AFFIDAVIT FOR TRANSFER OF CERTIFICATE OF TITLE FOR
A VEHICLE / WATERCRAFT WITHOUT ADMINISTRATION
State Form 18733 (R2 / 7-96)
STATE OF
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SS:
COUNTY OF
I __________________________________________, being first duly sworn on _________________________ depose and say:
Date (month, day, year)
1. That ________________________________ (decedent) died on the _____ day of ________________________, 19 _____
leaving a will
without leaving a will (check one) while domiciled in _____________________________ county, Indiana.
2. That no petition for the appointment of a personal representative of this estate is pending or has been granted.
3. That more than five (5) days have passed since the death of the decedent.
4. That the value of the entire assets of the estate of the decedent, wherever those assets are located, after substracting any
liens and encumbrances, does not exceed $15,000.00.
5. That this affiant is a
widow
distributee of the decedent and is entitled to receive without administration the following
vehicle from the person, firm or corporation listed below subject to the liens and encumbrances thereon.
Year
Make
Type
Title number
Manufacturer's / Hull Identification Number
Name of person , firm or corporation holding property of decedent
This affidavit is made to induce the Commissioner of Motor Vehicles to issue a Certificate of Title for this vehicle:
1.
to the affiant; or
2.
to the purchaser of the vehicle as evidenced by the assignment of title made by the affiant.
Affiant swears or affirms that the information he / she has entered on this form is correct. He / she understands that making
a false statement on this form may constitute the crime of perjury.
Signature
Address
Date signed (month, day, year)