KANSAS
MANUFACTURED OR MOBILE HOME
DEPARTMENT OF REVENUE
OWNERSHIP AFFIDAVIT
DIVISION OF VEHICLES
STATE OF KANSAS
)
COUNTY OF
)
A
O
:
Manufactured Home
Mobile Home
TTESTING
WNERSHIP OF A
(Must Check One)
From this point forward manufactured or mobile home will be referred to as “home”.
I, the undersigned, certify that I am the owner of the home listed herein and that this home is free and clear of
any and all liens and/or encumbrances.
Make
Year
Style
Weight or Dimensions
VIN
I have owned this home since (year):
Name(s) of Individual(s)
Making this Affidavit:
This home is located at:
This home has been located here for (years):
K
ANSAS
Address
City
State
ZIP
K
ANSAS
Legal Description (attach exhibit “A”, if needed)
D
MUST
A
A
OCUMENTATION THAT
BE
TTACHED TO THIS
FFIDAVIT
9 Proof that all (personal or real) property taxes for the home are paid for the preceding 5 years. If the home
has been owned for less than 5 years, please provide proof for each preceding year, but no more than the
preceding 5 years.
9 All pages of the manufactured/mobile home history (history) obtained from the Kansas Titles and
Registrations Bureau. If a “no record” letter is provided attach it as proof of verification of history.
To obtain a history, complete a Request for Access to Vehicle Records
TR/DL-302
and mail it along with the
required fee to the address shown on the form.
If a title record is found in the history, a notification may have to be sent to the applicant instructing them to
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contact the previous owner and lien holder, if applicable, unless affiant can prove ownership by information
from the real estate records as outlined herein.
If no record is found or a record is found showing a previous owner/owners or lien holder, then the
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Department may accept copies of a deed, deeds and mortgage releases showing continuous ownership of the
real estate where the home is permanently attached vesting title to said real estate in affiant from previous
owner/owners and showing that all mortgage liens have been released. The Department may decide to waive
the requirement to notify previous owner/owners or lien holder/holders and accept this Affidavit along with
the supplied documentation in order to allow Affiant to proceed to cancel the Certificate of Title or allow
issuance of a VIN and new Certificate of Title to be cancelled. Affiant understands that the Department will
make the final determination from the information provided regarding if notification to a previous owner or
lien holder is required.