1 555 WRIGHT WAY CARSON CITY, NV 89711 -0700 Ren o/Sparks/Carson City (775) 684-4DMV (4368) Las Vegas Area (702) 486-4DMV (4368) Rural Nevada or Out of State (877) 368-7828 www.dmvnv.com AFFIDAVIT FOR TRANSFER OF TITLE FOR ESTATES WITHOUT PROBATE ,000 Pursuant to NRS 146.080, estates not exceeding $25 or $100,000 as a surviving spouse may transfer assets of an estate without issuance of letters of administration or probate of a will when an affidavit is provided, showing rights of the affiant or affiants to receive money or property or to have evidence transferred. Please print or type Before the undersigned came ____________________________________________________________ Full Legal Name of Affiant Who, after being sworn, states and deposes as follows: __________, ________________________________ That on the __________ day of _________ 20 Name of Deceased A resident of the State of Nevada, died, leaving no real property or interest therein, nor lien thereon, situated in the State of Nevada; That the total value of the decedent’s property, situated in the State of Nevada, does not exceed Twenty Five Thousand • ,000), excluding amounts due decedent for services in the armed forces, and that the property does not Dollars ($25 include any real property nor interest therein or lien thereon; If the transfer is to a surviving spouse, the estate value must not exceed $100,000; • That no application or petition for the appointment of a personal representative is pending or has been granted in any • jurisdiction; That all debts of decedent, including funeral and burial expenses, have been paid or provided for; • certified mail, identifying his claim and describing the That the Affiant has given written notice by personal service or by • property claimed, to every person whose right to succeed to the decedent’s property is equal or superior to that of the Affiant and that at least 14 days have elapsed since the notice was served or mailed; and That the Affiant is personally entitled to full payment or delivery of the property claimed or is entitled to payment or • delivery on behalf of and with written authority of all other successors who have an interest in the property. _______________________________. Affiant states that his relationship to the above named decedent is that of Affiant further states that he is entitled by law to succeed to the title in the decedent’s vehicle, as described: Year ________________ Make Model _______________ _______________ Vehicle Identification Number Transferred to the Affiant for the reason that Affiant is ___________________________________. Affiant finally states that more than forty days have passed since the death of the decedent as evidenced by a certified copy of the death certificate attached hereto. Affiant acknowledges that he understands that filing a false affidavit constitutes a felony in this state. ____________________________________________________________________________________________________________________ Affiant’s Physical Address Affiant’s Mailing Address ____________________________________________________________________________________________________________________________ Affiant’ s Signature Affiant’s Printed Name and Title (if applicable) State of _____________________, County of __________________________ Signed and sw orn to before me this _____ day of___________________ 20___ By : ______________________________________________________ ________________________________________________________ Notary Public or Authorized Nevada DMV Representative Notary Seal 24 (Rev 8 /201 5) VP- Signatures must be original. Photocopies are not acceptable. Changes may not be made to this form once it is signed and witnessed.