Form 62a044 - Affidavit For Correction/exoneration Of Motor Vehicle/boat/trailer Property Tax
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1AFFIDAVIT FOR CORRECTION/EXONERATION OF
62A044 (2-09)
Commonwealth of Kentucky
MOTOR VEHICLE/BOAT/TRAILER PROPERTY TAX
DEPARTMENT OF REVENUE
Owner _____________________________________________________
Telephone No. (
) ___________________
Address ________________________________________
State ________
ZIP Code _________________________
License Plate/KY No. _________________________________ VIN/HIN ________________________________________
Year ___________________________ Make _________________________ Model _____________________________
Vehicle was sold in state prior to January 1, ______ to: ___________________________________________________
Date sold _________________________
(Code S)
Vehicle was sold out-of-state prior to January 1, ______ to: _______________________________________________
Date sold _________________________
(Code S)
Vehicle was in junkyard prior to January 1, ______ at: ____________________________________________________
Date junked _______________________* (Code J)
Vehicle wrecked and settled with insurance company prior to January 1, ______.
Settlement date ____________________
(Code J)
Vehicle repossessed by lienholder prior to January 1, ______ .
Date repossessed ____________________________ Lienholder: _____________ (Code N)
Nonresident of Kentucky on January 1, _____ (Copy of proof of nonresidence required.)
Date moved _______________________
Date returned _____________________ (Code N)
Nonresident military personnel (Copy of military residential affidavit or wage/earning statement showing another state as
residency required.)(Code N)
Apportioned Plate (Code N)
Truck
Reg. Code 21 or 33
Plate # 97 9 ________________________
Trailer (Copy of proof provided)
IFTA license
Login sheet or book
Cab card
Lease Agreement
High mileage, according to guide, on January 1, ______. Mileage as of January 1: ________________
Damaged (physically or mechanically) prior to January 1, ______. (Description attached.)
Other __________________________________________________________________________________________
* I understand that if this vehicle/boat has been junked and the tag and title have not been returned to the county clerk’s office and I do not
have these items in my possession that I must contact the clerk.
I, _________________________________________ , hereby swear (affirm) under penalty of perjury that the information above is true
and correct. I further attest that the property taxes on the above listed vehicle be corrected/exonerated for the assessment date(s) of
January 1, ______ .
Signature _____________________________
Date __________________________
Witness _______________________________
County ____________________ Date ___________________________
It is now ordered, under the authority of Kentucky Revised Statutes 133.110 and 133.130, that said error be corrected in accordance with
Department of Revenue policy based on information listed above.
Signature of Property Valuation Administrator
PVA County
Date
The PVA’s signature authorizes the clerk to reverse the ad valorem tax (if paid) from the system. The PVA will then correct
the tax segment and inform the clerk of the next step.
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