West Virginia Legal Heir Affidavit Form

DMV-185-TR
REV 11/13
West Virginia Department of Transportation
Division of Motor Vehicles
1-800-642-9066
www.dmv.wv.gov
Legal Heir Affidavit
A COPY OF THE DEATH CERTIFICATE MUST ACCOMPANY THIS DOCUMENT.
This form is only to be completed when no administrator or administratrix has been appointed and no
will has been left by the decedent. License plates are transferable from the decedent to legal heirs,
however a valid certificate of insurance in the new owner’s name is required to register the motor vehicle.
Decedent and Motor Vehicle Information
Name of
Decedent
Motor Vehicle
Title Number
Serial/VIN
Number
Affiant Information & Certification
Name
of Affiant _____________________________________________
Address
of Affiant _____________________________________________
City, State
and Zip code __________________________________________
Signature
of Affiant
Name
of Affiant _____________________________________________
Address
of Affiant _____________________________________________
City, State
and Zip code __________________________________________
Signature
of Affiant
(X)
(X)
I/we, being dually sworn on oath or affirmation, do swear or affirm that I/we am/are the legal heir(s) of the decedent
described herein, as the legally registered owner of the aforementioned motor vehicle, and that I/we have been designated
as new owner(s) and assignee(s) pursuant to statutory descent and distribution and by agreement of all other legal heirs.
Signature
of Affiant
(X)
Signature
of Affiant
(X)
Additional Heir(s) Must Complete the Following:
I/we, the undersigned, being duly sworn on oath or affirmation, do hereby acknowledge that I/we have freely and knowingly
relinquished to the above named affiant(s) all rights and claims to the vehicle described above.
Name
of Heir _______________________________________________
Address
of Heir _______________________________________________
City, State
and Zip code __________________________________________
Signature
of Heir
(X)
Name
of Heir _______________________________________________
Address
of Heir _______________________________________________
City, State
and Zip code __________________________________________
Signature
of Heir
(X)
Certification of Notary Public
State of West Virginia, County of ______________________
Subscribed and sworn before me this ____________ day of
_______________________________ , 20___________.
(X)
________________________________________________
NOTARY PUBLIC SIGNATURE
My Commission expires ________/________/________.
NOTARY STAMP