certified Mailing; __________ day of _______________ 20______.

*First Date of Newspaper Publication; __________ day of _______________ 20______.

Name of Newspaper ________________________________________________________________________________

Address__________________________________________________________________________________________

Address City State Zip Code

Public Auction Date; __________ day of _______________ 20______.

I hereby certify and affirm that all provisions of NRS 108.270 through 108.360 and 487.250 have been complied with, and make this

affidavit for the purpose of satisfying the Nevada Department of Motor Vehicles that a Registration Certificate and/or Certificate of

Title for the described vehicle should be issued to the purchaser upon the facts stated herein. I also hereby release, discharge and

agree to hold harmless the Nevada Department of Motor Vehicles of and from any and all liability to anyone whomsoever which may

arise by reason of any contest of the validity of the lien herein referred to, or the validity of the sale under said lien, or failure of Lien

Claimant to satisfy lien in the manner prescribed in NRS and NAC 108.

Printed Full Legal Name of Lien Claimant ____________________________________

State of Nevada, County of ________________________________

Subscribed and sworn to before me on _____________ By ____________________ _

Date Signature of Lien Claimant

Notary Public or Authorized Nevada DMV Representative

Notary Stamp

Signatures must be originals. Photocopies are not acceptable.

Changes may not be made to this form once it is signed and witnessed

NOTE: This document must be accompanied with a completed Vehicle Inspection Certificate (Form VP-15). If the lien claimant is

actively licensed through the department a completed Vehicle Inspection Certificate (Form VP-15) is not required.

Definition of Types of Liens

• Abandoned Vehicle means at the direction of any peace officer or with the release of a property owner who orders the towing

or storage of any vehicle

• Keeper of a Trailer Park means a mobile home park, mobile home lot or other land for rental of spaces for trailers, mobile homes

or manufactured homes

• Mechanics means a garage or place for the maintenance or repair of motor vehicles, motorcycles, motor equipment, or trailers,

including the operator of a salvage pool

• Storage means the sum due for the storing, maintaining, or keeping of the motor vehicle, motorcycle, motor equipment, or trailer

• Tow means the sum due for the towing and storing of the motor vehicle, motorcycle, motor equipment, or trailer.

*Not required for abandoned vehicle with an appraised value under $500

VP 147 (07/2023)