Vehicle Bill of Sale Form - Kansas

KANSAS DEPARTMENT OF REVENUE
AFFIDAVIT TO A FACT
www.ksrevenue.org
Complete vehicle information, check and complete appropriate statement(s) and the Affiant’s Certification at
the bottom of the form.
Vehicle Information:
Year Make ID #
Vehicle Gift Certification - Used when vehicle or trailer is given as a gift and the recipient is not a relative.
Gift is to: Owner’s hand printed name:
NE AND THE SAME PERSON - Used when a person’s name changed or is incorrect. O
Name as listed on title Legal Name
DISCLAIMING VEHICLE OWNERSHIP - Used when disclaiming ownership as shown on the assignment of title found
on the backside of Certificate of Title, for the above referenced vehicle
TITLE OR MSO ASSIGNMENT - Used when adding a name(s) to the title assignment after the assignment was
completed. All parties to be listed as purchasers must sign below.
Name of person being added to title
VEHICLE NON-USE - Used when registering or renewing vehicle registration and the vehicle was not operated for a
full registration year. EX: A June expiration requires the vehicle to not be in operation from June of one year until after
May of the following year.
Dates vehicle was not in use:
Beginning: Month Year Ending: Month Year
RELATIVES OF A MEMBER OF THE MILITARY - Used when a family member is renewing the registration for a
member of the U.S. military.
I am the (Must Check One): Spouse; Parent; Eldest Brother or Sister of .
ANTIQUE MODEL YEAR LICENSE PLATE - Used when registering an antique vehicle with a model year Kansas
license plate.
License Plate Information: Year on Plate Plate Number
All Letters and Numbers Must be Shown
AFFIANTS CERTIFICATION
I certify under penalty of perjury that all information and statement(s) made above are true to the best of my knowledge.
Affiant’s Signature
Affiant’s Signature
Printed Name of Person(s) that Signed Above Date
TR-12 (Rev. 8-15)
KANSAS DEPARTMENT OF REVENUE
Page 1/2
Free Download

Vehicle Bill of Sale Form - Kansas PDF

Favor this template? Just fancy it by voting!
  •  
  •  
  •  
  •  
  •  
(0 Votes)
0.0
Related Forms
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 2178 Views | 15 Downloads
  •  
  •  
  •  
  •  
  •  
1 Page(s) | 712 Views | 9 Downloads
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 1777 Views | 19 Downloads
  •  
  •  
  •  
  •  
  •  
1 Page(s) | 792 Views | 4 Downloads
  •  
  •  
  •  
  •  
  •  
1 Page(s) | 1813 Views | 51 Downloads