Form Vco/tr-49a - Local Truck & 6000 Mile Registration Affidavit printable pdf download

LOCAL TRUCK & 6000 MILE

REGISTRATION AFFIDAVIT

DEPARTMENT OF REVENUE

DIVISION OF VEHICLES

Central Office Operations

Please Type or Print Clearly

& L

EHICLE

ICENSE

LATE

NFORMATION

License Plate

Year

Make

VIN

Number:

Applying for Registration or

Vehicle is

Registration Renewal in the year of 20

Owned By:

Registration Weight

16M

20M

24M

30M

36M

42M

48M

54M

60M

74M

80M

85M

(Check one):

►► C

& C

◄◄

HECK

OMPLETE THE

EQUIRED

NFORMATION FOR THE

EGISTRATION

YPE

EQUESTED

OCAL

RUCK

EGISTRATION

KSA 8-143(b)(5)

A bus, truck or truck tractor registered for a gross weight of more than 12,000 pounds, which is operated wholly within the corporate limits of a city or village or

within a radius of 25 miles beyond the corporate limits, shall be classified as a local truck except that in no event shall such vehicles operated as contract or

common carriers outside a radius of three miles beyond the corporate limits of the city or village in which such vehicles were based when registered and

licensed be considered local trucks or truck tractors.

Base Point

, KS.

Address:

City:

The center point of the 25 mile radius. Where the vehicle is based, garaged or parked when the business is closed.

6,000 M

ILE

EGISTRATION

KSA

8-143(b)(3).

I hereby by declare the vehicle listed in this affidavit shall not be operated for more than a total of six thousand (6,000) miles during the registration period/year

(Jan. 1 to Dec. 31). If this vehicle is operated for more than the 6,000 miles during the registration period/year, I will return to the county’s motor vehicle office

and make application for regular registration and pay the additional fee difference due for the regular registration. I further declare the vehicle’s odometer will

be maintained in constant working order and the required mileage/trip log will be maintained at all times. I understand and agree if the 6,000 limit is exceeded

and I did not apply for regular registration as required, I will not be eligible to renew the 6,000 mile registration the following year and will be required to obtain

regular registration at renewal time.

Renewal: .....

Mileage in the log book as on the end of the day on December 31

of the previous year:

New Tag/

New Purchase: .....

Mileage at the time of purchase or as of January 1

of this registration year:

Transfer

Mileage on disposed of

Mileage on new truck

Tag: .............

truck & date of transfer:

at time of purchase

Date

K.A.R. 92-51-32 Six thousand (6,000) mile registration requirements. The speedometer or odometer which records the number of miles traveled by a

vehicle having a 6,000-mile registration shall be kept in working condition at all times during the registration period. The highway patrol, motor carrier inspection

bureau, or any law enforcement officer shall have authority to inspect the readings of the speedometer or odometer and to inspect the vehicle to ensure that the

speedometer or odometer is properly connected and in good working condition. The operator of this vehicle shall keep at all times in the vehicle a log reciting

the date, the towns traveled in, and the distance operated on each trip. Anyone securing a 6,000-mile registration and not having the speedometer or odometer

connected and in good working condition or not having the log in the vehicle shall have the vehicle registration suspended and the registration shall not be

reinstated until the difference between the 6,000-mile and the regular registration fee on the vehicle is paid. (Authorized by K.S.A. 74-2011, 8-134; and 8-143)

Trip/Mileage Log Book Requirement: The operator of this vehicle shall maintain at all times in the vehicle a log book reciting the date, to and from locations

and distance traveled for each trip. Any one operating a vehicle registered with a 6,000 mile registration shall assure the vehicle’s odometer is connected and is

accurately recording the actual miles the vehicle is traveling. Failure to maintain the log book and/or odometer as set forth herein shall have their 6,000 mile

registration suspended. The vehicle will not be registered again until the difference in fees between the 6,000 mile registration and regular registration has been

paid. The owner of the vehicle will not be eligible for 6,000 mile registration in the future.

I certify I have read, understand and agree to the requirements set forth above. I declare under penalty of perjury under

the laws of the state of Kansas that the foregoing is true and correct.

Applicant’s Signature(s)

Inc. Title*:

Printed Name of Person(s) that Signed

Date:

* This affidavit must be signed by the vehicle owner. If owned by a corporation, officer authorized to bind corporation must sign and list title/position.

VCO/TR-49a (New 01/13)

Form Vco/tr-49a - Local Truck & 6000 Mile Registration Affidavit

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