Tc 96 167 Form PDF Details

Are you looking for information about the Tc 96 167 form? Whether you are a business owner or an individual, understanding what this IRS form entails is important for your tax law compliance. In this blog post, we’ll go through the basics of the Tc 96 167 form from why it is necessary to how to submit it and more. This comprehensive guide will provide you with everything needed to take care of your financial obligations according to U.S. federal tax law requirements.

QuestionAnswer
Form NameTc 96 167 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesky tc 96 167 form, form 96 167 form, kentucky form tc 96 167, tc 96 167 rev 10 2014

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Kentucky Transportation Cabinet

TC 96-167

Division of Motor Vehicle Licensing

04/1992

 

AFFIDAVIT FOR REPLACEMENT/NON-EXCHANGE

(Complete and forward to your County Clerk.)

County: ______________________

Date: __________

Certificate of Title Certificate of Registration

I CERTIFY THAT MY Registration Plate Decal

I hereby request a replacement for Title, Registration Plate or Decal Number _____________________________

_____________________________

WARNING:

KRS 186A.990 states that any person knowingly giving false information in connection with an application for registration or titling shall be guilty of forgery in the second degree.

Lost

County Change

Stolen

Rusted

HAS BEEN Destroyed

Other (Describe) _______________________

_______________________________/________________________________

Signature of OwnerI.D. (Soc. Sec. # D.L. #)

_______________________________/________________________________

Signature of OwnerI.D. (Soc. Sec. # D.L. #)

Address _________________________________________________________

City, State, Zip ____________________________________________________

Notary for Replacement

Subscribed and sworn to before me this ___________________ day of __________________________ , 20 ________.

Signature ____________________________________________ Title _______________________ My commission expires ____________________

Affidavit for Non-Exchange-County: _______________________

Title / Regis CTL # _______________________

I certify based upon the following title action… Repo Junked Vehicle Salvage Title Title Only Transfer or Registration action… PLT Repl Veh. Typ. Conv Wt. Chg Regis. Conv Renew Conv Regis Can that the License Plate assigned to the motor vehicle herein… VIN _______________ Plate _______________ Decal ___________

described and currently registered in the Commonwealth of Kentucky does not accompany the associated documents related to the aforementioned action because of the following non-exchange reason.

Lost

Stolen

Destroyed

Special Plate

Out of State

Other _____________________

_____________________________/___________________________

_____________________________/____________________________

Signature- Authorized Rep

I.D. (Soc. Sec. # D.L. #)

 

Signature- Owner

I.D. (Soc. Sec. # D.L. #)

Company / Dealership __________________________________

 

 

 

Lending Institution ______________________________________

Address ________________________________________________

Address ________________________________________________

City, State, Zip __________________________________________

City, State, Zip __________________________________________

Notary for Non-Exchange

Subscribed and sworn to before me this ____________ day of ___________________ , 20 _______.

Signature _________________________________________ Title __________________________ My Commission Expires _________________

WHITE – TRANSPORTATION COPY, YELLOW – CLERK PICKUP FILE COPY, PINK – COUNTY CLERK COPY