Form Tr-720r - Refinance Secured Title Application

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KANSAS
R
S
T
A
Department of Revenue
EFINANCE
ECURED
ITLE
PPLICATION
Division of Vehicles
Mail or Take Completed Application to the County Treasurer’s Motor Vehicle Office
F
G
V
W
R
(GVWR)
26,000
: A
OR VEHICLES WITH A
ROSS
EHICLE
EIGHT
ATING
OF
POUNDS OR LESS
REFINANCE TITLE APPLICATION IS USED WHEN THE CURRENT
K
,
(
)
(
). A
ANSAS TITLE RECORD INDICATES A LIEN HOLDER
WHICH IS THEN PAID OFF
SATISFIED
AND IS REPLACED BY A NEW OBLIGATION
LIEN HOLDER
LIEN
D
V
30
. F
RELEASE FROM THE CURRENT LIEN HOLDER MUST BE RECEIVED BY THE
IVISION OF
EHICLES WITHIN
DAYS OF THE DATE OF THIS APPLICATION
AILURE TO
. I
PROVIDE THE LIEN RELEASE WITHIN THE REQUIRED TIME FRAME WILL RENDER THIS REFINANCE APPLICATION INCOMPLETE
F THE APPLICATION IS RENDERED
,
.
INCOMPLETE
THE APPLICANT WILL NOT BE ABLE TO RENEW THEIR REGISTRATION UNTIL THE ORIGINAL LIEN IS RELEASED
VEHICLE INFORMATION
Previous Title Number
If Known
Year
Make
VIN
License Plate
Odometer Reading at the Time
I, the owner of the above described vehicle, do hereby certify to the best of my knowledge that the odometer
of Completing this Application
reading is the actual mileage of the vehicle unless one of the following statements is checked:
The mileage stated is in excess of the
The odometer reading is not the actual mileage.
mechanical limits of the odometer.
WARNING-Odometer Discrepancy.
ODOMETER READING (No Tenths)
OWNER INFORMATION
(Owner’s Name(s) as Printed on Current etitle and Registration Receipt.)
Vehicle is/was titled in the County of:
, Kansas
Address
City
State
ZIP
Phone Number REQUIRED
O
C
WNER
S
ERTIFICATION
By my/our signature(s), I/we swear or affirm that I/we are the owner(s) of the above listed vehicle, that all liens and encumbrances are listed and that all information stated herein is true
(Only sign if all information on this form has been completed.)
and correct. I/we am/are aware that the law provides severe penalties for making false statement under oath.
Signature of Kansas Registered Owner
Date
Signature of Kansas Registered Owner
Date
If two or more persons are shown on the face of the title as owners with an “and” between the names, ALL persons must sign this application.
NOTE: The names on the registration receipt are listed the same as the names on the title.
L
H
I
C
IEN
OLDER
NFORMATION AND
ERTIFICATION
C
L
H
N
URRENT
IEN
OLDER
S
AME
Address
City
State
ZIP
R
EFINANCING
Date of Refinancing
L
H
N
IEN
OLDER
S
AME
Obligation:
Address
City
State
ZIP
New/Refinancing Lien Holder’s Certification:
I, the undersigned authorized agent of the refinancing lien holder acknowledge and understand that the
current lien holder must release their lien and the Division of Vehicles must receive this release no later than 30 days from the date of this application. I acknowledge and understand
that on and after the 31
day from the date of this application if the original obligation is not released this application will be rendered incomplete. I am aware of the requirements of
st
KSA 8-1,157
which requires a lien holder to mail or deliver a lien release in a maximum of 10 days.
Signature of Authorized Agent of Refinancing Lien Holder
Hand Printed Name of Person that Signed to the Left
Position w/Lien Holder
Date
R
I
F
: $11.50
EQUIREMENTS AND
NSTRUCTIONS
EE
1. Attach a copy of the vehicle’s current registration receipt listing the owner & lien holder.
6. Authorized agent of refinancing lien holder must sign and handprint their name, title of
position with lien holder and the date the certificate was signed.
2. Signature(s) of the owner(s) must match the name(s) on the face of the current Kansas
title record. (The registration receipt will also show the name(s).
7. Copy of the security agreement is NOT required.
3. Record the name and address of the current secured party/lien holder.
8. If a legal document or power of attorney is used, please attach it to the application.
4. Record the name and address of the refinancing party/lien holder.
9. Missing signatures and/or incomplete information VOIDS this
application.
5. Current mileage is required.
10. If the current lien holder listed above fails to comply with the lien release requirements of KSA 8-1,157, the refinancing lien holder may file a complaint. If a complaint is not filed or a
lien release is not received within 30 days, the application will be rendered incomplete, as certified above, and the registration cannot be renewed.
For Office Use Only
TR-720Rwww (Rev. 07/08)

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