Form Ohv 023 - Transfer On Death - Beneficiary'S Affidavit For Title For An Off-Highway Vehicle
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1ATTN: OHV SECTION
555 Wright Way
Carson City, NV 89711
(775) 684-4381
TRANSFER ON DEATH - BENEFICIARY’S AFFIDAVIT FOR TITLE FOR AN
OFF-HIGHWAY VEHICLE
Revised Proposed Regulation of the DMV, LCB File No. R130-11 Section 20
This section is to be completed when the title for the off-highway vehicle cannot be located.
•
The application must be completed by the beneficiary with the “Transfer on Death” designation on title record on
file with the Department of Motor Vehicles.
•
The application must be notarized.
•
Send the $20.00 title fee, a certified copy of the death certificate(s) and the application to the DMV at the address
above, or bring them to a Nevada licensed off-highway vehicle dealer. OHV transactions cannot be completed
at DMV offices.
Vehicle Identification Number
Year: ______________ Make: __________________ Model: ___________________ Type: ______________
Owner(s) – (as listed on latest certificate of title)
Full Legal Name: __________________________________________________________________________
Nevada Driver’s License, Identification Card Number or Date of Birth: ________________________________
Physical Address: _________________________________________________________________________
Street
City
State
Zip Code
Mailing Address: __________________________________________________________________________
Street
City
State
Zip Code
Full Legal Name: __________________________________________________________________________
Nevada Driver’s License, Identification Card Number or Date of Birth: ________________________________
Physical Address: _________________________________________________________________________
Street
City
State
Zip Code
Mailing Address: __________________________________________________________________________
Street
City
State
Zip Code
I certify that I am the beneficiary with the “Transfer on Death” designation of the described off-highway vehicle and
that the original Certificate of Title cannot be located. I 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 beneficiary named herein, or the validity of the beneficiary in the manner
prescribed in NAC 490. I declare under penalty of perjury the foregoing is true and correct.
State of Nevada, County of: ____________________________________________
Signed and sworn to before me this ________ day of _____________ 20________
By: ________________________________________________________________
Signature of Beneficiary Making Statement
____________________________________________________________________________________
Notary Public
Signatures must be originals, photocopies will not be accepted. Changes may not be made to this form once it is signed and witnessed.
OHV 023 (Revised 1/2014)
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