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

Vehicle Identification Number

Year

Make

Body Style

Model

Part A: Individuals Married to One Another

First Name

Middle Name

Last Name

Suffix (if any)

First Name

Middle Name

Last Name

Suffix (if any)

Part B: Individuals Not Married to One Another

First Name

Middle Name

Last Name

Suffix (if any)

First Name

Middle Name

Last Name

Suffix (if any)

First Name

Middle Name

Last Name

Suffix (if any)

First Name

Middle Name

Last Name

Suffix (if any)

Part C: Spouse Not Included in Rights of Survivorship

First Name

Middle Name

Last Name

Suffix (if any)

Certification – State law 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

transfer to 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: Both Parts 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

Certification for 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-122 Rev 08/16 Form available online at www.TxDMV.gov Page 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

transfers to 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 Survivorship agreement.

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 her government issued photo identification. The

first box 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 and Additional Individuals (Parts A and B)

Parts A and 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

her government issued photo identification.

Part B must be completed with each additional individual’s legal name as it appears on

their individual government issued photo identification. The second box 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 third box 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 third box 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 date the “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 an Application for Texas Title and/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 as survivors 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 to retention 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 Title and/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 Title and/or Registration (Form 130-U) in the name of the survivor(s), this completed form, 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 Title and/or Registration (Form 130-U) and

the Texas title signed by all individuals listed on the Rights of Survivorship agreement must be 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-122 Rev 08/16 Form available online at www.TxDMV.gov Page 2 of 2