Form D-3 - Auction Monthly Sales Reports
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2Dealer #
Folder#
Kansas Department of Revenue
Dealership Name
Dealer Licensing Bureau
Auction Monthly Sales Reports
Dealer Address:
Total New Sales
Monthly Report for:
(Check One)
January - February - March - April - May - June - July - August - September - October - November - December
Date
Seller's Vehicle Make
Purchaser Odometer
Temporary
Name of Seller
Vehicle ID Number
Name & Address
Sold
D #
Year
Style
D #
Reading
Permit #
Complete Address of Seller
from MSO/Title
of Purchaser
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By my signature, I swear or affirm that this is a true and correct statement. I am aware that law provides severe penalties for making false statements.
Name
Signature
Title
D-3 (Rev. 0403)
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Parent category: Financial