Home > Legal > Legal > Affidavit Template > Kansas Affidavit Form > Kansas Affidavit of Purchase Price Template

Kansas Affidavit of Purchase Price Form

At Speedy Template, You can download Kansas Affidavit of Purchase Price Form . There are a few ways to find the forms or templates you need. You can choose forms in your state, use search feature to find the related forms. At the end of each page, there is "Download" button for the forms you are looking form if the forms don't display properly on the page, the Word or Excel or PDF files should give you a better reivew of the page.

Kansas Affidavit of Purchase Price Form
Kansas Affidavit of Purchase Price Form
KANSAS
DEPARTMENT OF REVENUE
DIVISION OF VEHICLES
www.ksrevenue.org
AFFIDAVIT OF PURCHASE PRICE
Must be fully completed
This Affidavit of Purchase Price is to certify the amount of money or value that was exchanged between the seller(s) and buyer(s) for the
vehicle listed herein.
ONLY antique vehicles (vehicle 35 years old or older) owned by a Kansas resident and located in the State of Kansas can have the
ownership transferred (sold) by completing the Antique Vehicle Transfer of Ownership at the bottom of this form. All other vehicles sold by or
purchased from a Kansas resident must have the ownership transferred (sold) by assigned title.
SELLER'S BUYERS
Printed Name:
Printed Name:
Address:
Address:
City:
City:
State:
State:
ZIP :
ZIP :
VEHICLE INFORMATION:
Year
Make VIN
Purchase Price:
$ Date of Sale:
By our signatures, we swear and affirm the above stated purchase price is true and accurate under penalty of perjury. I am
aware that the law provides severe penalties for making false statements under oath.
Seller(s) Hand Printed Name
Signature of Seller:
Date:
Buyer(s) Hand Printed Name
Signature of Buyer:
Date:
ANTIQUE VEHICLE TRANSFER OF OWNERSHIP
This section of the bill of sale is to be used to transfer ownership of an antique vehicle (vehicle that is 35 model years old or older) when there
is no Kansas title for the vehicle in the name of the owner/seller. All information in the bill of sale above and the antique vehicle transfer of
ownership below MUST be complete for this to be a valid assignment of ownership.
If a non-Kansas resident owns the antique vehicle and the vehicle is not maintained/garaged in Kansas, the ownership of the vehicle must be
transferred according to the laws of the seller’s home state of residence.
I, the undersigned, certify that I am the owner of this antique vehicle, which is listed above, and on this day I have sold and
am transferring ownership of this vehicle to
listed above as buyer.
To the best of my knowledge, no title has been issued in my name for this vehicle in any titling jurisdiction.
I further certify that I will guarantee this vehicle 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 superior to my title.
Date vehicle was Signature
sold and delivered:
Month Day Year of Seller:
NOTICE
TO BUYER: All 1950 or newer antique vehicles sold on a bill of sale must obtain an MVE-1, (Motor Vehicle Examination)
issued by the Kansas Highway Patrol or their designee and submit the MVE-1 with this bill of sale when applying
for antique title. Application for title must be made within 30 days of the purchase date in the county treasurer’s
motor vehicle office in the county in which the vehicle will be located/garaged. Penalty will be assessed on and
after the 31
st
day.
TR-11www ( 03/2007)
Kansas Affidavit of Purchase Price Form