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Kentucky Affidavit of Incomplete Transfer Form

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Kentucky Affidavit of Incomplete Transfer Form
Kentucky Affidavit of Incomplete Transfer Form
AFFIDAVIT OF INCOMPLETE TRANSFER
I, , I hereby certify that on or about
, 20 , I transferred my interest in the following described
vehicle, year , make , and vehicle identification number
to
by executing an assignment and warranty of title to the transferee in the space provided therefore
on the Certificate of Title, and/or executing the applicable portions of the vehicle transaction
record (TC-96-182) as provided by KRS 186A.215(1).
I request further registration on this vehicle be restricted as provided by law until this transfer has
been processed.
Subscribed and sworn to before me this
day of , 20
Signature of Owner(s)
Address
City, State, Zip Code
Owner’s SSN
Signature
Title
My Commision Expires
KRS 186A.215(4) If it comes to the attention of a transferor that a transferee did not promptly
submit the necessary document within fifteen (15) calendar days to the county clerk as required
by law in order to complete the transfer transaction, a transferor shall submit to the county clerk,
in his county of residence, an affidavit that he has transferred his interest in a specific vehicle and
the clerk shall enter appropriate data into the AVIS system which shall restrict any registration
transaction from occurring on that vehicle until the transfer has been processed.
Kentucky Affidavit of Incomplete Transfer Form