Occupational and Business Licensing
555 Wright Way
Carson City, NV 89711
(775) 684-4690
www.dmvnv.com
REPORT OF SALE EXTENSION REQUEST
(For Highway and Off-Highway Vehicle Dealers)
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Date: |
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DMV License Number: |
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Business Name: |
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Mailing Address: |
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Physical Address: |
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DRS/ORS Number: |
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Date of Sale: |
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Year: |
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Make: |
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VIN: |
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Reason extension is being requested (explain in detail):
Requested By:
Signature of Business Principal or Authorized Representative |
Title of Authorized Representative |
Note: Extension requests must be submitted within the statutory time frame required for submission of the DRS/ORS:
•Twenty days from date of sale on new highway vehicles
•Thirty days from the date of sale on used highway vehicles
•Thirty days from the date of sale on new or used off-highway vehicles
*A Photocopy of the DRS/ORS must accompany this form
Please do not write below this line; doing so will void extension request.
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To Be Completed by Occupational and Business Licensing Personnel Only:
An extension of time for submitting this DRS/ORS has been granted until:
An extension of time for submitting this DRS/ORS has been denied for the following reason(s):
Not submitted within the statutory time frame.
A photocopy of the DRS/ORS was not attached.
A detailed explanation for the delay in submitting extension request is required.
The reason given for the extension is not sufficient to have an extension granted and has been submitted to Compliance Enforcement Division office.
Request by or Signature line not completed.
Other:
OBL275 (06/2012)