How to Fill Out Form TR-212A

Form TR-212A at a glance

What it is: Form TR-212A is the Kansas Department of Revenue Division of Vehicles title and registration manual application.

Who signs: The Owner's Signature(s) and the Date go at the end of the certification. Put the Signature of Person Being Added on its line.

A filled-in Form TR-212A example: an owner applies for a title and registration and adds her spouse

Form TR-212A example filled out, example: an owner applies for a title and registration and adds her spouse
Jane Sample applies for a Kansas title and registration. She bought a used car with 41,000 miles, marks Actual, and adds her spouse. The picture shows page 1, and its names and figures are sample values. Her spouse is the 2nd owner, so Relationship is marked Spouse. The car has no lienholder, so the 2nd Lienholder Mailing Address and 1st Lienholder lines stay empty. Nothing goes in Transfer on Death because she names no one to receive the car. Plate Transfer Information is left blank because she has no previous vehicle. Each Fee Summary box holds a sample amount, and GRAND TOTAL adds them.

How to fill out Form TR-212A, box by box

Owner's Name(s), Address, VIN and Mileage

Form TR-212A example filled out, owner's Name(s), Address, VIN and Mileage

Enter the County Name, Plate Type and Application Date.

For each owner, enter the Owner's Name(s) (Last, First, Middle Initial) and the DL, FEIN, TIN, SSN (provide one).

Enter the Address, City, State and Zip, then the VIN, Year, Make, Model, Purchase/Brought into KS Date and Mileage (Actual, Exceeds, Not Actual or Exempt), the Empty Weight, the Declared/Gross Weight and the Truck Class.

Enter the Fuel type and the Color.

Title Mailing Address, License Plate/ Registration Mailing Address and Lienholder Mailing Address

Form TR-212A example filled out, title Mailing Address, License Plate/ Registration Mailing Address and Lienholder Mailing Address

Under Title Mailing Address, enter the Name, Address, City, State and Zip.

Under License Plate/ Registration Mailing Address, enter the Name, Address, City, State and Zip, and the Push Notification Phone or Email.

Under 1st Lienholder Mailing Address, enter the Name, Address, City, State and Zip; under 2nd Lienholder Mailing Address (Trk/Mbl Home only), enter the Name, Address, City, State and Zip.

Transfer on Death

Form TR-212A example filled out, transfer on Death

Under Transfer on Death, enter the 1st TOD Name and the 2nd TOD Name, each with Address, City, State and Zip.

Plate Transfer Information

Form TR-212A example filled out, plate Transfer Information

Under Plate Transfer Information, enter the Previous Vehicle's VIN, Year, Make and Model.

Enter the Vehicle Sold to/Repossessed by.

Adding Name to Title/Registration

Form TR-212A example filled out, adding Name to Title/Registration

Under Adding Name to Title/Registration, mark the Relationship as Spouse, Parent or Child.

Insurance Co. Name and Insurance Policy No.

Form TR-212A example filled out, insurance Co. Name and Insurance Policy No.

Enter the Insurance Co. Name and the Insurance Policy No.

Fee Summary

Form TR-212A example filled out, fee Summary

Under Fee Summary, enter the Title Fee, Title Penalty, Registration Fee, Registration Penalty, DMV Modernization Fee, County Service Fee, Law Enforcement Training Center Fee, Reflectorized Plate Fee, Property/Tax Due, Property/Tax Penalty, Previous Property/RV Tax Due, Previous Property/RV Tax Penalty, KHP Staffing and Training Fee, Miscellaneous Fee, Sales Tax and GRAND TOTAL.

Owner's Signature(s)

Form TR-212A example filled out, owner's Signature(s)

You certify that you are a resident or have a bona fide place of business in this county and that you are an owner of and have in effect financial security for the aforementioned vehicle as required by Kansas Law.

You further certify that all liens and/or encumbrances, if any, are listed and the information on this application is true to the best of your knowledge.

FALSE CERTIFICATION CAN RESULT IN CRIMINAL PROSECUTION.

The Owner's Signature(s) and the Date go at the end of the certification.

Sources

[1] Form TR-212A (07/24), Title and Registration Manual Application, Kansas Department of Revenue Division of Vehicles (the Official source link on this page).

Form TR-212A PDF Details

False certification can result in criminal prosecution.

Residency: the owner certifies that they are a resident or have a bona fide place of business in this county.

Financial security: the owner certifies that they are an owner of and have in effect financial security for the aforementioned vehicle as required by Kansas Law.

Liens: the owner certifies that all liens and/or encumbrances, if any, are listed.

Adding a name: Adding Name to Title/Registration has boxes for Spouse, Parent and Child, and a Signature of Person Being Added.

Second lienholder: the 2nd Lienholder Mailing Address is for Trk/Mbl Home only.

Mileage: the form has boxes for Actual, Exceeds, Not Actual and Exempt.

QuestionAnswer
Form NameForm TR-212A
Form Length1 page
Fillable?Yes
Fillable fields86
Avg. time to fill out15 min
Edition07/24
Issuing agencyKansas Department of Revenue Division of Vehicles
Other namesTR-212A, TR212A, TR 212A, Form TR-212A, Kansas TR-212A
Official sourceForm TR-212A (Rev 07/24), Kansas Department of Revenue Division of Vehicles