AFFIDAVIT FOR TRANSFER OF CERTIFICATE OF TITLE FOR
A VEHICLE / WATERCRAFT WITHOUT ADMINISTRATION
State Form 18733 (R5 / 7-07)
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STATE OF
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SS:
COUNTY OF
I __________________________________________, hereby swear or affirm, under penalty of perjury, the following:
(Print full name)
1. That _________________________________________ died on the _____ day of ________________________, _______
(Print full name of decedent)
leaving a will
without leaving a will (check one) while domiciled in _____________________________ county, Indiana;
2. That a petition for the appointment of a personal representative of this estate is not pending, has not been granted, nor is being
contemplated;
3. That five (5) days have passed since the death of the decedent;
4. That the value of the entire estate assets of the decedent, wherever those assets are located, after subtracting any liens and
encumbrances, does not exceed $50,000.00; and
5. That this affiant is entitled to payment or delivery of the property on behalf of each person identified in the affidavit, and is entitled
to receive without administration the following vehicle or watercraft from the person, firm or corporation listed below subject to the
liens and encumbrances on it.
Year
Make
Type
Title number
Vehicle identification number (VIN) / hull identification number (HIN)
Name of person, firm or corporation holding the above listed vehicle or watercraft.
This affidavit is made to request the Commissioner of the Bureau of Motor Vehicles to issue a Certificate of Title for this vehicle or
watercraft:
1.
to the affiant on behalf of __________________________________________________________________________________
(Print full name(s))
_________________________________________________________________________________________________; or
2.
to the purchaser of the vehicle or watercraft, who is _______________________________________________, as evidenced
(Print full name)
by the assignment of title made by the affiant.
I hereby swear or affirm, under penalty of perjury, that the information I have entered on this form is correct. I understand that
making a false statement on this form may constitute the crime of perjury.
Signature
Address (number and street, city, state and ZIP code)
Date signed (month, day, year)