DEPARTMENT OF REVENUE DIVISION OF VEHICLES www.ksrevenue.org
KANSAS RESIDENT/BUSINESS OUT OF STATE VIN VERIFICATION
Reverse side (page 2) has Instructions and Additional Information Part I – OWNER DECLARATION (To be completed by vehicle owner) I, the under signed, certify that I have a title issued by another state or country for vehicle described below which has been assigned tome by the owner of the vehicle and the vehicle is located outside of Kansas due to the qualifying reason checked below: (Check one and explain) Kansas resident on active military duty stationed out-of-state, Kansas resident attending an out-of-state college, university or school, Application for Kansas apportioned registration, Kansas resident or business temporarily* out of Kansas. Date thevehicle will be returned to Kansas: * Reason: Explanation: I further certify that the foregoing is true and correct. I understand that by submitting this form with an application for Kansas title and registration I agree to any and all requirements indicated on this form and any additional requirements as determined by the Kansas Division of Vehicles and/or the Kansas Highway Patrol. All decisions bythe Division and/or the Patrol are final.
Owner’s printed name Owner’s signature Date
Owner’s Out of State Address
Owner’s Kansas Address
Part II – VIN VERIFICATION (Must be completed by Law Enforcement Officer)
Vehicle Identification Number
Must be Typed or Completed in Ink.
Year Title Issued by the State of Title branded (labeled)?No
Make Title Number Yes, as: Salvage
Body Style Odometer Reading Other: No VIN on documents
Color (No Tenths)
Rebuilt/Restored Salvage Disagrees with VIN
SUPPORTING DOCUMENTS: (Check one)
Agrees with VIN
I certify that I am a law enforcement officer and I have physically examined the vehicle and title described herein and the informationmatches and is true and correct to the best of my knowledge. I have checked the VIN through the FEDERAL STOLEN VEHICLE FILE (NCIC) and no record was found.
Name of Officer (Print) Officer Signature Law Enforcement Agency
Agency’s Address City
Badge/ID Number Date
ALTERATIONS OR ERASURES WILL VOID THIS FORM
Previousversions of this form are subject to requirements listed herein.
VIN VERIFICATION WHEN KANSAS RESIDENT TEMPORARY LOCATED IN ANOTHER STATE
Kansas law (KSA 8-116a) requires before an application for a Kansas title and/or registration can be accepted for a vehicle surrendering a title issued by another jurisdiction (or purchased on a bill of sale, if applicable) as proof of ownership, the vehicleand the non-Kansas title or ownership document must be inspected to ensure that vehicle identification number shown on the non-Kansas title is genuine and agrees with the identification number on the vehicle and a Motor Vehicle Examination Certificate (MVE-1 Form) must be completed by the Kansas Highway Patrol or their designee. When a Kansas resident/business is making application for Kansastitle and/or registration and has selected reason 1, 2 or 3 below, this form may be used in lieu of the MVE-1 form. If reason 4 is selected, this TR-65 form will only be accepted to submit the application for title and/or registration. Upon returning the vehicle to Kansas an MVE-1 form must be obtained from the Kansas Highway Patrol or their designee. When reason 4 is selected, renewing theregistration for the vehicle with a pending title application awaiting the MVE-1 form must be pre-approved by the division and can only be approved one time. The Titles & Registrations Bureau must receive the MVE-1 form before the certificate of title will be issued.
WHO QUALIFIES TO USE THE TR-65 FORM?
To qualify for an Out-of-State VIN Verification in lieu of the MVE-1 the Kansas resident/business...