SD EForm - 1334
V2
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SOUTH DAKOTA DIVISION OF MOTOR VEHICLES
AFFIDAVIT OF VEHICLE OWNERSHIP BY SUCCESSION
AFFIANT NAME(S)________________________________ ADDRESS _______________________________________
________________________________ ADDRESS _______________________________________
VEHICLE/BOAT DATA YEAR______ MAKE______ SERIAL # ____________________________________________
LICENSE # ______________________ TITLE # ________________________________________________________
I hereby affirm that ___________________________________________ (decedent) died on _______________(date);
that at least 30 days have elapsed since that death; that the value of the entire estate wherever located, less liens and
encumbrances, does not exceed $50,000 (SDCL 29A-3-1201); that no application or petition for the appointment of a
personal representative is pending or has been granted in any jurisdiction; that the decedent has not incurred any
indebtedness to the Department of Social Services for medical assistance for nursing home or other medical institutional
care; and that the claiming successor is entitled to payment or delivery of the property.
All successors who might have a claim on the estate are listed below:
_______________________________ _______________________________ ________________________________
Successor
Successor
Successor
_______________________________ _______________________________ ________________________________
Successor
Successor
Successor
that all successors listed above (parent or legal guardian, if successor is a minor) agree and have indicated to me that
ownership of the vehicle/boat should rest in______________________ (successor) of____________________(address).
I hereby request that the Department of Revenue issue Title covering this vehicle/boat in the name indicated and that I
agree to protect and indemnify the South Dakota Department of Revenue, Division of Motor Vehicles, against any and all
liabilities and claims which may arise as a result of this title issuance.
Please check applicable box:
Signature of Affiant(s) ________________________
Certificate of title
is
is not available
_________________________________________________
STATE OF SOUTH DAKOTA
Notary Public or County Treasurer
COUNTY OF____________________________________ SS.
_________________________________________________
Subscribed and Sworn to before me this _________________
Date Commission Expires
day of ____________________________________ ,20_____
DOR-MV215(05/13)
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