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
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.
The deceased was the sole owner of the motor vehicle described as follows:
Make: [MAKE OF VEHICLE]
Model: [MODEL OF VEHICLE]
Year: [YEAR OF VEHICLE]
Vehicle Identification Number (VIN): [VIN NUMBER]
License Plate Number: [LICENSE PLATE NUMBER]
State of Registration: Nebraska
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.
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]
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