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Surviving Spouse Affidavit (Automobile) - Ohio
| Surviving Spouse Affidavit (Automobile) Form. This is a Ohio form and can be used in Title Office Lorain County (Court Of Common Pleas) . |
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Ron Nabakowski Lorain County Clerk of Common Pleas Court AUTOMOBILE O.R.C. 4505.10 IN THE MATTER OF: Deceased Title Division SURVIVING SPOUSE AFFIDAVIT ) ) SS LORAIN COUNTY ) STATE OF OHIO ,being first duly cautioned and sworn, says that (he/she) is the surviving spouse of, who died on and that the automobile(s) owned by the decedent described herein (have/has) not otherwise been disposed of by will and that no other automobile(s) of the decedent have been transferred pursuant to sec. 2106.18 O.R.C. except as set out herein. The affiant further states that one of the following applies to this transaction. Check the applicable box and attach proof of death. Only one automobile as described below is being transferred and no other automobile is or will be transferred pursuant to sec. 2106.18 O.R.C. Two automobiles are being transferred, the total value does no exceed $40,000. Description of automobile(s) being transferred # 1 year VIN make model previous title no. body type Name and address of lienholder (if none state none) (please submit a copy of the security agreement) Estimated appraised value # 1 $ # 2 year VIN Name and address of lienholder (if none state none) (please submit a copy of the security agreement) make model previous title no. body type Estimated appraised value # 2 $ Name and address of affiant Sworn to and subscribed in my presence this of ,20 Clerk, Deputy Clerk, Notary public, Attorney at Law (seal) Signature of affiant American LegalNet, Inc. www.USCourtForms.com
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