[Iowa DOT] 411083. Certification of Death Testate (with a will) for Vehicle Transfer

CERTIFICATION OF DEATH TESTATE (WITH A WILL) FOR VEHICLE TRANSFER

INSTRUCTIONS

This affidavit is authorized by Iowa Code 321.47(2) and may be used to transfer a vehicle if a decedent dies testate, but the will is not probated or is probated without administration.

The completed and signed affidavit must be notarized.

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.

(no tenths) miles and to the best of my knowledge that it reflects the

I state that the odometer now reads

actual mileage of the vehicle described herein, unless one of the following statements is checked:

AFFIDAVIT OF TRANSFEREE / INHERITOR

I, the undersigned, state the following:

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

Decedent died testate. There has been no administration of the decedent?s estate.

Under the laws of the State of Iowa and according to the decedent?s will, I (or my organization) am entitled to possession and ownership of the vehicle.

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.

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.

For witnessing or attesting signature:

Signed (or attested) before me on

Additional Signatures Required

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