
State of Alabama
Department of Revenue
Motor Vehicle Division
P.O. Box 327640 • Montgomery, Alabama 36132-7640 • titles@revenue.alabama.gov
www.revenue.alabama.gov
Vehicle Identification Number* __________________________________________________________________ ,
_________, ____________________, ___________________, __________________________________________,
The undersigned states that __________________________________________________________ who resided
at ____________________________________________________________________________________________,
____________________________________, ___________________________ __________________ died on the
_________ day of ________________________, __________ (attach a certified death certificate) and at the time
of death, the deceased was the owner of the vehicle described above.
The undersigned further states that, as next of kin, he/she is one of the heirs of the deceased and the estate
of the deceased has not been probated and does not require probate. The undersigned asserts that it is the
desire of the said heirs that:
CHECK ONE BOX ONLY
អ
A replacement certificate of title be issued for the vehicle described above (form MVT 12-1 must be
completed by the individual who completed this form).
អ
The vehicle described above be titled in accordance with completed assignment on certificate of
title (assignment of title must be completed by the individual who completed this form).
I certify, under penalty of perjury, that the above information is true and correct.
___________________________________________________
___________________________________________________
___________________________________________________
(Signature and Printed Name of Next of Kin required.)
Subscribed And Sworn To Before Me This
_______ Day of ____________________________________, _________.
_____________________________________________________________
My commission expires _____________________________, ________.
NOTE: This affidavit must be submitted as a supporting document when applying for a Certificate of Title
for a vehicle from a deceased owner whose estate does not require probate.
*All VINs for 1981 and subsequent year model vehicles that conform to federal anti-theft standards are required to
have 17 digits/characters.
Affidavit for Assignment of Title for a Vehicle From a
Deceased Owner Whose Estate Does Not Require Probate
NAME OF DECEASED
SIGNATURE OF NEXT OF KIN
PRINTED NAME OF NEXT OF KIN
DATE
NOTARY PUBLIC
ADDRESS
STATECITY ZIP CODE
MAKE MODELYEAR
MVT 5-6
1/12
TYPE ONLY
TITLE NUMBER