Vr 471 Beneficiary Designation Vehicle Form – Fill Out and Use This PDF

Beneiciary Designation For Vehicle Title

	See Instructions on Reverse
		TRANSFER UPON DEATH
	Use this form if sole owner of a vehicle wants to designate a beneiciary.
		VEHICLE INFORMATION
Maryland Title Number	Year	Make	Vehicle Identiication Number
		OWNER INFORMATION
Name of Owner:	First	Middle	Last

Address:

County

City

State

Zip Code

Please Note: To name a beneiciary, the vehicle cannot currently have a co-owner.

NAME OF BENEFICIARY

Relationship to Vehicle Owner (If there is no relationship, indicate “None”)

Please Note: Only one beneiciary may be named.

Certiication and Indemnity Agreement

I certify, under penalty of perjury, that the statements on this form are true and correct, and I will defend, indemnify,

and hold the Motor Vehicle Administration harmless against any claim from anyone contesting the validity of the named beneiciary and issuance of a title to that beneiciary. I further certify that there are no liens or encumbrances

against the vehicle and no money or other valuable consideration was involved upon the transfer of this vehicle to the beneiciary.

Witness my Hand and Seal this _____________________________ day of _________________________ , 20 ________ .

______________________________________________________________

Signature of Owner

For more information, please call: 410-768-7000 (to speak with a customer agent).

TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov

Instructions

Procedures for Designating a Beneiciary on a Vehicle Title

This form is to be completed when a vehicle owner is designating a beneiciary to receive

ownership of a vehicle upon their death. Since the designation must be made prior to the death of the individual, the vehicle will not be considered part of the estate, therefore “not” requiring letters of administration for transfer.

Requirements and Instructions:

•Vehicle must be solely owned and currently titled in Maryland.

•Only one beneiciary can be named; which can be either an individual or a business entity.

•This form must be completed and signed prior to the death of the vehicle owner and submitted along with the title to the MVA, when re-titling the vehicle.

•The vehicle must be free of liens or encumbrances. Liens resulting after the naming of a beneiciary will require a lien release prior to re-titling of the vehicle.

•No inspection is required if the beneiciary is an immediate family member (spouse, child or parent of the deceased).

•Tags may be transferred if the vehicle is transferred to a member of the immediate family.

All other transfers will require the purchase of new registration plates.

•The vehicle owner must assign the title to the beneiciary and should place TOD (Title on

Death) behind their signature.

•This form is to be held by the vehicle owner and/or beneiciary. “No change” will be made to the MVA’s records, database, or title until the vehicle owner is deceased.

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