Form Tr-83a - Decedent'S Affidavit
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1KANSAS
DECEDENT’S AFFIDAVIT
DEPARTMENT OF REVENUE
(Pending Final Action on Will)
DIVISION OF VEHICLES
NOTE: This affidavit (TR-83a) can be used when there is a will, but the courts
have not probated the will. The heirs may use this affidavit to obtain
title or title and registration for ONE (1) vehicle pending final action on
the will.
Name of
Heir:
Name of
Date of
Deceased
Death
Vehicle Information
Year
Make
Style
VIN
I certify to the best of my knowledge that the odometer reading is:
(One statement only must be checked.)
Actual
The mileage stated is in excess of its mechanical limits
0
.
ODOMETER READING
The odometer reading is not actual mileage*
(No Tenths)
*WARNING - ODOMETER DISCREPANCY
List surviving sole and only heirs at law:
Name
Relationship
I, the undersigned affiant, do certify that I am a heir of the decedent referred to in this affidavit who
departed this life intestate on the date recorded above and that the decedent was the lawful owner of the
vehicle shown above. I further certify that the affiant is the surviving spouse of the decedent and claims
title to the vehicle under provision of K.S.A. 59-403(1) as exempt personal property to the affiant. If there
is no surviving spouse, the affiant claims title to the vehicle as surviving heir(s). Further, the affiant
guarantees title to said vehicle to all subsequent purchases.
Affiant’s Signature
Date
Affiant’s Printed Name
Date
TR-83a www(05/03)
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Parent category: Financial