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AUTOMOBILE SURVIVING SPOUSE AFFIDAVIT
Section 2106.18-4505.10 - Effective Sept. 17, 1996
In The Court of Common Pleas, TRUMBULL COUNTY, OHIO
KAREN
INFANTE ALLEN, Clerk of Courts
| In the Matter of the Estate of the Estate of: |
Date:_____________ |
___________________________________
Deceased |
|
STATE OF OHIO
COUNTY OF TRUMBULL |
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) SS
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The undersigned, being duly sworn, says that _____he is the surviving spouse of ________________________________, who died on the
_________ day of ___________, 20____; that said decedent owned the automobile(s) described below, If only one automobile is to be transferred under this section, the automobile has
an approximate value of $________________. If two automobiles are to be transferred under this section the combined approximate value of the two automobiles is less than $40,000;
said automobile(s) is not otherwise disposed of by Will; and the affiant is entitled to said automobile(s) pursuant to Ohio Revised Code Section 2106.18. The following are the only
automobile(s) to be transferred under this section.
| AUTO 1 |
AUTO 2 |
| VIN _____________________________ |
VIN _____________________________ |
| YEAR____________________________ |
YEAR____________________________ |
| MAKE ___________________________ |
MAKE ___________________________ |
| BODY TYPE ______________________ |
BODY TYPE ______________________ |
| OHIO TITLE # _____________________ |
OHIO TITLE # _____________________ |
| APPROX. VALUE $ ________________ |
APPROX. VALUE $ ________________ |
______________________________
Surviving Spouse Signature
Sworn to before me and subscribed in my presence this _______ day of ___________, 20 __.
_____________________________________________
(SEAL)
CLERK - DEPUTY CLERK - NOTARY PUBLIC
Trumbull County Title Dept. Web Form
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