Fillable Printable Mv Assignmentof Vehicleto Surviving Spouse Not Subjectto Probate

Mv Assignmentof Vehicleto Surviving Spouse Not Subjectto Probate

Assignment of a Vehicle to a Surviving Spouse/Not Subject to Probate

PS2071-10 (04/13)

TITLE NUMBER

The following must accompany this document:

1. Minnesota Certificate of Title, properly completed

2. Proof of death (e.g. 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 YEAR MAKE VEHICLE IDENTIFICATION NO.

PRINT NAME OF DECEASED (VEHICLE OWNER) LAST, FIRST AND MIDDLE DATE OF DEATH

RELATIONSHIP TO DECEASED

SIGNATURE

SURVIVING 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 524.2-403.

NOT 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. This action is permitted by Minnesota statute 524.2-201.

For 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)

• dvs.dps.mn.gov

NOTARIZATION REQUIRED

Subscribed and sworn to before me

This

Day of

NOTARY PUBLIC

COUNTY

MY COMMISSION EXPIRES

Print Form