Medina County Affidavit of Survivorship (Beneficiary of Last Surviving Owner) Form
Last validated October 23, 2026 by our Forms Development TeamFormatted for recording in Medina County, for property anywhere in the county: rural and unincorporated areas as well as Brunswick, Chippewa Lake, Hinckley, Homerville, Litchfield, Lodi, Medina, Seville and 5 more.
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Medina County Affidavit of Survivorship (Beneficiary of Last Surviving Owner) Form
Fill in the blank Affidavit of Survivorship (Beneficiary of Last Surviving Owner) form formatted to comply with all Ohio recording and content requirements.

Medina County Affidavit of Survivorship (Beneficiary of Last Surviving Owner) Guide
Line by line guide explaining every blank on the Affidavit of Survivorship (Beneficiary of Last Surviving Owner) form.

Medina County Completed Example of the Affidavit of Survivorship (Beneficiary of Last Surviving Owner) Document
Example of a properly completed Ohio Affidavit of Survivorship (Beneficiary of Last Surviving Owner) document for reference.
All 3 documents above included • One-time purchase • No recurring fees
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Additional Ohio and Medina County documents included at no extra charge:
Where to Record Your Documents
Medina County Recorder
Medina, Ohio 44256
Hours: 8:00 to 4:30 M-F
Phone: 330-725-9782
Recording Tips for Medina County:
- Bring your driver's license or state-issued photo ID
- Ensure all signatures are in blue or black ink
- Check that your notary's commission hasn't expired
- Documents must be on 8.5 x 11 inch white paper
- Double-check legal descriptions match your existing deed
Cities and Jurisdictions in Medina County
Properties in any of these areas use Medina County forms:
- Brunswick
- Chippewa Lake
- Hinckley
- Homerville
- Litchfield
- Lodi
- Medina
- Seville
- Sharon Center
- Spencer
- Valley City
- Wadsworth
- Westfield Center
Hours, fees, requirements, and more for Medina County
How do I get my forms?
Forms are available for immediate download after payment. The Medina County forms will be in your account ready to download to your computer. An account is created for you during checkout if you don't have one. Forms are NOT emailed.
Are these forms guaranteed to be recordable in Medina County?
Yes. Our form blanks are guaranteed to meet or exceed the applicable formatting requirements used for recording in Medina County, including margin requirements, font requirements, and other layout standards. This guarantee applies to formatting, not to the legal sufficiency of information entered by the user or the suitability of a form for a particular transaction.
Can I reuse these forms?
Yes. You can reuse the forms for your personal use. For example, if you have multiple properties in Medina County you only need to order once.
What do I need to use these forms?
The forms are PDFs that you fill out on your computer. The free Adobe Acrobat Reader is recommended, and most PDF apps also work. You do NOT enter your property information online - you download the blank forms and complete them privately on your own computer.
Are there any recurring fees?
No. This is a one-time purchase. Nothing to cancel, no memberships, no recurring fees.
How much does it cost to record in Medina County?
Recording fees in Medina County vary. Contact the recorder's office at 330-725-9782 for current fees.
Questions answered? Let's get started!
When the last of two Ohio survivorship tenants dies and the first death was never placed of record, the chain of title has a gap: the deed still shows two owners, and the transfer on death beneficiary who takes under Ohio Revised Code Section 5302.22 has no recorded instrument showing that the last surviving owner held the whole title at death. This Ohio Affidavit of Survivorship (Beneficiary of Last Surviving Owner) closes that gap. It is the Section 5302.17 survivorship affidavit made by the beneficiary rather than by a living surviving tenant, reciting the first death so the record shows the last survivor as sole owner before that survivor's own death is recorded.
Two deaths, one affidavit for the first
Under Section 5302.20(B), each death in a survivorship tenancy vests the decedent's title in the survivors, and the last one living is fully vested as the sole title holder. In the pattern this form recites, nobody recorded that vesting. Section 5302.17 lets a deceased tenant's transfer be recorded by an affidavit with a certified death certificate, reciting the other tenant's name and address, the date of death, and the property, and it names no required affiant. This form fixes the affiant as a transfer on death beneficiary of the last surviving owner and recites both deaths in order, the decedent's in Section 2 and the last surviving tenant's in Section 3, with that tenant's last known address.
Where the beneficiary's standing comes from
Section 5302.22(C)(2) sets the sequence for survivorship property under a transfer on death designation affidavit: while more than one tenant lives, a death vests title in the survivors, and at the death of the last surviving survivorship tenant, title vests in the designated beneficiaries. Section 5302.23(B)(7)(b) adds the condition the recital assumes: a designation signed only by the first tenant to die, without the last survivor joining, was nullified at that death, and a last survivor with no designation in effect leaves the interest to probate. Section 4 identifies the designation affidavit by executing owners, date, and recording reference, so the affiant's position reads straight from the record.
What is left to the affidavit of confirmation
The affidavit transfers nothing and says so on its face: it records only the decedent's interest passing to the last surviving tenant. The last survivor's death, and the vesting of that tenant's interest in the beneficiary, are the subject of the affidavit of confirmation under Section 5302.222, a separate instrument prepared separately and not included in this package, with its own certified death certificate and the Medicaid estate recovery form of Section 5302.221. When both deaths are unrecorded, the two affidavits travel together through the county auditor and county recorder in the order the deaths occurred, and the Section 319.54(G)(3)(n) exemption for a transfer to a surviving survivorship tenant reaches this one.
The configuration this form recites
The form recites exactly two survivorship tenants under one survivorship deed, both deceased, and one affiant: a natural person signing in that person's own right as a transfer on death beneficiary designated by the last surviving owner. Section 1 carries that recital as fixed text; the names, dates of death, addresses, designation affidavit, property, and survivorship deed are the entries. Section 7 carries the sworn statements with no blanks, and Section 8 carries one signature block followed by one jurat under Section 147.542, with venue lines for the state and county where the oath is administered. Spouses whose joint designation affidavit named a child, and a parent and adult child whose joint designation named a grandchild, present the pattern this affidavit recites once both tenants have died. The form is not set up as an affidavit by a living surviving tenant, for a tenancy of three or more tenants, for a trustee or entity beneficiary, for a devisee or heir where the last survivor died with no designation and the Section 2113.61 certificate of transfer governs, or for registered land under Chapter 5309. It is laid out to the Section 317.114 standard format, three inch blank top margin included, so it records at the base fee.
The package includes the fillable affidavit form, a completed example built on a Hamilton County fact pattern in which the first death went unrecorded for seven years, and the guide that walks through each numbered section, the jurat, and the auditor and recorder steps. This description and the guide describe the form and the governing Ohio statutes in general terms; they are not legal advice.
Important: Your property must be located in Medina County to use these forms. Documents should be recorded at the county recording office listed above.
This Affidavit of Survivorship (Beneficiary of Last Surviving Owner) meets all recording requirements specific to Medina County.
Our Promise
The documents you receive here are guaranteed to meet or exceed the applicable Medina County recording format requirements. If there is a rejection caused by our formatting, we will correct the issue or refund your payment. This guarantee applies to document formatting only and does not extend to information entered by the user, the selection of the form, or the legal effect of the completed document.
Save Time and Money
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This was pretty easy to fill out. The directions on all of the forms was very good. This should make life much easier at the County Recorder. Thank you!
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Charles W. 5 out of 5 stars
in one of the reviews, the person said they wished that there was more room allowed for use in the grantor section. the reply was that they were sorry but there was only enough room for what was there considering margins, etc. that is not true. on the forms i downloaded there was plenty of extra room at the top of the page (about 2 inches) that was not being used.
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Frank H. 4 out of 5 stars
Form and instructions were useful. But I suggest creating a form for transferring a deed pursuant to a trust. The existing form is based on a will going through probate so it doesn't fit the trust situation in some respects.
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