Fillable Printable Vtr 122 Rights Of Survivorship Ownership Agreement For A Motor Vehicle
Fillable Printable Vtr 122 Rights Of Survivorship Ownership Agreement For A Motor Vehicle
Vtr 122 Rights Of Survivorship Ownership Agreement For A Motor Vehicle
Rights of Survivorship Ownership
Agreement for a Motor Vehicle
Vehicle Information
VehicleIdentificationNumber
Year
Make
BodyStyle
Model
Part A: Individuals Married to One Another
1
First Name
Middle Name
Last Name
Suffix (if any)
2
First Name
Middle Name
Last Name
Suffix (if any)
Part B: Individuals Not Married to One Another
3
First Name
Middle Name
Last Name
Suffix (if any)
4
First Name
Middle Name
Last Name
Suffix (if any)
5
First Name
Middle Name
Last Name
Suffix (if any)
6
First Name
Middle Name
Last Name
Suffix (if any)
Part C: Spouse Not Included in Rights of Survivorship
7
First Name
Middle Name
Last Name
Suffix (if any)
Certification– Statelaw makes falsifying information a third degree felony
We, the individuals whose signatures appear below affirm our understanding the motor vehicle described above from this day
forward will be held jointly, and in the event of the death of any person named in this agreement, the ownership of the vehicle will
transferto the survivor(s).Select one:
We, the individuals named in Part A and whose signatures appear below, agree to joint ownership of the motor vehicle
☐
described above. (Note: Only Part A should be completed if this certification is checked.)
We, the individuals named in Part A and whose signatures appear below, agree to joint ownership of the motor vehicle
☐
described above AND also agree to joint ownership of the motor vehicle with the
individual(s)
listed in Part B whose signatures
appear below. (Note: BothParts A and B should be completed if this certification is checked.)
We, the individuals named in Part B and whose signatures appear below, affirm we are not married to each other, and agree to
☐
joint ownership of the motor vehicle described above. (Note: Only Part B should be completed if this certification is checked.)
Signature of Spouse (listed in row 1, if applicable)
Date
Signature of Spouse (listed in row 2, if applicable)
Date
Signature of Individual(listed in row 3, if applicable)
Date
Signature of
Individual(listed in row 4, if applicable)
Date
Signature of Individual(listed in row 5, if applicable)
Date
Signature of
Individual(listed in row 6, if applicable)
Date
Certificationfor Spouse Not Included in Rights of Survivorship– Required if Part C is completed
I, the individual listed in Part C and whose signature appears below, affirm I am not involved in the rights of survivorship agreement
but my spouse (listed in row # ) is party to the rights of survivorship agreement. I attest the motor vehicle described above,
subject to the rights of survivorship agreement, is my spouse’s separate property, and I have no interest in the motor vehicle.
Signature of Spouse (listed in row 7)
Date
VTR-122Rev08/16Form available onlineatwww.TxDMV.govPage 1 of 2
Rights of Survivorship Ownership Agreement for a Motor Vehicle
Information
When two or more persons enter into a Rights of Survivorship agreement, the motor vehicle is jointly owned (co-owned) by
those persons.If one or more of the persons that completed a Rights of Survivorship agreement dies, ownership of the vehicle
transfersto the other person(s) that signed the agreement. A vehicle does not have to be titled or registered in the names of all
persons in the agreement. All person(s) shown in the Rights of Survivorship agreement must act jointly (sign the certificate of title)
if the ownership of the vehicle is transferred prior to the death of any person(s) in a Rights of Survivorshipagreement.
Instructions
Rights of Survivorship Only Between Individuals Married to One Another (Part A Only)
Part A of this form should be completed when individuals married to one another enter into a Rights of Survivorship agreement.
Part A must be completed with each spouse’s legal name as it appears on his or hergovernment issued photo identification. The
firstbox in the Certification section must be marked, and each spouse must sign and date this form. A legally married couple is not
required to submit any documentation to verify they are married.
Rights of Survivorship Between Individuals Married to One Another andAdditional Individuals (Parts A and B)
Parts Aand B of this form should be completed when individuals married to one another (Part A) and additional individual(s) (Part
B) enter into a Rights of Survivorship agreement. Part A must be completed with each spouse’s legal name as it appears on his or
hergovernment issued photo identification.
Part B must be completed with each additional individual’s legal name as it appears on
theirindividualgovernment issued photo identification. The secondbox in the “Certification” section must be marked, and each
spouse and each additional individual must sign and date this form. A legally married couple is not required to submit any
documentation to verify they are married. There is no restriction on the relationship with the additional individual(s) (e.g.,
children, stepchildren, parents, extended family, or persons legally unrelated to one another).
Rights of Survivorship Only Between Individuals Not Married to One Another (Part B Only)
Part B of this form should be completed when only individuals unmarried to one another enter into a Rights of Survivorship
agreement with one another. P
art B must be completed with each unmarried individual’s legal name as it appears on his or her
government issued photo identification. The thirdbox in the “Certification” section must be marked and each individual must sign
and date this form. There is no restriction on the relationship between individuals not married to one another (e.g.,children,
stepchildren, parents, extended family, or persons legally unrelated to one another).
Spouse Not Included in Rights of Survivorship Agreement (Part C, if applicable)
Part C of this form must be completed if a married individual enters into a Rights of Survivorship agreement with another
individual to whom they are not married (Part B is completed), AND the spouse is not included in the Rights of Survivorship
agreement (therefore, Part A is not completed
). In addition to Part B (only) being completed as detailed above, Part C must be
completed with the legal name of the spouse not included in the Rights of Survivorship agreement as it appears on their
government issued photo identification. In addition to the thirdbox in the “Certification” section being marked and accompanied
by the applicable signatures of the individuals listed in Part B, the spouse listed in Part C must sign and datethe “Certification for
Spouse Not Included in Rights of Survivorship” section.
Using the Rights of Survivorship Agreement
Upon completion of this form, two options are available:
1.Have a “Survivorship Rights” remark placed on the Texas title:
•Submit this completed Form VTR-122 with anApplication for Texas Titleand/or Registration (Form 130-U) to a county tax
assessor-collector’s office. In addition to the remark, up to two names can be printed assurvivors on the Texas title. If there
are more than two survivors, “Multiple Survivors” is printed. The completed Form VTR-122 is imaged into the Texas title
history and is retained according toretention policies.
•After the death of any of the persons named in the agreement, the survivor(s) may obtain a new Texas title by submitting a
new Application for Texas Titleand/or Registration (Form 130-U) in the name of the survivor(s) supported by a copy of the
deceased person(s) death certificate.
2.Retain this original form:
•After death of any person(s) named in this agreement, the survivor(s) may obtain a new title by submitting a new
Application for Texas Titleand/or Registration (Form 130-U) in the name of the survivor(s), this completedform, and a copy
of the death certificate.
Revoking the Rights of Survivorship Agreement
If a Texas record reflects a “Survivorship Rights” remark, a new Application for Texas Titleand/or Registration (Form 130-U) and
the Texas title signed by all individuals listed on the Rights of Survivorship agreement mustbe submitted to a county tax assessor-
collector’s office to remove the remark and issue a new Texas title in the owner(s)’s name without the remark.
VTR-122Rev08/16Form available onlineatwww.TxDMV.govPage 2 of 2
