Form VP258 "Active Duty Military - Combat Affidavit" - Nevada

What Is Form VP258?

This is a legal form that was released by the Nevada Department of Motor Vehicles - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2012;
  • The latest edition provided by the Nevada Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form VP258 by clicking the link below or browse more documents and templates provided by the Nevada Department of Motor Vehicles.

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Download Form VP258 "Active Duty Military - Combat Affidavit" - Nevada

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555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas area (702) 486-4DMV (4368)
Rural Nevada or Out of State (877) 368-7828
www.dmvnv.com
ACTIVE DUTY MILITARY – COMBAT AFFIDAVIT
2011 Senate Bill 406 (NRS 482)
The completed Active Duty Military – Combat Affidavit must be submitted at the time of the vehicle
registration renewal to claim this exemption of all late fees. The dates for your deployment must have
occurred when your vehicle registration expired.
Please type or print
Vehicle Identification Number
Year
Make
Model
License Plate
Full Legal Name
First
Middle
Last
Nevada Driver’s License, Identification Card Number, or
Date of Birth
Physical Address
Address
City
State
Zip Code
Mailing Address
Address
City
State
Zip Code
Telephone
E-mail
I declare under penalty of perjury that the foregoing is true and correct. My position was
combat
___________________________
or
combat support from the beginning date of
until
___________________________
the ending date of
.
Affiant’s Printed Full Legal Name ______________________________________________
State of Nevada, County of ___________________
Signed and sworn to before me on _____________
By ___________________________.
Signature of Affiant
__________________________________
Notary Public or Authorized Nevada DMV Representative
VP258 (8/2012)
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this for once it is signed and witnessed.
555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas area (702) 486-4DMV (4368)
Rural Nevada or Out of State (877) 368-7828
www.dmvnv.com
ACTIVE DUTY MILITARY – COMBAT AFFIDAVIT
2011 Senate Bill 406 (NRS 482)
The completed Active Duty Military – Combat Affidavit must be submitted at the time of the vehicle
registration renewal to claim this exemption of all late fees. The dates for your deployment must have
occurred when your vehicle registration expired.
Please type or print
Vehicle Identification Number
Year
Make
Model
License Plate
Full Legal Name
First
Middle
Last
Nevada Driver’s License, Identification Card Number, or
Date of Birth
Physical Address
Address
City
State
Zip Code
Mailing Address
Address
City
State
Zip Code
Telephone
E-mail
I declare under penalty of perjury that the foregoing is true and correct. My position was
combat
___________________________
or
combat support from the beginning date of
until
___________________________
the ending date of
.
Affiant’s Printed Full Legal Name ______________________________________________
State of Nevada, County of ___________________
Signed and sworn to before me on _____________
By ___________________________.
Signature of Affiant
__________________________________
Notary Public or Authorized Nevada DMV Representative
VP258 (8/2012)
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this for once it is signed and witnessed.