Dmv Form Vp013 – Fill Out and Use This PDF

555 WRIGHT WAY CARSON CITY, NV 89711-0700 Reno/Sparks/Carson City (775) 684-4DMV (4368) Las Vegas Area (702) 486-4DMV (4368)

Rural Nevada or Out of State (877) 368-7828 Fax (775) 684-4797 www.dmvnv.com

APPLICATION FOR DUPLICATE CERTIFICATE OF REGISTRATION AND/OR

SUBSTITUTE DECAL

NRS 482.500

There is a $5 fee for the duplicate certificate of registration or a substitute decal. You must request the document(s); duplicate certificate of registration and/or substitute decal. When requesting a substitute decal you will also receive a new certificate of registration with the new decal number. A substitute decal will not be provided when only requesting a duplicate certificate of registration. You must provide the department with your current Nevada evidence of insurance. When submitting this request through the mail, please include a photocopy of your evidence of insurance, originals will not be returned.

Nevada License Plate Number					Registration Expiration Date
Make			Model		Body Type		Year

Registered Owner/ Lessee Name The document will be mailed to the address on file with DMV. If your address has changed, please complete the Address Change form DMV022. If more than one owner, complete and attach an additional Duplicate Registration/Decal forms.

Full Legal Name

				First	Middle		Last
Nevada Driver’s License, Identification Card Number, Date of Birth, or FEIN
for businesses
Physical Address
				Address	City			State	Zip Code
Mailing Address
				Address	City			State	Zip Code
Telephone No					E-Mail Address
Signature of Applicant								Date

LIMITED POWER OF ATTORNEY

To be completed by the registered owner of record ONLY when allowing another to apply for a duplicate certificate of registration or substitute decal on behalf of the registered owner.

Known All Men By These Presents:

That the Undersigned __________________________________ of the County of ___________________ State of _______________,

being the registered owner of the above-described motor vehicle does hereby make, constitute and appoint ____________________

_________of the county of ___________________, State of __________________, true and lawful attorney in fact to sign in the name,

place and stead of the undersigned, for a Duplicate Certificate of Registration and/or Substitute Decal issued by the Department of Motor Vehicles of the State of Nevada.

In Testimony Whereof, the undersigned has hereunto set my hand on this _______day of ___________20_______

Signature of Applicant

Subscribed and sworn to before me on_________________

	Date
________________________________________________
Notary Public or Authorized Nevada DMV Representative
VP013 (Rev 8/2012)	Signatures must be originals. Photocopies are not acceptable.

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

Authorized Signature		Date
	*I understand and agree that by checking “ATM/Debit” I am authorizing the DMV to debit my account. I understand and agree that if the ATM/Debit transaction fails
VP205 (09/13)	or is declined, the DMV is authorized to complete the transaction as a credit. The payment amount may not exceed the amount above. I certify that I am an
	authorized user and will not dispute the payment with my credit/debit card company so long as the transaction corresponds to the terms indicated in the form.