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Kansas Military Affidavit Form

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Kansas Military Affidavit Form
Kansas Military Affidavit Form
STAPLE
Attachments
Here
KANSAS
DEPARTMENT OF REVENUE
DIVISION OF VEHICLES
www.ksrevenue.org/dmv
MILITARY AFFIDAVIT
In Service to the United States of America
PLEASE TYPE OR PRINT Date
Vehicle Information:
Year Make Vehicle Identification Number License Plate
(If Renewing)
Service Person Information:
Name Rank
Unit , SSN , ETS Date .
Currently Stationed: , since 19 .
Current Address City
State ZIP Date Moved In
Home of Record
State Address City ZIP
The above recorded service person, declared him/herself to be a
resident of Kansas, and the spouse declared him/herself to be a
resident of Kansas.
make this affidavit to declare the vehicle listed hereon was
Name of Person Making Application
not normally domiciled in the State of Kansas and requests conformance with the Soldiers and Sailors Act. That the
vehicle listed hereon be excluded from taxation for the 20 ____ renewal year.
The vehicle is located with the service person at .
Service Person’s Signature Date
or
On behalf of , I
,
Name of Service Person Person other than Service Person Relationship
By my signature above, 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.
Signature Date
ATTACH COPY OF TITLE, REGISTRATION, OR RENEWAL.
(Submit this form when making title application to your Local County Treasurers Office)
TR-108www (7/02)
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Kansas Military Affidavit Form