TR-83a (Rev. 0117)
DEPARTMENT OF REVENUE
DIVISION OF VEHICLES
VEHICLE SERVICES
www.ksrevenue.org
DECEDENT’S AFFIDAVIT
(Pending final action on will)
This affidavit can be used when there is a will but the courts have not probated the will. The heirs may use this affidavit to
obtain title or title and registration for one vehicle pending final action on the will.
Name of Heir:
Name of Deceased: Date of Death:
Vehicle Information
Year: Make:___________________VIN:_____________________________________________
Odometer Reading (No tenths):
I certify to the best of my knowledge that the odometer reading is (check one):
Actual
The mileage stated is in excess of its mechanical limits
The odometer reading is not actual mileage (Warning – Odometer Discrepancy)
List surviving sole and only direct heirs at law (spouse/minor children):
Name Relationship
I, the undersigned affiant, do certify that I am an heir of the decedent referred to in this affidavit who departed this life on
the date recorded above and that the decedent was the lawful owner of the vehicle shown above. I further certify that the
affiant is the surviving spouse of the decedent and claims title to the vehicle under provision of K.S.A. 59-403(a) as
exempt personal property to the affiant. If there is no surviving spouse, the affiant claims title to the vehicle as surviving
heir(s). Further, the affiant guarantees title to said vehicle to all subsequent purchasers.
Affiant’s Signature Date
Affiant’s Printed Name Date
click to sign
signature
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