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Affidavit Form. This is a Ohio form and can be use in Bureau Of Motor Vehicles Statewide.
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Tags: Affidavit, BMV 3773, Ohio Statewide, Bureau Of Motor Vehicles
IN THE COURT OF COMMON PLEAS,
COUNTY, OHIO
CLERK OF COURTS
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
automobile(s) described below. 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 automobiles(s) pursuant to Ohio Revised Code Section 2106.18. The following are the only
automobile(s) to be transferred under this Section:
Auto 1
Year
Mfg. Serial #
Make
Body Type
Model
Ohio Cert. of Title #
Approximate Value $
Auto 2
Year
Mfg. Serial #
Make
Body Type
Model
Ohio Cert. of Title #
Approximate Value $
Surviving Spouse
Sworn to before me and subscribed in my presence this
day of
20
.
Clerk, Deputy Clerk of Courts-Notary
BMV 3773 3/05
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