Small Estate Affidavit for Mobile Home Title Transfer

Decedent Information

Name of Decedent Date of Death Last Known Address

Affiant Information

Name of Affiant Relationship to Decedent Address Phone Number

Mobile Home Description

Make Model Year VIN/Serial Number Title Number Physical Address

Heirs/Beneficiaries

Names and Addresses of All Heirs/Beneficiaries

Affirmations

I hereby affirm that:
• I am entitled to the mobile home as part of the small estate of the above-named decedent.
• No application or petition for the appointment of a personal representative is pending or has been granted.
• All information provided is true and correct to the best of my knowledge.