Boone County PVA Motor Vehicle Affidavit

IMPORTANT: READ THIS COMPLETELY


Please complete the required information at the top of this form, then indicate the category for this affidavit by choosing one of the check boxes below. Please choose only one category and complete the appropriate information for that category. Note that some require additional information which must be included as attachments at the end of this form.


After you complete the information listed below, we will return a completed document to you via e-mail with either a acceptance or rejection notice. You should receive a confirmation email within two work days. If you do not receive this confirmation email or have any questions, please call our main office for further assistance.

CUSTOMER AND VEHICLE INFORMATION

We will need a valid email address in order to send you the completed official affidavit for an electronic signature. The affidavit is not valid until you receive a conformation email.

Please enter your Last Name first, followed by a comma then your First Name.

Enter the Vehicle Identification Number from your registration.

(If you are unable to find this number, please contact the county clerks.)

Enter the title number from your registration.

(If you are unable to find this number, please contact the county clerks.)

Please check one and only one of the Affidavit categories below.

I sold my vehicle in state (to a Kentucky buyer)

ADDITIONAL DOCUMENTATION

One of the following pieces of documentation is required:

  1. a copy of the title signed front and back
  2. a buyer's order
  3. letter from the insurance company on their letterhead
  4. must include the year, make, model, vin number, and the date the vehicle was removed from your policy
  5. a car fax report showing the sale

__________________________________________________________________________

I sold my vehicle to an out of state buyer.

ADDITIONAL DOCUMENTATION

One of the following pieces of documentation is required: -

  1. a copy of the title signed front and back
  2. a buyer's order
  3. letter from the insurance company on their letterhead
  4. must include the year, make, model, vin number, and the date the vehicle was removed from your policy
  5. a car fax report showing the sale

__________________________________________________________________________

ADDITIONAL DOCUMENTATION

One of the following pieces of documentation is required:

  1. Copy of the title signed front and back
  2. Receipt from junkyard
  3. letter from your insurance company
  4. must include the year, make, model, VIN, and the date the vehicle was deleted from your policy.

__________________________________________________________________________

ADDITIONAL DOCUMENTATION

  • Documentation of the settlement date will be required. This can most commonly be found on a letter from the insurance company.

__________________________________________________________________________

ADDITIONAL DOCUMENTATION

  • Documentation showing the date of repossession will be required.

__________________________________________________________________________

IF YOU ARE/WERE NO LONGER A RESIDENT OF KENTUCKY

  • A copy of your proof of non-residence is required.

__________________________________________________________________________

ADDITIONAL DOCUMENTATION

  • A copy of a military residential affidavit or a wage / earnings statement showing another state of residency is required.

__________________________________________________________________________

Note: The PVA office will use NADA documentation to determine if a valuation adjustment is allowable.

__________________________________________________________________________

__________________________________________________________________________

ADDITIONAL DOCUMENTATION

  • An estimate of damages and photos may be required to determine an adjustment of value.

__________________________________________________________________________

__________________________________________________________________________

Please attach the documentation required according to the affidavit category you selected below:

Drag and drop files here or

__________________________________________________________________________

Digital Signature

By typing my name below I hereby swear (affirm) under penalty of perjury that the information above is true and correct and understand that this will act as my digital signature. I further request that the property taxes on the above listed vehicle should be corrected/exonerated for the assessment date(s) of January 1st of the current year.

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