Affidavit of Incomplete Transfer
|I, |
|Year: | | |
| | |Buyer Name, Address, City, State, Zip | |
|by executing an assignment and warranty of title to the transferee in the space provided on the Certificate of Title and executing the applicable portions of the vehicle |
|transaction record (TC 96-182) as provided by KRS 186A.215(1). |
Further, I request the registration on this vehicle be revoked as provided by KRS 186.180(4) or by any other law until this transfer has been processed.
|Signature of Seller/Transferor | |
|Address | |
|City | |State | |Zip | |
|Subscribed and attested to before me this date | |
| | | | |
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