Form Tr-6 - Agreement To Reaffirm Sale With Delivery Of Title

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AGREEMENT TO REAFFIRM SALE
WITH DELIVERY OF TITLE
Please Type or Print Clearly
Date Vehicle Was Purchased
Name of Purchaser(s)
, of :
Address
City
ST
Zip
Name of Seller
Address
City
ST
Zip
VEHICLE INFORMATION:
Year
Make
Style
VIN
K.S.A. 8-135(c) (7) in part states: The sale of a vehicle required to be registered under the laws of this state, without
assignment of the certificate of title, is fraudulent and void, unless the parties shall agree that the certificate of title
with assignments thereof shall pass between them at a time other than the time of delivery, but within 30 days thereof.
The requirements of this paragraph concerning delivery of an assigned title shall be satisfied if (I) the seller mails to
the purchaser by registered mail the assigned certificate of title within 30 days, or (ii) if the transferor is a dealer, as
defined by K.S.A. 8-2401, and the amendments thereto, such seller shall be deemed to have possession of the
certificate of title if such seller has made application therefor to the division, or (iii) if the transferor is a dealer and
has assigned a title pursuant to paragraph (9) of this subsection (c).
K.S.A. 8-135(c)(6) in part states: The agreement of the parties shall be executed on a form provided by the division.
(Div. Of Veh. Form TR-6
I, purchaser of the vehicle described herein, have read and understand my rights regarding the timely delivery of the
certificate of title or manufacturer’s statement of origin within 30 days of the delivery/purchase date of the vehicle
(K.S.A. 8-135(c)(7) above). The written agreement above was made by and between the seller (dealership) and myself
regarding the delivery of the certificate of title or manufacturer’s statement of origin. I have received and accepted
delivery of the assigned certificate of title or manufacturer’s statement of origin more than 30 days after the date of
delivery/purchase of the vehicle. I hereby reaffirm the sale of this vehicle and therefore relinquish the right to declare
this transaction fraudulent and void solely due to the assigned certificate of title or manufacturer’s statement of origin
not being delivered within 30 days of delivery of the vehicle, according to K.S.A. 8-135(c)(11). I am aware that this
reaffirmation agreement will not forego the penalty and interest that will be assessed if the application for title and
registration is not made within 30 days of the purchase date.
Purchaser’s Hand Printed Name
Purchaser’s Signature
Date
If application for title and registration is not made within 30 days of the delivery/purchase date of the vehicle, penalty
and interest will be assessed.
AN EXTENSION OR A SECOND 30 DAY TEMPORARY REGISTRATION
CANNOT BE ISSUED UNDER ANY CIRSUMSTANCES.
TR-6www (3-2007)
One Copy to Purchaser
One Copy to Seller

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