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How to fill out Nebraska Credit Application

The refund application's sibling, for the car that died rather than sold. Under s. 60-396 an owner whose vehicle is disabled and has been removed from service surrenders the registration, plates and decals and takes the unused months as a credit - and this short affidavit is the version for the owner standing at the counter registering a replacement that same day. Its sworn statement says exactly that: the above vehicle is disabled and has been removed from service, and the vehicle being registered today is a newly purchased replacement vehicle. The county applies the credit straight against the new car's registration fee, motor vehicle tax and motor vehicle fee, so the dead car's remaining months pay down the living one's bill.

Written against Credit Application (8/2017), issued under Neb. Rev. Stat. s. 60-396, credit for a vehicle disabled and removed from service, applied at registration of the replacement. This page and the refund application look near-identical at the counter - same venue block, same sworn owner, same vehicle grid - and counties see them swapped weekly. The test is one sentence long: money back for a car that left your ownership is the refund form; months carried across to a replacement for a car that died in it is this one. Bring the wrong form and the visit still usually succeeds, but only because the clerk quietly starts over with the right one.

Two documents, and they are not the same thing. Take the blank Credit Application from the dmv.nebraska.gov copy so you get the revision that is current today, then print our Credit Application guide and keep it beside you while you fill theirs in.

Filled in

What a completed one looks like

This is the actual Credit Application, rendered from the PDF the Nebraska Department of Motor Vehicles, Driver and Vehicle Records Division publishes and completed end to end: letterhead, every field, and the blocks at the foot.

A completed Nebraska Application for Credit. The venue names Madison County, the owner line names Ramona L. Svoboda, and the vehicle information block describes a disabled 1999 Dodge Ram 1500 pickup with its vehicle identification number and license plate number 7-K2160. The signature line above the printed warning about false affidavits is left for the counter, where the affidavit is sworn.
Rendered from the department's own PDF and completed for a pickup that failed for the last time, sworn on the day its replacement is registered - the one transaction this affidavit exists for. The owner, the plate and the identification numbers exist only in this sample.
Field by field

Every line, in the order you meet it

  1. 1
    You fill this in

    Time it to the replacement's registration day

    The affidavit's own sentence includes the vehicle being registered today, so it is sworn at the counter where the new car's paperwork is happening.

    Watch out: Bring both cars' paperwork in one folder - the dead vehicle's registration, plates and decals, and the replacement's title application - because the credit is applied in the same transaction.

  2. 2
    You fill this in

    Venue and owner

    The county taking the registration, and your name as the disabled vehicle's registered owner.

    Watch out: The names must line up: the person swearing the credit and the person registering the replacement are the same owner, or the credit has nowhere lawful to land.

  3. 3
    You fill this in

    Describe the dead vehicle

    Year, make, model, body style, VIN and plate number of the car being removed from service.

    Watch out: The plate number is about to be handed over with the plates themselves - copy it before they disappear across the counter.

  4. 4
    You fill this in

    Sign, surrender, and watch the arithmetic

    The sworn signature, the plates, decals and registration across the counter, and the county applies the unused months against the replacement's fees and taxes.

    Watch out: Sixty days from disablement is the outer limit, and the disablement month itself counts for nothing - a truck that died in January and reached the counter in April has quietly spent a quarter of its credit.

At a glance

What goes where

On the formWhat to put in it
State of Nebraska, County ofThe venue block, naming the county where the affidavit is sworn - which is the county doing the day's registering.
Name of Motor Vehicle OwnerThe registered owner of the disabled vehicle, being duly sworn.
Vehicle InformationYear, make, model, body style, VIN and license plate number - describing the disabled vehicle whose registration is being cancelled, not the replacement being registered.
Signature of Motor Vehicle OwnerThe sworn signature above the Motor Vehicle Registration Act's false-affidavit warning. There is nothing else on the page - the replacement vehicle's details live on its own registration paperwork, not here.

What gets this one rejected

Rules that decide whether it is accepted

Every line here was read off Credit Application (8/2017) itself — the PDF is here — and off the Nebraska Department of Motor Vehicles, Driver and Vehicle Records Division pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.

Back to all Nebraska seller paperwork, or what selling a car in Nebraska involves.

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