[Iowa DOT] 411088: Certification of Death Intestate (Without a Will) for Vehicle Transfer

CERTIFICATION OF DEATH INTESTATE (WITHOUT A WILL) FOR VEHICLE TRANSFER

INSTRUCTIONS

1. This affidavit is authorized by Iowa Code 321.47(2) and may be used to transfer a vehicle if a decedent dies intestate (without a will) and there is no administration of the estate.

2. The completed and signed affidavit must be notarized.

3. The transferee should submit the final signed affidavit to the county treasurer with Form 411007, Application for Certificate of Title and Registration.

Federal law and State law require that you state the mileage in connection with the transfer of ownership.Failure to complete or providing false statement may result in fines and/or imprisonment.

AFFIDAVIT OF TRANSFEREE / INHERITOR

I, the undersigned, state the following:

1. This vehicle was titled and registered in the decedent’s name.

2. Decedent died intestate. There has been no administration of the decedent’s estate.

3. Under the laws of descent and distribution of the State of Iowa, I am entitled to possession and ownership of the vehicle.

4. I hereby agree to indemnify any creditors of the decedent who would be entitled to levy execution upon the vehicle to the extent of the value of the vehicle.

5. I hereby agree to indemnify and hold harmless the County Treasurer to whom I am providing this affidavit from any damages sustained by person or persons because of such transfer of ownership.

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