Home > Legal > Legal > Affidavit Template > Kentucky Affidavit Form > Kentucky Affidavit of Creditor in Possession Template

Kentucky Affidavit of Creditor in Possession Form

At Speedy Template, You can download Kentucky Affidavit of Creditor in Possession 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.

Kentucky Affidavit of Creditor in Possession Form
Kentucky Affidavit of Creditor in Possession Form
KENTUCKY TRANSPORTATION CABINET
Department of Vehicle Regulation
TC 96-157
Rev. 10/96
Any person who knowingly enters or
attests to the entry of false or erroneous
information upon this form will be
subject to the penalties of forgery in the
AFFIDAVIT OF CREDITOR IN POSSESSION
(To satisfy lien per KRS 186A.190(4))
Affidavit Presented to Clerk’s Office
Make Year Last License & State No.
,
(Month and Day) (Year)
Vehicle or Hull Identification No.
KY No.
Motor Vehicle or boat has been in my possession since
,
(Month and Day) (Year)
TO SATISFY LIEN PER KRS 186A.190(4)
P
URSUANT
TO KRS
I86A.I90(4) A DEBT HAS EXISTED IN FAVOR OF THE AFFIANT FOR CHARGES ON SUCH MOTOR VEHICLE OR
BOAT FROM
.
THE DEBT HAS BEEN OWED FOR MORE THAN
30 DAYS BEFORE PROVIDING
(Month and Day) (Year)
THE REQUIRED NOTICES.
I certify that the owner of record,
whose address is
has been notified by certified mail sent
clear title. I certify that all lienholder(s) of record ,
whose address(es) is (are) ,
,
of my intent to obtain a free and
(Month and Day) (Year)
has (have) been notified by certified mail (return receipt
attached)
,
I certify that my intention to obtain title to the vehicle, etc. was published in the form of a legal notice, copy
attached, was published in
of my intent to obtain a free and clear title.
(Month Day Year) (Month Day Year)
and was published on
(Name of Publication - statewide
circulation
required)
. I further certify that neither the owner or lienholder(s) has
(Date)
objected in writing to my right to obtain title to the vehicle and that all provisions of KRS 186A.190(4) have
been met.
SUBSCRIBED AND SWORN TO BEFORE ME ON THIS
DAY OF
(Affiant
Name)
(Notary Public) (Authorized Signature)
MY COMMISSION EXPIRES
(Title)
(Date)
second degree, and may be subject to the
penalties of perjury and theft.
(Month)
(Year)
,
(Affiant Address)
,
Kentucky Affidavit of Creditor in Possession Form