Small Estate Affidavit
for Motor Vehicle Title Transfer

Decedent Information

Name of Decedent

Date of Death

Last Known Address

City

State

County of Residence at Time of Death

Affiant Information

Name of Affiant

Relationship to Decedent

Affiant Address

City

State

Phone Number

Vehicle Information

Year

Make

Model

VIN

Title Number

Heirs & Distributees

List all heirs entitled to the property (Name, Address, Relationship):

Additional information or statements if required by state law:

Affiant Signature Date

Notary Public Signature Date

This affidavit is submitted in accordance with applicable state law for transfer of title to a motor vehicle belonging to a decedent whose estate is not subject to formal probate.

Small Estate Affidavitfor Motor Vehicle Title Transfer

Decedent Information

Affiant Information

Vehicle Information

Heirs & Distributees

Small Estate Affidavit
for Motor Vehicle Title Transfer