KANSAS
DEPARTMENT OF REVENUE
DIVISION OF VEHICLES
www.ksrevenue.org
ELECTRONIC TITLE
SALES AGREEMENT
As of January 2003, the Kansas Division of Vehicles will not issue a vehicle title of any type when there is a lien recorded on it. Pending the release
of lien and the issuance of the Kansas certificate of title, this sales agreement may be used to obtain a 60 day temporary registration (60 day permit).
This sales agreement may also be used when displaying a current registration (license plate), from a vehicle that has been disposed of, on the newly
acquired vehicle for a period not to exceed 60 days from date of sale and delivery. The registration (license plate) must be transferred to the vehicle
described herein when applying in the county treasurer’s motor vehicle office for title and registration.
THE OFFICIAL TRANSFER OF OWNERSHIP MUST BE COMPLETED BY ASSIGNMENT OF THE KANSAS CERTIFICATE OF TITLE.
INSTRUCTIONS
Ø This form must be completed in its entirety by the seller and the signature and hand printed name of both the seller and buyer must be affixed.
This form
is only valid if all information has been completed.
Ø Seller must attach a copy of the vehicle’s current registration receipt showing their name as owner and the lienholder’s name. If the seller does
not have the current registration receipt for the vehicle and/or the registration receipt does not indicate a lienholder name has been added to the
record, the owner must obtain a duplicate registration or vehicle record verification from a county treasurer’s motor vehicle office.
Ø
Buyer may submit this form and proof of insurance to any Kansas County Treasurer’s Motor Vehicle office to obtain a Kansas 60 day permit.
NOTE This form must be in the vehicle while it is in operation using a 60 day permit or while using a current Kansas license plate that will be
transferred at the time of application for title and registration by the purchaser. If application for title and registration is not made within
60 days of the date of sale and delivery (date of this agreement), penalty and interest will be assessed.
VEHICLE INFORMATION
Please Type or Print
Year Make Style VIN
Date of Sale and Delivery: Month Day Year Purchase Price $
Date of this Agreement
Is this a nonhighway or salvage vehicle? Yes* No * If Yes, vehicle is NOT to be operated on public roadway.
S
E
L
L
E
R
Owner’s Name(s)
Address City ST ZIP
LienHolder’s Name Address City ST ZIP
B
U
Y
E
R
Name(s)
Address City ST ZIP
(If Applicable) LienHolder’s Name Address City ST ZIP
This agreement is entered into by and between the parties listed hereon as seller(s) and buyer(s) on the date recorded above.
Seller has a lien recorded with the Kansas Division of Vehicles, which is holding a Kansas Electronic Title for the vehicle listed herein and certifies that the same vehicle has been sold to
the person(s) shown as buyer(s). The Kansas Division of Vehicles cannot issue a negotiable Kansas Certificate of Title in the name of the seller until all liens and/or encumbrances
have been paid by or for the seller. Seller agrees to deliver the properly assigned Kansas Certificate of Title (paper title) to the buyer(s) personally or by registered or certified mail
within sixty (60) days from the date of sale and delivery (date of this agreement) of the vehicle (inclusive of weekends and holidays).
I, the undersigned, hereby swear or affirm that I am the owner and am selling the motor vehicle described herein to the person(s) listed as buyer(s) and that the information provided in
this Electronic Title Sales Agreement is true and correct to the best of my belief. I am aware that the law provides severe penalties for making false statements under oath.
Owner/Seller’s Signature(s) Date
Same Person(s) Hand Printed Name
Buyer’s Acknowledgement
Same Person(s)
Signature Hand Printed Name
TR-39a www(01/03) Original to Buyer – Seller Should Keep Copy
