The form that turns surrendered plates back into money. Your registration expired the moment ownership transferred, and this sworn application - to the county treasurer in the county where the vehicle is registered, within 60 days of the vehicle's change of status, with the registration, license plates and validation decals accompanying it - claims back the unused months of motor vehicle taxes, motor vehicle fees and registration fees. Six checkboxes carry six different endings: a transfer of ownership by certificate of title or bill of sale, a trade-in or surrendered lease, loss of possession by fire, natural disaster, theft, dismantlement, junking or repossession, a salvage title issued to you, a class of vehicle legislated off the roads, and an insurer's total-loss salvage settlement. Every one of them is dated, because the unexpired months are counted from the date you write.
Written against Refund Application (7/2020), issued under Neb. Rev. Stat. ss. 60-395, 60-397 and 60-398; filed with the county treasurer where the vehicle is registered, within 60 days. The refund floor is the quiet disqualifier: the county pages tell staff to issue nothing when the computed amount falls under two dollars, and a registration in its final months can compute to less than that after the current month drops out. If your registration renews next month anyway, weigh the counter trip against what the arithmetic can actually return - then make the trip anyway if the alternative is plates in a drawer, because surrendered plates also end your exposure to what happens on them.
Two documents, and they are not the same thing. Take the blank Refund Application from the dmv.nebraska.gov copy so you get the revision that is current today, then print our Refund Application guide and keep it beside you while you fill theirs in.
This is the actual Refund 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.
The county where the registration was issued, and your name as the registered owner, into the sworn opening sentence.
Watch out: If title and registration ended up in different counties over the years, the registration's county wins - it is the one holding the fees being returned.
Year, make, model, body style, VIN and the license plate number.
Watch out: Copy the plate and VIN from the registration certificate you are about to surrender - the three documents on the counter should agree with each other.
Tick the event that ended the registration and date it - for a sale, the transfer-of-ownership box with the date of sale from the certificate.
Watch out: The date drives the month count. A sale dated the 2nd and a sale dated the 28th of the same month refund identically, but a form filed without a date refunds nothing until someone chases you.
The owner's signature under the being-duly-sworn preamble, with the false-application warning printed at the foot.
Watch out: The form is an affidavit even though no notary block appears on it - the county takes it as sworn, and the Motor Vehicle Registration Act's prosecution clause is the enforcement.
All four items together, at the issuing county's treasurer, inside the sixty days.
Watch out: Buying a replacement car? Say so before they process it - the same application funds a credit against the new registration, and one visit does both jobs.
| On the form | What to put in it |
|---|---|
| State of Nebraska, County of | The venue block - this is an affidavit, and the named county is the one where the registration was issued. |
| Name of Motor Vehicle Owner | The registered owner, being duly sworn, deposing that they own the vehicle described. |
| Vehicle Information | Year, make, model, body style, the VIN and the license plate number - the plate number matters, because the plates are being handed across the counter with the form. |
| The reason checkboxes, each with a date line | Transfer of ownership on a date; trade-in or lease surrender on a date; loss of possession by fire, natural disaster, theft, dismantlement, junking or repossession on a date; a salvage title issued to you on a date; the legislative or court ineligibility ending registration as of a date; and the insurer's total-loss settlement, with both the settlement date and the date the damage occurred. |
| Signature of Motor Vehicle Owner | The sworn signature, above the warning that filing a false application violates the Motor Vehicle Registration Act and can bring prosecution. |
Every line here was read off Refund Application (7/2020) 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.