NICK JORDAN,
SAM BROWNBACK,
SECRETARY
GOVERNOR
DEPARTMENT OF REVENUE
DIVISION OF VEHICLES
Division of Taxation
AFFIDAVIT OF RELATIONSHIP
Complete all parts of this form. Both the seller's and buyer's signatures must appear.
VEHICLE INFORMATION:
Year
Make
Model
ID#
The sale of the above vehicle is exempt from sales tax because of the family relationship between the seller and the buyer.
RELATIONSHIP CERTIFICATION—SELLER:
I hereby certify that I am related to the buyer as a lineal ascendant or descendent. I am the ___________________________________of the
buyer.
(father, mother, etc.—see box below)
By my signature I swear or affirm that this is a true and correct statement. I am aware that the law
provides severe penalties for making false statements under oath.
Seller’s Hand Printed Name:
Seller's Signature:
RELATIONSHIP CERTIFICATION—BUYER:
____________________________
I hereby certify that I am related to the seller as a lineal ascendent or descendent. I am the
of the seller.
(son, daughter, etc.—see box below)
By my signature I swear or affirm that this is a true and correct statement. I am aware that the law
provides severe penalties for making false statements under oath.
Buyer's Hand Printed Name:
Buyer's Signature:
Lineal ascendants or descendents are: grandfather, grandmother, father, mother, son, daughter, adopted child, step child, grandchild, and the
spouses of any of these. A brother, sister, aunt, uncle, niece or nephew does not qualify for exemption.
TR-215www ( 3-07)
DOCKING STATE OFFICE BUILDING, 915 SW HARRISON ST., TOPEKA, KS 66626-0001
Voice 785-296-3621 Fax 785-296-3852