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The form explains disclosure conditions under the Uniform Motor Vehicle Records Disclosure Act, including identification requirements for in-person filings and notarization plus mailing fees for submissions sent by mail. 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A stamped self-addressed envelope is required for all mail-in requests.",{"name":119,"@type":110,"acceptedAnswer":120},"When will the Department disclose the record information?",{"text":121,"@type":113},"Disclosure is restricted to exempt uses listed under N.R.S. §60-2901 to §60-2912 or when the record holder provides notarized written consent on the form.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},308616,1790083321,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24},5909892210082,"https://ap-avatar.wpscdn.com/avatar/56001069da27c9f41e8?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789614185077863061","APPLICATION FOR COPY OF VEHICLE RECORD  \n§60-3,161  \nThe availability of records is subject to the provisions of the Uniform Motor Vehicle Records Disclosure Act.  \nIf filing this request in person, be prepared to produce proof of identification. If filing this request through the mail your signature must be notarized and the appropriate fee included or the request will be returned to you unprocessed.  \n\n| PLEASE PRINT --FORM MUST BE COMPLETED IN FULL-- $3.00 Per Record |  |  |  |\n| --- | --- | --- | --- |\n| License Plate/Boat Number | Motor Number (If available) |  | (Each Record Contains Current Title, Lien and Registration Information) |\n| Vehicle Identification Number (VIN) or Hull Identification Number (HIN) |  |  |  |\n|  |  |  | If the reason for your request is one of the processes below, indicate so by checking the appropriate box:\u003Cbr>□ Duplicate Title\u003Cbr>□ Bonded Title\u003Cbr>□ Estate |\n| Name(s) of Vehicle Owner(s) |  |  |  |\n| Vehicle Make Vehicle Model Year |  |  |  |\n| For what purpose will this record be used? Number of applicable exempted use:   (Required)\u003Cbr>See reverse side for exempted uses. If the purpose of your request fails to meet one of the exempted uses allowed the record will not be disclosed without the notarized signature of the record holder.\u003Cbr>Please Print Your Name:   Phone:  \u003Cbr>Business Name (if applicable):   Email:  \u003Cbr>Address:  \u003Cbr>City, State, Zip: \u003Cbr>Under penalty of law, the undersigned certifies that the information contained on the vehicle record being purchased will only be used as authorized by the Uniform Motor Vehicle Records Disclosure Act. The undersigned hereby acknowledges that this request is made with the understanding that any person requesting disclosure of personal information from the Department of Motor Vehicles who misrepresents his or her identity, misrepresents the purpose for which the information requested will be used, or otherwise makes a false statement on this application shall be guilty of a Class IV felony.\u003Cbr>Requestor Signature:   Date:  \u003Cbr>(Signature must be notarized in Box 1 below if submitting this request by mail.) |  |  |  |\n| The Department of Motor Vehicles is prohibited from disclosing the information on the record you are requesting unless the purpose indicated above is for an exempt use (see reverse side for a list of exempt uses) or you have obtained the notarized written consent of the record holder on this form as provided below.\u003Cbr>I   hereby authorize   to obtain a copy of my motor vehicle record as described above.\u003Cbr>Signature of Record Holder:  (Signature must be notarized in Box 2.)  |  |  |  |\n| Box 1 State of  \u003Cbr>County of   The foregoing signature of the requestor was acknowledged before me this   day of\u003Cbr> ~~ ~~ , ~~ ~~ .\u003Cbr>\u003Cbr>Notary or Designated County Official\u003Cbr>Seal |  | Box 2 State of  \u003Cbr>County of   The foregoing signature of the record holder was acknowledged before me this   day of   ,   .\u003Cbr>\u003Cbr>Notary or Designated County Official\u003Cbr>Seal |  |\n\nSubmit this application with $3.00 fee per record requested to:  \nNebraska Department of Motor Vehicles  \nDriver and Vehicle Records Division  \n301 Centennial Mall South  \nPO Box 94789  \nLincoln, NE 68509-4789  \nMake Checks Payable to: Department of Motor Vehicles  \nA STAMPED SELF-ADDRESSED ENVELOPE IS REQUIRED FOR ALL MAIL-IN REQUESTS.  \nFor questions regarding this application please contact this office at (402) 471-3918.  \nThe exempted uses permitted under N.R.S. §60-2901 to §60-2912, the Uniform Motor Vehicle Records Disclosure Act, are as follows:  \n1. Use by any federal, state, or local governmental agency, including any court or law enforcement agency, in carrying out its functions, or by any private entity acting on behalf of an agency in carrying out their functions.  \n2. Use in connection with vehicle or driver safety and theft; vehicle emissions; vehicle product alterations, recalls or advisories; performance monitoring of vehicles, vehicle parts, and dealers; motor ve","cbCaihaiVDjQyc7I","https://ap.wps.com/l/cbCaihaiVDjQyc7I","pdf",250817,"English","# Vehicle Record Request Form\n## Disclosure and Filing Requirements\n## Request Details and Costs\n## Signature and Notary Boxes\n## Exempted Uses Under the Act","[{\"question\":\"How much does it cost to request a vehicle record copy?\",\"answer\":\"The fee is $3.00 per record requested. Payment is submitted with the application.\"},{\"question\":\"What is required if the request is mailed instead of filed in person?\",\"answer\":\"The requestor’s signature must be notarized and the appropriate fee must be included; otherwise the request will be returned unprocessed. A stamped self-addressed envelope is required for all mail-in requests.\"},{\"question\":\"When will the Department disclose the record information?\",\"answer\":\"Disclosure is restricted to exempt uses listed under N.R.S. §60-2901 to §60-2912 or when the record holder provides notarized written consent on the form.\"}]","APPLICATION FOR COPY OF VEHICLE RECORD - $3.00 Per Record | PDF",1789870250]