Affidavit For Release Of Information For Estates Without Probate Form

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Central Services Records Section
555 Wright Way
Carson City, Nevada 89711-0250
(775) 684-4590
Pursuant to NRS 146.080, estates not exceeding $25,000 or $100,000 as a surviving spouse may transfer assets of an
estate without issuance of letters of administration or probate of a will when an affidavit is provided, showing rights of the
affiant or affiants to receive money or property or to have evidence transferred.
Please print or type
Before the undersigned came
Name of Affiant
Who, after being sworn, states and deposes as follows:
__________, ___________________________________
That on the
day of
Name of Deceased
A resident of the State of Nevada, died, leaving no real property or interest therein, nor lien thereon, situated in the State
of Nevada;
That the total value of the decedent’s property, situated in the State of Nevada, does not exceed Twenty Five
Thousand Dollars ($25,000), excluding amounts due decedent for services in the armed forces, and that the
property does not include any real property nor interest therein or lien thereon;
If the transfer is to a surviving spouse, the estate value must not exceed $100,000;
That no application or petition for the appointment of a personal representative is pending or has been granted in
any jurisdiction;
That all debts of decedent, including funeral and burial expenses, have been paid or provided for;
That the Affiant has given written notice by personal service or by certified mail, identifying his claim and
describing the property claimed, to every person whose right to succeed to the decedent’s property is equal or
superior to that of the Affiant and that at least 14 days have elapsed since the notice was served or mailed; and
That the Affiant is personally entitled to full payment or delivery of the property claimed or is entitled to payment or
delivery on behalf of and with written authority of all other successors who have an interest in the property.
Affiant states that his relationship to the above named decedent is that of _____________________________________
Affiant further states that he is entitled by law to receive information on the following vehicle.
Vehicle Identification Number
Transferred to the Affiant for the reason that Affiant is ______________________________________________________
Affiant finally states that more than forty days have passed since the death of the decedent as evidenced by a certified
copy of the death certificate attached hereto. Affiant acknowledges that he understands that filing a false affidavit
constitutes a felony in this state.
Affiant’s Signature
Printed Name and Title (if applicable) of Affiant
Zip Code
State of______________________
County of_____________________
Signed and sworn to before me this ________ day of __________ 20______
Notary Public or Authorized Nevada DMV Representative
Notary Seal
IR016 (8/2015)


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