KANSAS
DEPARTMENT OF REVENUE DIVISION OF VEHICLES
www.ksrevenue.org/dmv
AFFIDAVIT OF PERMANENTLY AFFIXED MANUFACTURE/MOBILE HOME AND APPLICATION TO ELIMINATE TITLE
PLEASE TYPE OR PRINT
MANUFACTURED/MOBILE HOME AND TITLE INFORMATION |
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MANUFACTURED/MOBILE HOME OWNER(S) INFORMATION (List All Owner(s) shown on the Ownership Document)
Names of
All Owners
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, by my signature below certify that I am an owner of the manufactured/mobile home and of the real |
property described herein and which the manufactured/mobile home is affixed. |
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LIEN HOLDER INFORMATION |
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LEGAL DESCRIPTION OF REAL PROPERTY WHERE MANUFACTURED/MOBILE HOME IS AFFIXED (If additional
space is needed, attach a separate sheet)
OWNER’S CONSENT TO ELIMINATE TITLE
I/We, the owner(s) of the manufactured/mobile home described herein have complied with all laws and requirements, and hereby consent to, and apply for the elimination of the title for this manufactured/mobile home. I/We certify, under penalty of perjury, that all information contained in this affidavit is true and correct to the best of my/our knowledge. All owners must sign.
Owner’s
Signature(s)
Subscribed and sworn before me in: County |
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Notary Seal |
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On: Month |
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My Commission Expires: |
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Notary Public: |
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LIEN HOLDER’S CONSENT TO ELIMINATE TITLE
I, the undersigned, authorized official of the lien holder listed herein consent to the elimination of the title for the manufactured/mobile home described herein.
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Authorized |
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Official’s Signature |
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Subscribed and sworn before me in: County |
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Notary Seal |
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On: Month |
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My Commission Expires: |
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Notary Public: |
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day of |
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APPROVED APPLICATION TO BE FORWARDED TO: |
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DO NOT WRITE BELOW THIS LINE - For Division of Vehicles and Recorder of Deeds Use Only |
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APPLICATION APPROVED BY TITLES AND REGISTRATIONS BUREAU |
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FOR RECORDER OF DEEDS USE ONLY |
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Approved by
Signature:
Position:
Date:
TR-63 (3-04) |
Instructions on the Back of this Form |
INSTRUCTIONS
If there is more than one lienholder, complete a second form (TR-63) and staple the additional forms together and have all parties sign the appropriate form.
The manufactured/mobile home must be titled in Kansas in the owner’s name(s) shown on the face of the TR-63.
The following documents must be attached to this form when submitted to the Titles and Registrations Bureau for approval:
Kansas title showing the owner’s and lien holder’s name(s), if applicable, on the front, and;
A release of lien from the lien holder shown on the front of this form, and;
Proof of payment of applicable fees and taxes (copy of receipts for same).
The Titles and Registrations Bureau will forward the approved application to the name and address on the front of this form.
Lienholder and Owner Consent to Eliminate Title MUST be notarized.
Title is not eliminated until this affidavit is recorded in the Recorder of Deeds office.
You may wish to contact the local Recorder of Deeds where this application is to be filed. Additional information and fees may be required.
A Fee of $10.00 must accompany this form. Make checks payable to the Department of Revenue.
If you have any questions, please call 785-296-3621, press 3, then press 2.
Mail this completed form with required documents attached to:
Kansas Department of Revenue
Division of Vehicles
915 SW Harrison
Topeka, Kansas 66626-0001
Attention: T&R/Records