Upon my/our oath, I/we solemnly swear that the information on this form and the following statements as checked below are true and correct:
The decedent died intestate (i.e., no will).The decedent died testate (copy of will or notarized statement by one in lawful possession of the original summarizing the disposition of
vehicles contained in the will attached). l--'l Certificate of title attached. Certificate oftitle cannot be located and is, therefore, not available.Undcr pcnaltics provided for providing false reports, I/we declare that this affidavit (including any accompanying schedules and statements) is to the bcst ofmy/our
knowlcdgc and bclicf, a true, correct, and completc identification of death circumstances and legal heir ship ofthe named decedent. ENTERNAME & ADDRESS OF SURVI\TNG SPOUSE Swom and subscribcd bcforc mc d a y o f _ Notary Public Parish (County) State ENTERNAME & ADDRESS OF HEIR OR LEGATEE If Minor Mrrst l.ist Aqe Rclation to Decedcnt Swom and subscribed before mc Notary Public Parish (County) State ENTER NAME & ADDRESS OF HEIR OR LEGATEE If Minor. Must List Ase Swom and subscribed beforc mc d a y o f _ Notary Public Parish (County) State ENTER NAME & ADDRESS OF HEIR OR LEGATEE If Minor. Must List Agc Swom and subscribed beforc mc Notary Public Parish (County) State Heirs And Legatees Must Be Listed (Ifmore than four, please attach supplementary list)lf there is only one surviving heir and he/she wishes to title the vehicle in his/her name, this affidavit with attachments will be acceptable. If one of the
heirs is a surviving spouse and he/she wishes to transfer the vehicle to a new owner, this affidavit of heirship must be completed by him./her as well as
all other heirs, but only the surviving spouse is required to execute anotarized bill ofsale or act ofdonation. Ifthere is no surviving spouse and the sale
or donation is to a new owner, a bill ofsale or act ofdonation must be executed by all heirs. The applicant must surrender the previous title, if available.Fees are $18.50 for transfer of title, $8.00 service handling fee, and license fees as applicable. If a UCC-I form is submitted to record a lien, an
additional fee of $15.00 must be submitted. If any other type security agreement is submitted, an additional fee of $10.00 must be submitted. If a lien
was reflected on the title of the decedent, the original paid note or a release of lien on the lienholder's letterhead is required. If a consideration is
expressed in a bill of sale, sales tax must also be computed or paid.Please send check or money order made payable to Office of Motor Vehicles to cover any fees/taxes due. PLEASE DO NOT SEND CASH,