"Affidavit & Application for Certificate of Title for a Classic Motor Vehicle" - Nebraska

Affidavit & Application for Certificate of Title for a Classic Motor Vehicle 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 & Application for Certificate of Title for a Classic Motor Vehicle" - Nebraska

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Affidavit & Application for
Certificate of Title for a
Classic Motor Vehicle
A Classic Motor Vehicle is a vehicle originally manufactured more than 30 years ago, has NO major component part replaced,
and the current Nebraska–based owner does not hold a certificate of title. DMV shall search for records in Nebraska and other
states for evidence of issuance of a certificate of title. If a title exists, alternative issuance processes will be required.
Vehicle Information
Vehicle Identification Number
Year
Make
Model
Body Style
Color
Capacity
GVWR
Classic Motor Vehicle Certificate of Title Owner/Applicant Information
Last Name
First Name
Middle Initial
*Personal Identifier
Last Name
First Name
Middle Initial
*Personal Identifier
Last Name
First Name
Middle Initial
*Personal Identifier
Residential Address
City
State
Zip
*Personal Identifier = Nebraska Driver license number. If license number is not available, must provide Social Security number or date of birth.
Mailing Address (if other than above)__________________________________________________________________
The undersigned, being duly sworn, depose or affirm the following is true about the above-described motor vehicle: The vehicle
listed above has NOT had any major component part replaced. The design and materials are original to the year, make and model at
the time of manufacturing.
Use of a false or fictitious name, knowingly making a false statement or knowingly concealing a material fact in this
application can result in a fine or imprisonment or both and cancellation of your certificate of title.
DATED this
day of
,
.
(Applicant Signature)
Subscribed and sworn to before me this
day of
,
(Notary Public or Designated County Official)
Affidavit/Application for Classic Motor Vehicle
The following documents should accompany this
Certificate of Title should be mailed to:
Affidavit/Application for Classic Motor Vehicle
Department of Motor Vehicles
Certificate of Title:
Driver and Vehicle Records Division
Sheriff’s Inspection Statement
PO Box 94789
Notarized Bill of Sale
8/2017
Lincoln, NE 68509-4789
$25.00 Title Fee
02/2020
Affidavit & Application for
Certificate of Title for a
Classic Motor Vehicle
A Classic Motor Vehicle is a vehicle originally manufactured more than 30 years ago, has NO major component part replaced,
and the current Nebraska–based owner does not hold a certificate of title. DMV shall search for records in Nebraska and other
states for evidence of issuance of a certificate of title. If a title exists, alternative issuance processes will be required.
Vehicle Information
Vehicle Identification Number
Year
Make
Model
Body Style
Color
Capacity
GVWR
Classic Motor Vehicle Certificate of Title Owner/Applicant Information
Last Name
First Name
Middle Initial
*Personal Identifier
Last Name
First Name
Middle Initial
*Personal Identifier
Last Name
First Name
Middle Initial
*Personal Identifier
Residential Address
City
State
Zip
*Personal Identifier = Nebraska Driver license number. If license number is not available, must provide Social Security number or date of birth.
Mailing Address (if other than above)__________________________________________________________________
The undersigned, being duly sworn, depose or affirm the following is true about the above-described motor vehicle: The vehicle
listed above has NOT had any major component part replaced. The design and materials are original to the year, make and model at
the time of manufacturing.
Use of a false or fictitious name, knowingly making a false statement or knowingly concealing a material fact in this
application can result in a fine or imprisonment or both and cancellation of your certificate of title.
DATED this
day of
,
.
(Applicant Signature)
Subscribed and sworn to before me this
day of
,
(Notary Public or Designated County Official)
Affidavit/Application for Classic Motor Vehicle
The following documents should accompany this
Certificate of Title should be mailed to:
Affidavit/Application for Classic Motor Vehicle
Department of Motor Vehicles
Certificate of Title:
Driver and Vehicle Records Division
Sheriff’s Inspection Statement
PO Box 94789
Notarized Bill of Sale
8/2017
Lincoln, NE 68509-4789
$25.00 Title Fee
02/2020