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Affidavit for Motor Vehicle

The following affidavit is executed by a spouse who has a vehicle registered in his/her name and that of the deceased spouse.

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I, the undersigned, certify that I am the surviving spouse or 
domestic partner  of  
___________________ __________________________________,  
as recognized by the State of New Jersey or a competent 
jurisdiction . The decedent's name and  my name, 
____________________________ _________________________,  
appear on certificate of title number 
____________________ _________________________  as follows:    
 
________________________________________________ _____. 
I further certify that from the time  my name and the decedent's 
name appeared on the  certificate of title until the death of the 
decedent on ___________________________________________ ,  
our relationship was that of a marriage or domestic partnership. 
  X ______________________________  
           Signature  
 
Sworn and subscribed before me this  
 
 
_____ day of _ ________, 20_ ______ 
 
 
___ ___________________________  
Notary Public of New Jersey  	
AFFIDAVIT	
BA-62 (R4/14)
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