Form Mvr-620 - Joint Tenants With Right Of Survivorship Affidavit - 2017
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1MVR‐620
(REV 1/17)
North Carolina Division of Motor Vehicles
Joint Tenants with Right of Survivorship Affidavit
VEHICLE SECTION
YEAR
MAKE
BODY STYLE
SERIES MODEL
VEHICLE IDENTIFICATION NUMBER
OWNER’S SECTION
Owner 1 ID #
Full Legal Name of Owner 1 (First, Middle, Last, Suffix) or Company Name
Owner 2 ID #
Full Legal Name of Owner 2 (First, Middle, Last, Suffix) or Company Name
Joint applicants request this title to be issued with Joint Tenants with Rights of Survivorship?
Yes
No
Residence Address
City and State
Zip code
Mail Address (if different from above)
City and State
Zip code
Vehicle Location Address (if different from above)
City and State
Zip code
OWNER’S SIGNATURES
Date:
County:
State:
I certify that the following persons personally appeared before me this day, each acknowledging to me that he or
she voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated:
(names of principals)
Notary Signature:
Notary Printed or Typed Name
(SEAL)
My Commission Expires:
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