Occupational and Business Licensing
555 Wright Way
Carson City, NV 89711
Reno/Carson City (775) 684-
4DMV (4368)
Las Vegas (702) 486-
4DMV (4368)
dmv.nv.gov
DISCLOSURE FORM
NOTICE TO PURCHASER: Nevada State Law requires the use of a disclosure from whenever a seller of a vehicle
exercises a valid option to cancel the sale of a vehicle. The seller must provide a disclosure form, before the
seller and customer may enter into a new agreement for the sale of the same vehicle on different terms, or
for the sale of a different vehicle.
You are not obligated to proceed with purchasing the same vehicle under different terms or to purchase a different
vehicle. You may return the vehicle, providing no damage to the vehicle has occurred since receipt of the vehicle,
other than reasonable wear and tear. The seller must return any down payment or other consideration in full,
including, returning a vehicle accepted in trade.
SECTION 1: SELLER INFORMATION
Business Name:
Business License Number:
Business Mailing Address:
Street
SECTION 1a: SAME VEHICLE SALE INFORMATION
City
State
Complete When Same Vehicle is Being Sold Under New Sales Terms
Vehicle Year:
Vehicle Make:
Vehicle Model:
Vehicle Identification
Number (VIN):
INITIAL TERMS
REVISED TERMS
Number of Payments:
Number of Payments:
Monthly Payment:
Monthly Payment:
(Including sales tax)
(Including sales tax)
Annual Percentage Rate:
Annual Percentage Rate:
Total Finance Charge:
Total Finance Charge:
Total Sales Price:
Total Sales Price:
SECTION 1b: SECOND VEHICLE SALE INFORMATION
Complete for a Second Vehicle When the Initial Vehicle is Returned
Vehicle Year:
SECTION 2: BUYER
Vehicle Make:
Vehicle Model:
Vehicle Identification Number:
Number of Payments:
Monthly Payment:
Annual Percentage Rate:
Total Finance Charge:
Total Sales Price:
Buyer’s Name (First, Middle, and Last):
Buyer’s Mailing Address:
Street
City
State
Zip Code
Buyer’s Physical Address:
Street
City
State
Zip Code
Telephone Number:
Email Address:
SECTION 3: AGREEMENT TO ACCEPTANCE OF SELLER’S TERMS FOUND IN SECTION 1, 1a, and 1b
The following must be in the buyer’s handwriting.
I,
accept the terms found in Section 1a or 1b of this disclosure form and understand:
Buyer’s Initials
a.
That Nevada State Law does not require me to accept the vehicle initially delivered
to me under different terms as initially agreed to, or to accept a different vehicle.
b.
That I may return the vehicle delivered to me and receive my down payment or other
consideration, including my trade in vehicle, providing the vehicle delivered to me
has not been damaged other than normal wear and tear.
Signature of Buyer:
Date:
OBL-315 Rev. 12/2023 Page 1 of 1