Affidavit For Transfer Of Decedent'S Boat - Louisiana Department Of Wildlife & Fisheries
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1Louisiana Department of Wildlife & Fisheries
Boat Title and Registration
Affidavit for Transfer of Decedent’s Boat
ENTER NAME & ADDRESS OF SURVIVING SPOUSE
This form is to be used only when a boat is registered in the name
Name ______________________________________________________
of a deceased owner and the heirs and legatees desire to confirm
their ownership interest and consent to transfer title.
Address ____________________________________________________
City & State ________________________________________________
THIS IS TO CERTIFY THAT
_________________________________________________ ,
Telephone ( ________ ) _______________________________________
deceased owner - copy of Death Certificate Attached)
(
whose residence at the time of death was _________________
Signature ___________________________________________________
Sworn and subscribed before me
__________________________________________________
this __________ day of ___________ , 20 ______
_________________, died on ________________, 20_____.
____________________________________________________________
(date)
Notary Public Signature,
Printed Name ID #
Parish (County) State
hereinafter referred to as decedent, is the registered owner of
ENTER NAME & ADDRESS OF HEIR OR LEGATEE
the following described boat:
(If Minor, Must List Age)
__________________________________________________
Name ____________________________________ Age: _______________
Year
Make
Model
Hull Identification No.
Address ______________________________________________________
_______________________________________________________________
City & State___________________________________________________
Louisiana Title No. (if applicable)
Current Louisiana Registration No.
Relation to Decedent ____________________________________________
DECLARATION
Signature______________________________________________________
Upon my/our oath, I/we solemnly swear that the information
Sworn and subscribed before me
on this form and the following statements as checked below
this __________ day of ___________ , 20 ______
are true and correct:
______________________________________________________________
Notary Public Signature,
Printed Name
ID#
Parish (County)
State
[ ] The decedent died intestate (i.e., no will).
ENTER NAME & ADDRESS OF HEIR OR LEGATEE
[ ] The decedent died testate (copy of will or notarized
(If Minor, Must List Age)
statement by one in lawful possession of the original
summarizing the disposition of boats contained in the will
Name ____________________________________ Age: ______________
attached).
Address _____________________________________________________
City & State__________________________________________________
Under penalties provided for providing false reports, I/we
Relation to Decedent ___________________________________________
declare that no one has been or is expected to qualify as
Signature_____________________________________________________
administrator or executor of the decedent’s estate and that this
affidavit (including any accompanying schedules and
Sworn and subscribed before me
statements) is to the best of my /our knowledge and belief, a
this __________ day of ___________ , 20 ______
true, correct, and complete identification of death
_____________________________________________________________
circumstances and legal heirs and legatees of the decedent.
Notary Public Signature,
Printed Name
ID#
Parish (County)
State
By signing this document, each heir and legatee consents to the
ENTER NAME & ADDRESS OF HEIR OR LEGATEE
transfer of the title of the above described boat as provided herein.
(If Minor, Must List Age)
If there is only one surviving heir or legatee and he/she wishes to title
Name ____________________________________ Age: _______________
the boat in his/her name, this affidavit with attachments will be
Address ______________________________________________________
acceptable. If one of the heirs or legatees is a surviving spouse and
City & State___________________________________________________
he/she wishes to transfer the boat to a new owner, this affidavit must
be completed by him/her as well as all other heirs and legatees, but
Relation to Decedent ____________________________________________
only the surviving spouse is required to execute a notarized bill of
Signature______________________________________________________
sale or act of donation. If there is no surviving spouse and the sale or
Sworn and subscribed before me
donation is to a new owner, a bill of sale or act of donation must be
executed by all heirs and legatees. Statement by leinholder approving
this __________ day of ___________, 20 ______
the transfer must be attached, if applicable.
_______________________________________________________________
Notary Public Signature,
Printed Name
ID#
Parish (County)
State
The applicant must surrender the previous title, if available.
All Heirs And Legatees Must Be Listed
(Use additional pages if needed)
In addition, appropriate title and registration applications and fees
must be submitted.
Please send check or money order made payable to the Louisiana Department of Wildlife and Fisheries to cover any fees due.
PLEASE DO NOT SEND CASH.
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