Wyoming Affidavit of Survivorship on Motor Vehicle Form
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AFFIDAVIT OF SURVIVORSHIP
ON MOTOR VEHICLE
STATE OF WYOMING
COUNTY OF NATRONA

)
)ss
)
, of lawful age, being first duly

sworn on oath, states:
1.

YEAR

That affiant and
deceased, were the owners by an estate in joint tenancy of the
following described motor vehicle(s) with such joint ownership
evidenced by that (those) certain Certificate(s) of Title(s)
Number(s) and issue date(s) as shown:
MAKE

2.
3.
4.

VIN

TITLE #

ISSUE DATE

The decedent died on
, as evidenced by the certified
copy of the death certificate attached hereto.
That said decedent is one of the joint tenants named in said
Certificate of Title(s) and whose death terminated his/her previous
estate in the above-mentioned property.
Further affiant sayeth not.
______________________________________
Affiant

Subscribed and sworn to before me by _____________________________
this ________________ day of _______________________. _______________
Witness my hand and official seal.
seal

__________________________