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Rural Nevada or Out of State (877) 368-7828 www.dmvnv.com. VP136 (Rev. 2/ 2016). Signatures must be originals.

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3. Start by entering your personal information, such as your full name, address, phone number, and email address in the designated fields.
4. If applicable, provide any additional details or information that may be required, such as your job title, company name, or student ID number.
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What is that form undersigned?

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Income sources, deductions, credits, and tax payments must be reported.

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