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
www.dmvnv.com
Application for a Non-Repairable Vehicle Certificate
NRS 487
State law prohibits this non-repairable vehicle from being rebuilt, reconstructed, or restored for
operating on the highways of Nevada. This vehicle may only be processed as parts and/or scrap
metal by a license automobile wrecker, dismantler, or recycler. Note: There is no fee charged for a
“Non-Repairable Vehicle Certificate”. Incomplete application will not be processed.
Please print or type
Vehicle Identification Number
Year
Make
Model
Nevada License Plate Number:
NO
Actual Miles
TENTHS
The mileage stated is in excess of its mechanical limits.
ODOMETER READING
The odometer reading is not the actual mileage.
WARNING: ODOMETER DISCREPANCY.
Exempt – Model year over 9 years old.
The Non-Repairable Vehicle Certificate will be issued in the business name of the wrecker license.
Wrecker information
Full Legal Name
Nevada DMV Wrecker Business License Number
Physical Nevada
Address
Address
City
State
Zip Code
Mailing Address
Address
City
State
Zip Code
Telephone
E-mail
I affirm the motor vehicle listed above is designated to be processed as parts or scrap metal.
I understand and agree to not process the motor vehicle as parts or scrap metal until after I have
submitted the request for the Non-Repairable Vehicle Certificate and have successfully received the
electronic Non-Repairable Vehicle Certificate at the end of this transaction.
I further understand and agree that as a licensed automobile wrecker who processes a motor vehicle
for parts or scrap metal, I assume all liability for any injuries to any person or property arising from or
incident to the act of such processing. No action may be brought under NRS 41.031 or against an
officer or employee of the State or any of its agencies or political subdivisions which is based upon
any injuries to any person or property arising from or incident to the act of processing a motor vehicle
for parts or scrap metal as authorized pursuant to this section.
Signature of Applicant
Date
VP260 (12-2011)
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
www.dmvnv.com
Application for a Non-Repairable Vehicle Certificate
NRS 487
State law prohibits this non-repairable vehicle from being rebuilt, reconstructed, or restored for
operating on the highways of Nevada. This vehicle may only be processed as parts and/or scrap
metal by a license automobile wrecker, dismantler, or recycler. Note: There is no fee charged for a
“Non-Repairable Vehicle Certificate”. Incomplete application will not be processed.
Please print or type
Vehicle Identification Number
Year
Make
Model
Nevada License Plate Number:
NO
Actual Miles
TENTHS
The mileage stated is in excess of its mechanical limits.
ODOMETER READING
The odometer reading is not the actual mileage.
WARNING: ODOMETER DISCREPANCY.
Exempt – Model year over 9 years old.
The Non-Repairable Vehicle Certificate will be issued in the business name of the wrecker license.
Wrecker information
Full Legal Name
Nevada DMV Wrecker Business License Number
Physical Nevada
Address
Address
City
State
Zip Code
Mailing Address
Address
City
State
Zip Code
Telephone
E-mail
I affirm the motor vehicle listed above is designated to be processed as parts or scrap metal.
I understand and agree to not process the motor vehicle as parts or scrap metal until after I have
submitted the request for the Non-Repairable Vehicle Certificate and have successfully received the
electronic Non-Repairable Vehicle Certificate at the end of this transaction.
I further understand and agree that as a licensed automobile wrecker who processes a motor vehicle
for parts or scrap metal, I assume all liability for any injuries to any person or property arising from or
incident to the act of such processing. No action may be brought under NRS 41.031 or against an
officer or employee of the State or any of its agencies or political subdivisions which is based upon
any injuries to any person or property arising from or incident to the act of processing a motor vehicle
for parts or scrap metal as authorized pursuant to this section.
Signature of Applicant
Date
VP260 (12-2011)
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