"Nebraska Electronic Lien and Title Non-participating Lender Request for Paper Title" - Nebraska

Nebraska Electronic Lien and Title Non-participating Lender Request for Paper Title is a legal document that was released by the Nebraska Department of Motor Vehicles - a government authority operating within Nebraska.

Form Details:

  • Released on October 1, 2019;
  • The latest edition currently provided by the Nebraska Department of Motor Vehicles;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Motor Vehicles.

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Download "Nebraska Electronic Lien and Title Non-participating Lender Request for Paper Title" - Nebraska

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Nebraska Electronic Lien and Title
Non-Participating Lender
Request for Paper Title
This form is not used to release a lien.
This Request for Paper Title is to be completed by:
A lender who does not participate in the ELT program and appears as the lienholder on the DMV’s
record for the vehicle identified below; OR,
The vehicle owner who must submit to the lender (if the lender does not participate in the ELT program)
who appears as the lienholder on the DMV’s record for the vehicle identified below.
Vehicle Owner:
(Must match owner identified on DMV records)
Vehicle Identification Number (VIN):
Vehicle Year:
Vehicle Make:
Name of Entity and Address where printed Nebraska Certificate of Title is to be mailed:
Reason for requesting a paper certificate of title:
Relocating to another state and certificate of title is required to register vehicle in new
state of residence.
Necessary for civil, criminal, administrative or arbitral proceeding in any federal, state
or local court, government agency, or self-regulatory body.
Other – must be approved by the DMV:
Vehicle Owner Signature:
Name of Lender:
(Must match lender identified as lienholder on DMV records)
On behalf of the above-identified lender I am authorizing the Nebraska Department of Motor
Vehicles to print and mail the requested certificate of title as directed above.
Signature:
Title:
(Authorized Representative of Lender)
Date
Phone:
Rev. 10/19
:
For Department Use Only
Mail Completed Application to:
Nebraska Department of Motor Vehicles
Approved
Driver and Vehicle Records Division
Denied
P.O. Box 94789
Reason:
Lincoln, NE 68509-4789
Or Fax to 402-471-8694
Date:
Initials:
Nebraska Electronic Lien and Title
Non-Participating Lender
Request for Paper Title
This form is not used to release a lien.
This Request for Paper Title is to be completed by:
A lender who does not participate in the ELT program and appears as the lienholder on the DMV’s
record for the vehicle identified below; OR,
The vehicle owner who must submit to the lender (if the lender does not participate in the ELT program)
who appears as the lienholder on the DMV’s record for the vehicle identified below.
Vehicle Owner:
(Must match owner identified on DMV records)
Vehicle Identification Number (VIN):
Vehicle Year:
Vehicle Make:
Name of Entity and Address where printed Nebraska Certificate of Title is to be mailed:
Reason for requesting a paper certificate of title:
Relocating to another state and certificate of title is required to register vehicle in new
state of residence.
Necessary for civil, criminal, administrative or arbitral proceeding in any federal, state
or local court, government agency, or self-regulatory body.
Other – must be approved by the DMV:
Vehicle Owner Signature:
Name of Lender:
(Must match lender identified as lienholder on DMV records)
On behalf of the above-identified lender I am authorizing the Nebraska Department of Motor
Vehicles to print and mail the requested certificate of title as directed above.
Signature:
Title:
(Authorized Representative of Lender)
Date
Phone:
Rev. 10/19
:
For Department Use Only
Mail Completed Application to:
Nebraska Department of Motor Vehicles
Approved
Driver and Vehicle Records Division
Denied
P.O. Box 94789
Reason:
Lincoln, NE 68509-4789
Or Fax to 402-471-8694
Date:
Initials: