"Nebraska Electronic Lien and Title Change Title Request" - Nebraska

Nebraska Electronic Lien and Title Change Title Request is a legal document that was released by the Nebraska Department of Motor Vehicles - a government authority operating within Nebraska.

Form Details:

  • Released on April 1, 2020;
  • 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 fillable 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 "Nebraska Electronic Lien and Title Change Title Request" - Nebraska

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Nebraska Electronic Lien and Title
Change Title Request
This Change Title Request is to be completed by owner(s) and Lenders to request changes to
Nebraska electronic titles.
Current Vehicle Owner(s):
(Must match owner identified on DMV records)
VIN/HIN:
Year:
Make:
Change requested:
Owner name change to reflect legal change of name
Removing an owner (request must be signed by all current owners) – one
owner must remain the same
Adding an owner(s) (request must be signed by all current and new owners)
Specify title change requested:
Signature:
Signature:
Signature:
Signature:
Name of Lender:
(Must match lender identified as lienholder on DMV records)
On behalf of the lender I am authorizing the above requested change.
Signature:
Title:
(Authorized Representative of Lender)
Date:
Phone:
Subscribed and sworn before me the
day of
20
Signature, Notary Public or Designated County Official
Notary Seal
Submit completed Request along with an
Application for Certificate of Title
to any Nebraska County
Treasurer with $10.00 title fee. Additional fees may be required for issuance of an updated registration.
4/2020
Nebraska Electronic Lien and Title
Change Title Request
This Change Title Request is to be completed by owner(s) and Lenders to request changes to
Nebraska electronic titles.
Current Vehicle Owner(s):
(Must match owner identified on DMV records)
VIN/HIN:
Year:
Make:
Change requested:
Owner name change to reflect legal change of name
Removing an owner (request must be signed by all current owners) – one
owner must remain the same
Adding an owner(s) (request must be signed by all current and new owners)
Specify title change requested:
Signature:
Signature:
Signature:
Signature:
Name of Lender:
(Must match lender identified as lienholder on DMV records)
On behalf of the lender I am authorizing the above requested change.
Signature:
Title:
(Authorized Representative of Lender)
Date:
Phone:
Subscribed and sworn before me the
day of
20
Signature, Notary Public or Designated County Official
Notary Seal
Submit completed Request along with an
Application for Certificate of Title
to any Nebraska County
Treasurer with $10.00 title fee. Additional fees may be required for issuance of an updated registration.
4/2020