"Affidavit and Request for Certificate of Title for Abandoned Vehicle/Motorboat" - Nebraska

Affidavit and Request for Certificate of Title for Abandoned Vehicle/Motorboat 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 "Affidavit and Request for Certificate of Title for Abandoned Vehicle/Motorboat" - Nebraska

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AFFIDAVIT AND REQUEST FOR
CERTIFICATE OF TITLE FOR
ABANDONED
VEHICLE/MOTORBOAT
STATE OF NEBRASKA,
)
) ss.
COUNTY OF
)
, being first duly sworn on oath, deposes and says that:
He/she is the
and
(Official Title)
an agent of
, State of Nebraska.
(Name of Local Authority or State Agency)
That
is currently in
(Name of Local Authority or State Agency)
possession of the following:
Vehicle
Motorboat
(Make)
(Model)
(Series/Engine Drive)
(VIN/HIN)
(Body Style/Hull Length)
(Vehicle/Vessel Type)
(Year)
(Color)
(Capacity/Propulsion)
(Fuel)
(GVWR/Hull Material)
That the aforesaid vehicle/motorboat was abandoned in
(City or Village if applicable; County)
Nebraska and that after due and diligent notice and inquiry, said vehicle/motorboat remains
unclaimed or the ownership is unknown. That notice was sent by Certified United States Mail to
all owners of record, and to all parties found as a result of notice and inquiry to have a lien or
mortgage against the title to such vehicle/motorboat. Further, that all existing liens shall be
released.
That the foregoing statements are such evidence as
(Name of Local Authority or State Agency)
has, and is requested to issue a Certificate of Title to
which
(Local Authority or State Agency)
will allow it to dispose of the aforesaid vehicle/motorboat pursuant to Neb.Rev. State. §60-1901
et. eq.
DATED this
day of
,
Subscribed and sworn to before me this
day
of
,
.
Notary Public or Designated County Official
(Signature of Authorized Representative of Local Authority or
State Agency)
Seal
Printed on recycled paper.
Revised 10/2019
AFFIDAVIT AND REQUEST FOR
CERTIFICATE OF TITLE FOR
ABANDONED
VEHICLE/MOTORBOAT
STATE OF NEBRASKA,
)
) ss.
COUNTY OF
)
, being first duly sworn on oath, deposes and says that:
He/she is the
and
(Official Title)
an agent of
, State of Nebraska.
(Name of Local Authority or State Agency)
That
is currently in
(Name of Local Authority or State Agency)
possession of the following:
Vehicle
Motorboat
(Make)
(Model)
(Series/Engine Drive)
(VIN/HIN)
(Body Style/Hull Length)
(Vehicle/Vessel Type)
(Year)
(Color)
(Capacity/Propulsion)
(Fuel)
(GVWR/Hull Material)
That the aforesaid vehicle/motorboat was abandoned in
(City or Village if applicable; County)
Nebraska and that after due and diligent notice and inquiry, said vehicle/motorboat remains
unclaimed or the ownership is unknown. That notice was sent by Certified United States Mail to
all owners of record, and to all parties found as a result of notice and inquiry to have a lien or
mortgage against the title to such vehicle/motorboat. Further, that all existing liens shall be
released.
That the foregoing statements are such evidence as
(Name of Local Authority or State Agency)
has, and is requested to issue a Certificate of Title to
which
(Local Authority or State Agency)
will allow it to dispose of the aforesaid vehicle/motorboat pursuant to Neb.Rev. State. §60-1901
et. eq.
DATED this
day of
,
Subscribed and sworn to before me this
day
of
,
.
Notary Public or Designated County Official
(Signature of Authorized Representative of Local Authority or
State Agency)
Seal
Printed on recycled paper.
Revised 10/2019