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The truck is in my grandpa and his wife's name, but they both agree to give it to me. How can we go about getting another title to the truck?

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Your grandpa needs to request a duplicate title from the DMV. They may require him to fill out a form. Have him call the DMV and get instructions from them.
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Jennie2,
Katiekate is spot on.
I would add that it is important for you to get everything in writing from your grandpa!
Possessions make families crazy sometimes! Don't take it for granted that other family members are just gonna understand.
Cover your butt!!
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Also if grandpa is on Medicaid he can’t be gifting his truck to you without a penalty. You need to make sure this generous impulse doesn’t cost him and grandma financial assistance.
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If Medicaid is paying for Grandpa's care, then he can't give you his truck. It has to be sold for book value and that money goes towards his care. If that money takes him over the Medicaid cap allowed, it will screw him up. Even if you paid for his half and grandma gave u her half you would screw him up.

The idea of Grandma holding the insurance and registration and you just being put on as a driver is a good one. But, you should pay Gma the cost of insurance and registration. Also, if they have Wills, the car should be left to you. But don't be surprised in the end, that Medicaid will ask for you to pay the cost of the car. Which maybe nothing by the time ur grandparents pass.

When my daughter lived with us she purchased a car. Because of her credit at the time, her Dad was co-owner. (She got credit for making payments) The car is in his name so are registration and title. Daughter is the main driver. She no longer lives with us. Insurance told us they didn't care where the car was. It didn't need to be at our address to be in husbands name and be insured.
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