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IN THE COURT OF COMMON PLEAS, TRUMBULL COUNTY, OHIO
KAREN INFANTE ALLEN
Clerk of Courts, Trumbull County, Ohio

AFFIDAVIT
SECTION 2106.19

In the Matter of the Estate of the Estate of:

Date:_____________


___________________________________
                        Deceased
STATE OF OHIO
COUNTY OF TRUMBULL
)
) 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 watercraft and/or outboard motor described below, that said watercraft and/or outboard motor is not otherwise disposed of by Will; and the affiant is entitled to said watercraft and/or outboard motor pursuant to Ohio Revised Code Section 2106.19.  The following is the only watercraft and/or outboard motor to be transferred under this Section:

Watercraft Outboard Motor
Year _____________________________ Year ____________________________
Hull ID #__________________________ Engine # _________________________
Make ____________________________ Make ____________________________
Length ___________________________ HP ______________________________
Model ____________________________ Model ____________________________
Motor Year (if inboard) _______________ Value ____________________________
HP (if inboard) _____________________
Value ____________________________

______________________________
Surviving Spouse Signature         


Sworn to before me and subscribed in my presence this _______ day of ___________, 20 __. 

_____________________________________________
 
(SEAL)                                                 CLERK -  DEPUTY CLERK - NOTARY PUBLIC     

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