Certification Of Authority To Transfer Virginia Title {VSA 24}

VSA 24 (01/25/2013) CERTIFICATION OF AUTHORITY TO TRANSFER VIRGINIA TITLE Purpose: Use this form to document the authority of a deceased vehicle owner's heir to transfer ownership of a vehicle titled in Virginia: - when there has not been nor is there expected to be - a qualification on the estate, and - an executor or administrator of the estate has NOT been appointed. Instructions: Refer to information on page 2 to determine when to complete and file this form and for further instructions regarding what information is required. Section 1: VEHICLE INFORMATION Note: Do not use this form if the vehicle is titled outside Virginia (see instructions on the back of the form). VEHICLE IDENTIFICATION NUMBER (VIN) MAKE MODEL YEAR Section 2: VEHICLE OWNER (DECEDENT) INFORMATION NAME DATE OF DEATH (mm/dd/yyyy) RESIDENCE ADDRESS AT TIME OF DEATH Section 3: HEIR CERTIFICATION I certify that: 1. The above named Vehicle Owner (decedent) is deceased; 2. 4. I am an heir of the decedent's estate; (a) The decedent's debts have been paid or the proceeds from the sale of the above described motor vehicle will be applied against the debts of the decedent; or (b) The above described motor vehicle is property included in a claim for family allowance, exempt property or homestead allowance of the estate (attested copy of claim filed with the court must be attached); and 1. FULL LEGAL NAME (print) 4. FULL LEGAL NAME (print) 3. There has not been and there is not expected to be a qualification on the estate of the decedent; 5. The following are the names of all other persons having an interest in the above described motor vehicle: 2. FULL LEGAL NAME (print) 5. FULL LEGAL NAME (print) 3. FULL LEGAL NAME (print) 6. FULL LEGAL NAME (print) I also certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation. HEIR NAME (print) HEIR SIGNATURE DATE (mm/dd/yyyy) Section 4 CONSENT TO TRANSFER TITLE SIGNATURES I/We, being the person(s) listed above as having a legal interest in the motor vehicle described on this form who are of legal age, hereby consent to the transfer of title of the motor vehicle by the above named heir. 1. SIGNATURE 4. SIGNATURE 2. SIGNATURE 5. SIGNATURE 3. SIGNATURE 6. SIGNATURE American LegalNet, Inc. www.FormsWorkFlow.com VSA 24 (01/25/2013) INSTRUCTIONS DO NOT USE THIS FORM IF: - an executor or administrator has been appointed for the deceased person's estate, - the vehicle is an out-of-state vehicle - the vehicle title must be transferred according to the laws of the state in which the vehicle was titled, or - there has been a qualification on the estate. The person submitting this form should: 1. Complete Sections 1 and 2. 2. Complete Section 3: Print names of all other person(s) who have an interest in the vehicle. Sign heir certification. 3. Complete Section 4 by securing the signature of those persons identified in Section 3 who are of legal age. 4. Submit the completed form (and any other documentation necessary to transfer vehicle ownership) to any Department of Motor Vehicles (DMV) Customer Service Center, any DMV Select or mail to DMV at the address shown on the front of this form. ADDITIONAL INFORMATION THE DECEDENT LEFT A WILL Each person named in the will (legatee) who has an interest in the vehicle identified in this form must be named in Section 3, and, if of legal age, must sign in Section 4. THE DECEDENT DIED WITHOUT A WILL (INTESTATE) If there is a surviving spouse, only the surviving spouse must complete and submit this form unless there are any children (or their descendants) of someone other than the surviving spouse, in which case the spouse and children/descendants must be identified in Section 3 and, if of legal age, must sign their consent in Section 4. If there is a surviving spouse and the vehicle is included in a claim for family allowance, exempt property or homestead allowance of the estate, only the surviving spouse must complete and submit this form. If there is no surviving spouse, all persons with an interest in the vehicle must be identified in Section 3 and, if of legal age, must sign their consent in Section 4. Note: The individual who completes this form should not be included in the list of "other persons having an interest in the vehicle" and should only sign the certification in Section 3. American LegalNet, Inc. www.FormsWorkFlow.com