STATEMENT OF AUTHORITY TO ASSIGN TITLE VSA 24 (06/01/2009) Purpose: Use this form to document the authority of the legal heir(s) to transfer ownership of a vehicle. Do not use this form if an executor or administrator has been appointed. Instructions: Follow the instructions on page 2 to determine when to complete and file this form. Submit completed form and any other required documentation necessary to transfer vehicle ownership to any Department of Motor Vehicles (DMV) Customer Service Center, DMV Select or mail to DMV at the address above. Pursuant to Virginia Law: This is evidence of my (our) authority to assign title to _________________________________________, a motor vehicle (Make of Vehicle) bearing identification number ____________________________________________________, now titled in the name of (Name) _____________________________________________________ Present Title Number ___________________ (Residence) _______________________________________________________________, VA ___________________, City or Town Street Zip Code who became deceased on ___________________ ______________, ________ The following statements are made: Month Day Year. 1. There has not been and there is not expected to be a qualification on the estate of the deceased. (An executor or administrator has not been appointed.) 2 The motor vehicle described herein is property belonging to the estate of the deceased. 3. All of the decedent's debts have either been paid in full or the proceeds from the sale of this vehicle will be used to apply against the debts. The decedent left the following surviving adult legal heirs: NAME OF SURVIVING SPOUSE (print) NAME OF HEIR (print) NAME OF HEIR (print) NAME OF HEIR (print) NAME OF HEIR (print) NAME OF HEIR (print) all of whom are 18 years of age or older. If the assignment of title to said motor vehicle is honored, I (We) hereby hold harmless the Commissioner of the Department of Motor Vehicles of the Commonwealth of Virginia, or his successor in office, individually and officially, for any loss or damage which may be asserted against him or which he may sustain by reason of or incidental to the issuance of title. Given under my (our) hand(s) this _______________________________ day of _______________________, _______. SIGNATURE OF SURVIVING SPOUSE SIGNATURE OF HEIR SIGNATURE OF HEIR SIGNATURE OF HEIR SIGNATURE OF HEIR SIGNATURE OF HEIR American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS VSA 24 (06/01/2009) Page 2 THIS FORM CANNOT BE USED IF AN EXECUTOR OR ADMINISTRATOR HAS BEEN APPOINTED. THIS FORM MUST BE COMPLETED IF: The decedent left a will but there has not been or is expected to be a qualification on the estate. The only persons required to complete this form are those named in the will (legatees) who will receive the vehicle identified on the front of this form. OR WHEN THE DECEDENT DIED INTESTATE (WITHOUT A WILL) A. Only the surviving spouse is required to complete this form, except if there are children by a previous marriage of the decedent. In this instance, the surviving spouse and all heirs or their legal guardians must complete this form. B. The surviving spouse need only complete the form if he/she attaches an attested copy of an exempt property claim filed with the court having jurisdiction over probate or administration of the decedent's estate. The exempt property claim shall indicate selected property of the estate, including the motor vehicle in question, is exempt property having a total value which does not exceed $15,000.00, exclusive of any security interests. C. If there is no surviving spouse, the legal guardian of the minor children need only complete the form if the legal guardian attaches an attested copy of an exempt property claim filed with the court having jurisdiction over probate or administration of the decedent's estate. The exempt property claim shall indicate that selected property of the estate, including the motor vehicle in question, is exempt property having a total value which does not exceed $15,000.00, exclusive of any security interests. American LegalNet, Inc. www.FormsWorkFlow.com