Motor Vehicle Bureau
Phone: (573) 526-3669
Form 2305 (Revised 08-2019)
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. I acknowledge that
this is the only motor vehicle owned by the decedent that is being transferred to a surviving spouse or minor children (under the age of 18) as
exempt property.
Affiant’s Signature Date (MM/DD/YYYY)
__ __ /__ __ /__ __ __ __
Signature
Subscribed and sworn before me, this
day of year
State County (or City of St. Louis) My Commission Expires (MM/DD/YYYY)
Notary Public Signature
Notary Public Name (Typed or Printed)
Embosser or black ink rubber stamp seal
__ __ /__ __ /__ __ __ __
Notary Information
Estate Of
State County
Missouri
Affiant County
Street Address City State Zip
Name Date of Death County
Street Address City State Zip
Decedent
Spouse must have been married to decedent and not divorced or separated for more than one year prior to the death of the decedent.
Name County
Street Address City State Zip
Surviving
Spouse
If decedent was not survived by a spouse, provide the names, dates of birth, and addresses of decedent’s unmarried minor children (under the
age of 18). The affiant must also identify their relationship to the children listed below.
Name Date of Birth (MM/DD/YYYY) Address
__ __ /__ __ /__ __ __ __
__ __ /__ __ /__ __ __ __
__ __ /__ __ /__ __ __ __
The affiant’s relationship to each of the above named unmarried minor children (under the age of 18) is: ______________________________________
Decedents Unmarried
Minor Children
List the motor vehicle owned by the decedent below.
Year Make Vehicle Identification Number Model Current License Number
Motor
Vehicle
Are there any pre-nuptial, antenuptial, or post-nuptial agreements concerning the personal property of the decedent? r Yes r No
If yes, a copy of the agreement must be attached.
Nuptials
__ __ /__ __ /__ __ __ __
Visit http://www.dor.mo.gov/ for additional information.
This form must accompany the title application.
Form
2305
Affidavit to Establish Title to Exempt Property
Note: License Ofce notary service - $2.00
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