Transcription of Assignment of a Vehicle to a Surviving Spouse/Not Subject ...
1 A s s i g n m e n t o f a V e h i c l e t o a S u r v i v i n g S p o u s e / N o t S u b j e c t t o P r o b a t ePS2071-10 (04/13)TITLE NUMBERThe following must accompany this document: 1. minnesota Certificate of Title, properly completed 2. Proof of death ( memorial card, newspaper clipping, or copy of death certificate) 3. Payment of title fee and filing fee minnesota DEPARTMENT OF PUBLIC SAFETY DRIVER AND Vehicle SERVICES 445 minnesota St. Ste 160 St. Paul, minnesota 55101-5160 MODEL YEARMAKEVEHICLE IDENTIFICATION NAME OF DECEASED ( Vehicle OWNER) LAST, FIRST AND MIDDLEDATE OF DEATHRELATIONSHIP TO DECEASEDSIGNATURESURVIVING SPOUSE: I certify I am the Surviving spouse of the person named above. I further certify, that I have selected this Vehicle from the personal property in the estate of the deceased and that this action is permitted by minnesota Statute Subject TO probate : I certify the estate of the above named person has not been and will not be probated and there are no monetary claims or security interests relating thereto.
2 This action is permitted by minnesota statute additional information contact a Deputy Registrar or the Driver and Vehicle Services Division at: (651) 297-2126 TTY/TDD (651) 282-6555 (for deaf or hard of hearing customers) NOTARIZATION REQUIREDS ubscribed and sworn to before meThisDay of20 NOTARY PUBLICCOUNTYMY COMMISSION EXPIRES
