Form Tr-90 - Ownership Affidavit For Vehicle-Trailer-Antique-Motor
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1KANSAS
OWNERSHIP AFFIDAVIT
DEPARTMENT OF REVENUE
for
DIVISION OF VEHICLES
VEHICLE - TRAILER - ANTIQUE - MOTOR
STATE OF KANSAS
)
K.S.A. 1985 Supp. 8-142 provides a
)
penalty for knowingly making a false
COUNTY OF
)
statement or concealing a material fact.
A
:
TTESTING OWNERSHIP OF A
Mobile Home (House Trailer)
Trailer
(Must Check One)
All-terrain vehicle (ATV)
Boat Trailer
Micro Utility Truck
Work-Site Utility Vehicle
I, the undersigned, certify that the vehicle hereinafter described has not, to my knowledge, been previously titled or registered in
any State.
Make
Year
Style
Weight or Dimensions
VIN
I have owned this vehicle/trailer since (year):
A
:
TTESTING OWNERSHIP OF AN ANTIQUE
Passenger Vehicle
Truck
(Check one.)
Motorcycle
Antique Military Vehicle
I, the undersigned, certify that I am the owner of the following vehicle:
Make
Year
Style
Weight
VIN
Having purchased said vehicle for a good and valuable consideration from:
Name
Address
on Month
Day
Year
. I have held possession of this vehicle since said date.
Antique vehicles, with a model year of 1950 or after, using this form or a bill of sale must obtain and attach
an MVE-1 (Motor Vehicle Examination) issued by the Kansas Highway Patrol to this affidavit before applying
for antique vehicle title at your local county treasurer’s motor vehicle office.
A
.
TTESTING OWNERSHIP OF A MOTOR
I, the undersigned, certify that I am the lawful owner of a motor from a; Year
Make
Identification Number
, having purchased said motor for a good
and valuable consideration from:
Name
Address
on Month
Day
Year
. I have held possession of this motor since
said date. At the time of said purchase, the seller executed and delivered to me a bill of sale for said motor and the bill of sale is
hereto attached.
A
’
C
-
FFIANT
S
ERTIFICATION
REQUIRED
I certify I will guarantee the title to this vehicle/trailer/motor to be free and clear from all defects, liens or encumbrances of any nature
whatsoever and that I will indemnify any subsequent purchaser of same for any loss sustained should anyone prove ownership of said
vehicle/motor superior to my title.
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.
Affiant’s
Signature
Affiant’s Hand
Printed Name
Date
TR-90 (Rev. 07/08)
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