Wyoming Affidavit of Distribution for Motor Vehicle Form
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Use of this form does not constitute
legal advice by any deputy of the
County Clerk’s office. Affiant was
advised that he/she may seek legal advice.
Affiant’s initials: ________________

State of Wyoming )
) ss.
County of
Natrona )

AFFIDAVIT OF DISTRIBUTION FOR MOTOR VEHICLE
I,

,

of lawful age and being first duly sworn, upon oath states:

1. That your Affiant resides in the town of
State of
2. That the decendent,
,

, County of

,

. Your Affiant's mailing address is:
died on or about the
day of
as shown by a copy of the state Certificate of Death attached;

3. That the value of the entire estate of
, wherever located, less
liens and encumbrances, does not exceed two hundred thousand dollars ($200,000.00) and
includes vehicles with Certificate of Title Number and issue date shown:
YEAR: MAKE:

VIN#:

TITLE#:

ISSUE DATE:

4. That at least thirty (30) days has elapsed since the death of the decedent.
5. That no application for appointment of a personal representative is p