Iowa Affidavit Of Death Intestate Form

Transcript

Form 411088 06-11 AFFIDAVIT OF DEATH INTESTATE IN RE TRANSFER OF MOTOR VEHICLE, PROPERTY OF THE ESTATE OF: Name of Decedent AFFIDAVIT State of Iowa County Now on this } ss. day of , ; the undersigned, Year being first duly sworn on oath depose and state that the decedent above named died intestate on the day of , ; and that there has been no Year administration of said decedent's estate; that at the time of death the said decedent owned and possessed the following described vehicle: Make Model Color Style Year V.I.N. # Title No. Year License No. That the said motor vehicle was titled and licensed in the said decedent's name; that under the laws of descent and distribution of the State of Iowa the undersigned are/is entitled to the possession and ownership of the said motor vehicle, that the undersigned hereby agrees to indemnify any creditors of the decedent who would be entitled to levy execution upon said motor vehicle to the extent of the value of said motor vehicle, and further agree to indemnify and save harmless the said County Treasurer of County, Iowa, from any damages sustained by any person or persons, because of such assignment. Signature of Person(s) Entitled to Ownership Subscribed and sworn to before me this day of , Year Notary Public in and for State of Iowa County, DISCLOSURE STATEMENT: The information furnished on this form will be used by the Department of Transportation and the county treasurer's office to transfer ownership of a vehicle to a deceased person's heirs. All information is required. Failure to complete the form would mean a denial to transfer the vehicle.