Microsoft Word 18733

Transcript

1 AFFIDAVIT FOR TRANSFER OF CERTIFICATE OF TITLE FOR A VEHICLE / WATERCRAFT WITHOUT ADMINISTRATION State Form 18733 (R8 / 11-18) INDIANA BUREAU OF MOTOR VEHICLES INSTRUCTIONS: 1. Complete in blue or black ink or print form. ip for an estate, wherever loca ted, less liens or encumbrances, whose 2. Complete this form to request a transfer of vehicle ownersh gross value does not exceed $50,000. required in addition to this affidavit. 3. A copy of the death certificate is ISTRIBUTEE OF THE ESTATE SECTION 1 - CLAIMANT / D Name (last, first, middle initial) State ZIP Code (number and street) Legal Address City SECTION 2 - DECEDENT INFORMATION (mm/dd/yyyy) Name (last, first, middle initial) Date Deceased SECTION 3 - VEHICLE / WAT ERCRAFT INFORMATION Identification Number Model Make Year Title Number SECTION 4 - AFFIRMATION OF FACTS ificate of title to the motor vehicle shall not be prohibited if five (5) days have elapsed since the death of the Pursuant to Indiana Code §29-1-8-1(b), the transfer of the cert e made by the Bureau of Motor Vehicles upon decedent and no appointment of a personal representative is contempl ated. A transfer of vehicle or watercraft ownership shall b receipt of this affidavit. The affidavit must be duly executed by the distributees of the estate. lty of perjury: swear or affi I, the above named claimant, hereby rm, under pena The value of the gross probat e estate of the above named deced mbrances, does not ent, less liens and encu  exceed fifty thousand dollars ($50,000). Five (5) days have elapsed si nce the death of the decedent.  No application or petition for the appointment of a personal r  or has been granted in any epresentative is pending jurisdiction. I am entitled to ownership of the vehicle / watercraft.  I certify that the vehicle / w  atercraft is not subject to any liens that are the responsibility of the claimant. I swear or affirm that the info making a false statement orm is correct. I understand that rmation I have entered on this f may constitute the crime of perjury. Signature of Claimant Pri nted Name Date Signed (mm/dd/yyyy)

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