Free AUTO.PDF - New Jersey

STATE OF NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY DIVISION OF MOTOR VEHICES AFFIDAVIT

I, the undersigned, certify that I am the surviving spouse of
_________________________________________________________. The decedent's name,________________________________________, and my name,______________________________________________, appear on the certificate of ownership number ____________________ as follows:_________________________________________________ _________________________________________________________ I, further certify that from the time my name and the decedent's name appeared on the certificate of ownership number ______________________________until the death of the decedent on __________________________, our relationship was husband and wife.

x__________________________(L.S.)

Sworn and Subscribed to before me on _______________________________

_______________________________ Notary Public of New Jersey

CO-45 (R12/74)