Completing the TC 96-182 form is a crucial step for individuals in Kentucky seeking to apply for a title and/or registration of a vehicle. This comprehensive document is designed to collect all necessary information regarding the vehicle's sale, trade-in values, and owner details in a structured format. Applicants are required to fill out the form using either blue or black ink, emphasizing the importance of legibility and accuracy in the submission. The form covers a broad spectrum of vehicle types and situations, including but not limited to, first-time registrations, transfers, and situations involving salvaged vehicles. A significant portion of the form is dedicated to vehicle identification, requiring detailed information such as the Vehicle Identification Number (VIN), make, model, year, and body style. One of the critical sections includes the odometer disclosure statement, mandated by federal law, which helps prevent fraudulent mileage reporting. Furthermore, the form sternly highlights the legal repercussions of providing false statements regarding the total consideration paid for the vehicle, classifying such acts as a Class D Felony, punishable by a minimum fine of $2,000, demonstrating the seriousness with which the Commonwealth of Kentucky treats vehicle registration and titling processes.
| Question | Answer |
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| Form Name | Form Tc 96 182 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | ky tc 96 182, form tc 96 182 kentucky, tc96182, tc 96 182 fillable form |
APPLICATION MUST BE COMPLETED IN BLUE OR BLACK INK |
TC |
COMMONWEALTH OF KENTUCKY |
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APPLICATION FOR KENTUCKY CERTIFICATE OF TITLE/REGISTRATION
Check the type of application desired
If Duplicate is checked, the original Certificate Title is:
Duplicate Lost
Title Only Destroyed
Transfer Damaged
First Time Illegible
Salvage
Other
Other
Vehicle Identification Section
VIN |
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Year |
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Motor No. |
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Cylinders |
Truck Weight |
(If motorcycle)
TITLE BRAND DISCLOSURE
Check appropriate block if: |
Rebuilt Vehicle |
Water Damage |
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When block is checked and title does not include brand, provide |
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jurisdiction |
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and title number |
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where previous brand was issued. |
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CERTIFIED INSPECTOR SECTION |
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I, (Certified Inspector) |
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Of |
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Do certify under penalties that I have physically inspected the vehicle described herein and that the supporting documents are consistent with the vehicle description.
THE VEHICLE HAS AN ODOMETER READING OF |
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NO TENTHS |
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THE VEHICLE IDENTIFICATION NUMBER IS: |
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INSPECTION
REQUESTED BY
OWNER DRIVER LICENSE NO. & STATE
CERTIFIED INSPECTOR’S SIGNATURE |
INSPECTOR NO. |
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ODOMETER DISCLOSURE ****CAUTION READ CAREFULLY BEFORE YOU CHECK A BLOCK****
Federal law requires that you state the mileage upon transfer of ownership. Failure to complete or providing a false statement may results in fines and/or imprisonments.
I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked.
(no tenths)
Odometer Reading
1.The mileage stated is in excess of its mechanical limits.
2.The odometer reading is not the actual mileage. WARNING
Sale Price $ |
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Trade In $ |
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Net Cost $ |
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(Credit allowed only on vehicles registered in KY and applicant has paid tax.) |
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Make |
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Year |
VIN No. |
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Title No. |
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Trade In |
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Date of Sale |
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Make |
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Year |
VIN No. |
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Title No. |
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Seller and buyer further certify subject to penalaties of forgery in the second degree, that each has supplied true and correct information to the best of his knowledge and belief, in this document, including the above affadivit.
JOINT OWNERSHIP: OR
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NOTE: If neither block is checked the Title Transfer will require both signatures |
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SS# |
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NAME OF SELLER |
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DEALER NO. |
NAME OF OWNER/BUYER |
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BIRTH MO. |
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STREET ADDRESS |
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PHONE NO. |
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NAME OF OWNER/BUYER |
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SS# |
BIRTH MO. |
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CITY |
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ADDRESS |
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I ( have)( have not) applied for a loan in connection with the vehicle described therein and if not, I ( will)( will not) apply for a loan within 30 days of this application.
LESSEE NAME OR OTHER
LESSEE ADDRESS
FIRST LIENHOLDER
ADDRESS
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COUNTY LIEN TO BE FILED IN |
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SELLER’S SIGNATURE |
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OWNER/BUYER(S) SIGNATURE(S) |
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SELLER’S SIGNATURE |
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OWNER/BUYER(S) SIGNATURE(S) |
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Date of Transfer |
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Attesting Official |
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Title |
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Attesting Official |
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Subscribed and sworn to before me this |
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day of |
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Subscribed and sworn to before me this |
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My commission expires |
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My commission expires |
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COUNTY CLERK USE ONLY
TYPE APPLICATION
DATE OF ISSUANCE
TITLE NO.
PLATE NO.
I certify under above described penalty that I have reviewed this application and the documents supporting it and that the same are present and consistent with this application; that I received the applicaation on the date and time indicated hereon and that fees were collected as indicated. I further certify that the required information has been entered into the automated vehicle identifiation system (AVIS)
SIGNATURE & TITLE OF ISSUER |
COUNTY |
DATE |
I certify that the lien indicated to be filed has been noted into the automated system and that a title will be withheld for 30 days, or until financing statement and fees required are received, whichever occurs first.
SIGNATURE |
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DO NOT ACCEPT TITLE SHOWING ANY ERASURES, ALTERATION, OR MUTILATIONS. MUST BE COMPLETED IN BLUE OR BLACK INK. |
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