Anthony J. Dattilio Columbiana County Clerk of Courts Watercraft Surviving Spouse Affidavit Section 2106.18 Date In the Matter of the Estate of Deceased State of Ohio )SS County of ) 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 2106.18. The following is the only watercraft and/or outboard motor to be transferred under this section: Watercraft Outboard Motor Year Y ear Hull ID# Engine # Make M ake Length H P Model Model Motor (if inboard) V alue Motor Year (if inboard) HP (if inboard) Value Surviving Spouse Sworn before me and subscribed in my presence this day of ,20 Clerk, Deputy Clerk of Courts - Notary American LegalNet, Inc. www.USCourtForms.com