Vehicle Transfer due to Inheritance

Deceased Owner Information

Full Name Date of Birth Date of Death Address

Heir/Beneficiary Information

Full Name Date of Birth Relationship to Deceased Address

Vehicle Information

Make Model Year VIN (Vehicle Identification Number) License Plate Number

Declaration

I, the undersigned, declare that I am entitled to the vehicle described above as an heir/beneficiary of the deceased, and request transfer of ownership as per applicable laws and regulations.