Form VP223 "Certificate of Inspection/Affidavit of Construction - Trailers" - Nevada

What Is Form VP223?

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 printable version of Form VP223 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 VP223 "Certificate of Inspection/Affidavit of Construction - Trailers" - Nevada

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555
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
CERTIFICATE OF INSPECTION AND AFFIDAVIT OF TRAILER CONSTRUCTION
NRS 482.220
 R
T
 R
T
 S
C
T
 M
K
EBUILT
RAILER
ECONSTRUCTED
RAILER
PECIALLY
ONSTRUCTED
RAILER
ANUFACTURED
IT
I
NSTRUCTIONS
 Maximum Width of 102 inches, if exceeded a Special Permit is Required through NDOT
 Part I must be completed by an authorized Nevada DMV Representative
 All applicable items in Part I must be checked “Pass” and in safe operating condition before form is signed
 Owner must complete Part II if trailer is assembled by a person other than an established manufacturer
 Signature of Part II by Affiant must be witnessed by an authorized Nevada DMV Representative or notary
PART I – INSPECTION
To be completed by an authorized Nevada DMV Representative
T
W
_______________ O
W
______________
U
NLADEN
RAILER
EIGHT
VERALL
IDTH
PASS
FAIL
PASS
FAIL
N/A
Brake Lights
Brakes


  
(if required/over 1,500 lbs)
Tail Lights
Clearance Lights


  
(Over 80 inches in Width NRS 484D.140)
Turn Signals
Marker Lights (


  
Over 80 inches in Width NRS 484D.140)
Reflectors
Safety Devices (Chains) NAC 484.130


 
Fenders (NRS 484D.230)
Mudguards (Over 26,000 lbs.)


  
Breakaway Device
  
(Over 3,000 lbs; NRS 484D.250)
Please Print or Type
DMV Assigned VIN or Kit Manufacturer’s VIN
VIN Assignment Fee
______
Year
Make _______________________________ Model ____________ Type _________ No. of Axles ______
Does the trailer include living quarters?  Yes
 No
Reason VIN assigned: ______________________________________________________________________________
Additional comments: _______________________________________________________________________________
_________________________________________________________________________________________________
____________________________________ ______________________________________ ___________ __________
Printed Name of Nevada DMV
Signature of Nevada DMV
ID NO.
Date
Agency Representative
Agency Representative
VP 223 (Revised 8/2012)
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed and witnessed.
555
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
CERTIFICATE OF INSPECTION AND AFFIDAVIT OF TRAILER CONSTRUCTION
NRS 482.220
 R
T
 R
T
 S
C
T
 M
K
EBUILT
RAILER
ECONSTRUCTED
RAILER
PECIALLY
ONSTRUCTED
RAILER
ANUFACTURED
IT
I
NSTRUCTIONS
 Maximum Width of 102 inches, if exceeded a Special Permit is Required through NDOT
 Part I must be completed by an authorized Nevada DMV Representative
 All applicable items in Part I must be checked “Pass” and in safe operating condition before form is signed
 Owner must complete Part II if trailer is assembled by a person other than an established manufacturer
 Signature of Part II by Affiant must be witnessed by an authorized Nevada DMV Representative or notary
PART I – INSPECTION
To be completed by an authorized Nevada DMV Representative
T
W
_______________ O
W
______________
U
NLADEN
RAILER
EIGHT
VERALL
IDTH
PASS
FAIL
PASS
FAIL
N/A
Brake Lights
Brakes


  
(if required/over 1,500 lbs)
Tail Lights
Clearance Lights


  
(Over 80 inches in Width NRS 484D.140)
Turn Signals
Marker Lights (


  
Over 80 inches in Width NRS 484D.140)
Reflectors
Safety Devices (Chains) NAC 484.130


 
Fenders (NRS 484D.230)
Mudguards (Over 26,000 lbs.)


  
Breakaway Device
  
(Over 3,000 lbs; NRS 484D.250)
Please Print or Type
DMV Assigned VIN or Kit Manufacturer’s VIN
VIN Assignment Fee
______
Year
Make _______________________________ Model ____________ Type _________ No. of Axles ______
Does the trailer include living quarters?  Yes
 No
Reason VIN assigned: ______________________________________________________________________________
Additional comments: _______________________________________________________________________________
_________________________________________________________________________________________________
____________________________________ ______________________________________ ___________ __________
Printed Name of Nevada DMV
Signature of Nevada DMV
ID NO.
Date
Agency Representative
Agency Representative
VP 223 (Revised 8/2012)
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed and witnessed.
PART 2 – AFFIDAVIT OF TRAILER CONSTRUCTION
To be completed by trailer owner
The undersigned, being duly sworn upon oath, deposes and says they are the owner of the trailer described in Part 1 of
this form. This trailer was built from parts and materials on hand, purchased materials from a supplier, a manufactured kit,
“as is” from a builder, or otherwise lawfully acquired. The affiant or registered owner makes this affidavit as part of an
application to the Nevada Department of Motor Vehicles for a Certificate of Registration and/or a Certificate of Title. The
undersigned will indemnify and save harmless the State of Nevada on account of the issuance of a Certificate of
Registration and/or Certificate of Title for said trailer.
Trailer was built from materials on hand
Trailer built from purchased materials, (receipts attached)
Trailer was purchased “as is” from builder
Trailer was assembled from a manufactured kit
Affiant’s Full Legal Name_____________________________________________________________________________
Nevada Driver’s License, Identification Card Number, or Date of Birth _________________________________________
Physical Address __________________________________________________________________________________
City
State
Zip Code
Mailing Address ___________________________________________________________________________________
City
State
Zip Code
Phone Number (______)________________
State of Nevada, County of _______________________
Signed and sworn to before me on _________________
Date
By _________________________________
Notary Stamp
Signature of Affiant
________________________________________
Notary Public or Authorized Nevada DMV Representative
VP 223 (Revised 8/2012)
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed and witnessed.
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