Fillable Form Tr-125 - Landlord'S Affidavit printable pdf download

LANDLORD'S AFFIDAVIT

KANSAS

DEPARTMENT OF REVENUE

This Affidavit CANNOT be Used for

DIVISION OF VEHICLES

Mobile or Manufacture Homes

Please Type or Print Clearly

’

ANDLORD

AME

Dwelling/Building address where vehicle was left:

Address

City

ZIP

Dwelling Unit means a structure or the part of a structure that is used as a home, residence or sleeping place by one (1) person who maintains a household or by two

(2) or more persons who maintain a common household; but such term shall not include real property used to accommodate a mobile home, unless such mobile

home is rented or leased by the landlord.

’

URCHASER

AME

, of

Address

City

ZIP

Date Vehicle was

Tenant’s

Abandon or Surrendered

Name

Date Vehicle

Approximately

Vehicle

Was Sold

Vehicle Value $

Selling Price

EHICLE

NFORMATION

Year

Make

Style

VIN

I, the undersigned, hereby certify that I am the landlord for rental property located in the State of Kansas at the address shown above. The tenant

shown on this affidavit did abandon or surrender possession of the above listed dwelling unit and left the vehicle listed on this affidavit. The vehicle has

remained in my possession continuously for at least thirty (30) days or more since the above date of abandonment or surrender. At least fifteen (15)

days prior to the sale or other disposition of the vehicle listed above a notice was published once in a newspaper of general circulation, in the county in

which said dwelling unit is located, of the intent to sell or dispose of said vehicle. Said notice stated the name of the tenant, the vehicle’s year, make

and VIN, and the approximate date on which the vehicle was to be sold or otherwise disposed of. Verification was obtained from the Kansas Division of

Vehicles of the vehicle owner and lienholder(s). Within seven (7) days after said publication, a copy of the published notice was mailed by registered

mail to the tenant at the last know address, and to the lienholder(s) (if applicable) shown on the vehicle verification. I further certify that the supporting

documentation listed on this affidavit has been attached and that all requirements and laws have been complied with.

I certify under penalty of perjury under the laws of the state of Kansas the foregoing is true and correct.

Executed on

Date

Landlord’s

Hand Printed Name

Signature

of Person Signing

INSTRUCTIONS

The following documents must be attached to this affidavit:

• Proof that tenant was renting or leasing from landlord

(copy of: rent/lease agreement or proof of rent payment from tenant to landlord);

• Copy of newspaper publication notice;

• Proof of mailing public notice by registered mail to the tenant

;

(Proof of mailing may be the return receipt)

• If the verification shows a different name than the tenant’s, proof of mailing public notice by registered mail to the last registered owner

;

(Proof of mailing may be the return receipt)

• Proof of mailing public notice by registered mail to lienholder(s), if applicable

;

(Proof of mailing may be the return receipt)

• Property tax receipt is regard to the above mentioned dwelling or proof of purchase;

• Verification of last registered owner*.

To obtain registered owner of record and lienholder information, please complete a Request of Vehicle Record, TR/DL-302 and submit appropriate fee

and form for processing to the Kansas Department of Revenue, Title and Registration Bureau, Topeka, Kansas 66626-0001.

An MVE-1 Vehicle Identification Number verification form issued by the Kansas Highway Patrol, or their designee, is required if the verification

does not indicate the vehicle was last titled and registered in the State of Kansas.

(Minimum charge $10.00 as per KSA 8-116a.)

All documents, in addition to this affidavit, must be presented to the purchaser at time of sale. The purchaser is to submit these documents to

the county treasurer’s office when making application for title or title and registration.

Purchaser must make application for title and registration in the local county treasurer's motor vehicle office in the county in which the vehicle

will be located within 30 days from date of purchase. Purchaser must submit all documents received from the landlord to the county treasurer’s

motor vehicle office when making application for title and registration.

TR-125www (Rev. 0904)

KSA 58-2510, 58-2565(d)

Form Tr-125 - Landlord'S Affidavit

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