Kansas Military Affidavit Form

Transcript

STAPLE Attachments Here Reset KANSAS MILITARY AFFIDAVIT DEPARTMENT OF REVENUE DIVISION OF VEHICLES www.ksrevenue.org/dmv 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 Current Address State . 19 . City 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)