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Beneficiary Designation - ADOT

Clear Beneficiary Designation . For Vehicle Title Transfer Upon Death 96-0561 R06/15 This form must be stapled to and presented with the current title, and is void if altered or erased. I am the sole owner of the motor vehicle described as follows: (The Beneficiary Designation is only applicable if vehicle is owned by one person). Vehicle Identification Number Year Make I designate that this vehicle be transferred upon my death, to: Beneficiary Full Legal Name (first, middle, last, suffix) Date of Birth (optional) Legal Status *. This document is provided pursuant to Arizona Revised Statutes 28-2055(B) for the purpose of designating a Beneficiary as named above.

This form must be stapled to and. I am the sole owner of the motor vehicle described as follows: (The Beneficiary Designation is only applicable if vehicle is owned by one person) Vehicle Identification Number Year Make . I designate that this vehicle be transferred upon my death, to: Beneficiary Full Legal Name (first, middle, last, suffix)

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