Nebraska Affidavit of Death
Nebraska Affidavit of Death
Introduction
I, [YOUR NAME], being of lawful age and sound mind, do hereby depose and state as follows under oath:
Statement of Facts
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I am the [RELATIONSHIP TO DECEASED] of the deceased, [DECEASED'S NAME], who passed away on [DATE OF DEATH], in [COUNTY NAME], State of Nebraska.
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The deceased was the sole owner of the motor vehicle described as follows:
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Make: [MAKE OF VEHICLE]
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Model: [MODEL OF VEHICLE]
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Year: [YEAR OF VEHICLE]
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Vehicle Identification Number (VIN): [VIN NUMBER]
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License Plate Number: [LICENSE PLATE NUMBER]
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State of Registration: Nebraska
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As the lawful heir/executor of the deceased's estate, I am seeking to transfer ownership of the aforementioned motor vehicle to [NEW OWNER'S NAME] under Nebraska state law.
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To the best of my knowledge, there are no liens, encumbrances, or outstanding obligations against the said motor vehicle, and there are no disputes regarding its ownership.
Sworn Oath
I do solemnly swear under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.
Executed this [DATE OF EXECUTION] at [COUNTY NAME], State of Nebraska.
[YOUR NAME]
Affiant
Notarization
Subscribed and sworn to before me on this [DATE OF NOTARIZATION], by [YOUR NAME], who is personally known to me or has produced [TYPE OF IDENTIFICATION] as identification.
[NOTARY PUBLIC STAMP]
Notary Public
My Commission Expires: [EXPIRATION DATE]
