Watercraft Surviving Spouse Affidavit

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