Form Tr-82 - Transfer Of Death Affidavit
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1KANSAS
TRANSFER ON DEATH
DEPARTMENT OF REVENUE
AFFIDAVIT
DIVISION OF VEHICLES
This form is to be used by the beneficiaries upon the death of the vehicle owner(s).
Individual(s) Named as Transfer on Death Beneficiaries
certifies that applicant(s) is/are the TOD
(s) of
beneficiary
Name of Deceased
who departed this life on (Date)
and that the deceased person(s) was the lawful owner(s) of
the following vehicle:
Year
Make
Style
ID #
I/We certify to the best of my/our knowledge that the odometer reading is:
(One statement only must be checked.)
Actual
No
The mileage stated is in excess of its mechanical limits
•
/10th
ODOMETER READING
The odometer reading is not actual mileage*
*WARNING - ODOMETER DISCREPANCY
I/We certify that the person(s) shown on the face of the Kansas certificate of title for the above vehicle is/are the last
registered owner(s) of the vehicle listed above and that I/we are also listed on the title as successor(s) upon the death
of the previous owner(s).
By my signature(s) 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.
Applicant’s Signature
Applicant’s Printed Name
Applicant’s Signature
Applicant’s Printed Name
INSTRUCTIONS
• Attach verification that the vehicle was last titled in Kansas, to whom and who is shown as the TOD beneficiary(s).
Verification can be: the title, or the last registration receipt, or a verification of ownership issued by either the County
Treasurer or the Kansas Division of Vehicles.
• Attach a copy(s) of the death certificate(s) for the owner(s) shown on the Kansas title.
• If there is a lienholder listed on the face of the title, a notarized written lienholder’s consent to transfer the title is required.
• If one of the beneficiary shown on the title wishes to disclaim his/her interest in the vehicle, he/she may do so by completing
a notarized affidavit conveying his/her interest to the other person named as beneficiary. At least one of the parties listed as a
beneficiary must title the vehicle in his/her name before transferring the ownership of the vehicle.
• If the name of a beneficiary listed on the deceased title is not the way it is to be listed on the beneficiary(s) new title, a One
and the Same Affidavit (TR-12) needs to be completed.
• Take this completed affidavit and the above documentation to your Local County Treasurer’s motor vehicle office and
when making application for title.
TR-82www (07/02)
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Parent category: Financial