Form Tr-129 - Certification For National Guard License Plate

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KANSAS
CERTIFICATION FOR
DEPARTMENT OF REVENUE
NATIONAL GUARD LICENSE PLATE
DIVISION OF VEHICLE
TOPEKA, KANSAS 66626-0001
PART I
Expiration Date
Present License Plate Number
Month
Year
Applicant's
Name(Hand Print Only)
KS
Address
City
ZIP
Auto
Truck (Only trucks having a gross weight of 20M or less qualify for National Guard registration.)
Year
Make
Style
ID#
SIGNATURE
OF OWNER
Date
Accepted By
County Treasurer
Date
STATEMENT OF ELIGIBILITY FOR KANSAS NATIONAL GUARD REGISTRATION
PART II
This is to certify that
,
Name
Rank
is a:
member in good standing or,
retired in good standing, from the Kansas
SSAN
National Guard. Individual's military record reflects a legal residence and domicile in County, State of Kansas,
therefore is eligible to purchase the distinctive National Guard license plate for the year
.
Signature of Certified Officer
Date
National Guard Unit
Address
ZIP
INSTRUCTIONS
1.
Application for a Kansas National Guard license plate shall be made at the local County
Treasurer's Motor Vehicle office.
2. The National Guard member’s name must be on a Kansas title as owner or lessee of the
vehicle listed above before the National Guard plate can be issued.
3. The Guard member/owner or Retiree/owner of such vehicle must sign the application. Only
one (1) vehicle per application is permissible.
4. Registration for a National Guard truck plate must have a gross weight of 20M or less for
qualification purposes.
TR-129www ( 03-2007)

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