How to fill out Kansas TR-12

Kansas's utility affidavit: one sheet carrying six pre-printed statements, each with its own tick box, and a second page that reprints the bill of sale. Two of the six belong to a seller. The Vehicle Gift Certification is the Division's instrument for giving a car away when the recipient is not a relative, and the One and the Same Person statement is how a title that spells your name one way and your license another gets reconciled without a court. The others - adding a name to a completed assignment, certifying non-use, military renewals, antique model-year plates - are here because the sheet is shared across the Division's counters.

Top of the blank Kansas TR-12, Affidavit to a Fact / Bill of Sale, as the agency publishes it

Step 1 · the form itself Blank TR-12 — Affidavit to a Fact / Bill of Sale PDF at ksrevenue.gov · new tab View the blank TR-12

Top of page 1 of our filled-in example of Kansas TR-12, Affidavit to a Fact / Bill of Sale

Step 2 · how to fill it in Our filled-in TR-12 guide PDF · 3 pages · 720 KB · new tab See our filled-in example

Two documents, and they are not the same thing. Take the blank TR-12 from the ksrevenue.gov copy so you get the revision that is current today, then print our TR-12 guide and keep it beside you while you fill theirs in.

Written against TR-12 (Rev 6-22), issued under K.S.A. 8-135. This sheet fixes records; it does not create rights. Every statement on it is sworn under penalty of perjury, and the two a seller uses - the gift and the name reconciliation - both work because they are true, not because they are filed. If the underlying fact is contested, a co-owner who disagrees or an ex-spouse still on the title, the affidavit is the wrong tool and the counter will say so.

Last updated August 22, 2026.

Filled in

What a completed one looks like

This is all 2 pages of the actual TR-12, rendered from the PDF the Kansas Department of Revenue, Division of Vehicles publishes and completed end to end: letterhead, every field, and the blocks at the foot.

Amber — you write it
Grey — not yours to fill
Numbered — explained below

Kansas Form TR-12 Affidavit to a Fact filled in as a gift certification: a 2009 Toyota with identification number 2T1KU40E89C561208, the Vehicle Gift Certification box ticked, the gift going to Tabea R. Oblinger with owner Leocadia M. Wondra's hand printed name beside it, the other five statements left empty, and the affiant's certification block completed with Leocadia M. Wondra's printed name and the date 08/06/2026, the signature lines left for ink. — Page 1 of 2. The affidavit page, completed as a gift certification for a recipient who is not a relative - the statement's own words - with the five other statements untouched.

Page 2 of the filled-in TR-12: The second page is the Division's bill of sale, printed on the same download. It is published standalone as the TR-312, and this build shows it filled in on that form's own page rather than twice. — Page 2 of 2. The second page is the Division's bill of sale, printed on the same download. It is published standalone as the TR-312, and this build shows it filled in on that form's own page rather than twice.

Field by field

Every line, in the order you meet it

1
You fill this in
The vehicle band
Year, make and ID number, whichever statement you are here for.
Watch out: The ID number is the VIN off the certificate. The counter ties this affidavit to a title record, and it can only do that with the number that record is filed under.
2
You fill this in
Tick one statement
The gift certification for a non-relative gift, or one and the same person for a name the title spells differently.
Watch out: One sheet, one statement. A second problem gets a second TR-12 - they are free, and the county reads a single-purpose affidavit far faster.
3
You fill this in
The gift's two lines
Who the gift is to, and the owner's hand printed name.
Watch out: Write gift in the price space of the title assignment as well - the affidavit explains the price space, it does not replace it. And if the recipient is your child, parent or grandchild, stop: the Affidavit of Relationship is the right sheet and the tax-free one.
4
You fill this in
The certification
Sign, print the name of the person who signed, and date it.
Watch out: The sentence above your signature is a perjury certification covering every word on the sheet. On a name-reconciliation filing, sign in the name your license carries - that is the identity the affidavit exists to establish.
5
You fill this in
Attach it to the paperwork it explains
The affidavit travels with the title to the treasurer's counter - stapled to the assigned certificate the recipient takes in.
Watch out: For a gift, the recipient still owes the title fee and property tax at registration even when no sales tax is due, so send the affidavit along the day the car goes - their 60-day clock is already running.

At a glance

What goes where

On the form	What to put in it
Vehicle Information	Year, make and ID number across the top - filled in whichever statement you tick.
Vehicle Gift Certification	Used when vehicle or trailer is given as a gift and the recipient is not a relative, with a line for who the gift is to and the owner's hand printed name.
One and the Same Person	Used when a person's name changed or is incorrect: the name as listed on title beside the legal name, so the record can carry both.
Disclaiming Vehicle Ownership	The statement for renouncing an interest shown on the assignment of title on the backside of the certificate.
Title or MSO Assignment	Used when adding a name to the title assignment after the assignment was completed - with the instruction that all parties to be listed as purchasers must sign below.
Vehicle Non-Use	A declaration that the vehicle was not operated for a full registration year, with beginning and ending month and year.
The remaining statements	Relatives of a member of the military renewing a registration, and the antique model-year license plate certification with the plate's year and number.
Affiant's Certification	Two signature lines, the printed name of the person who signed, and the date, under the sentence: I certify under penalty of perjury that all information and statement(s) made above are true to the best of my knowledge.

What gets this one rejected

•Using the gift certification for a family gift. Its own first line confines it to a recipient who is not a relative - a gift or sale between lineal ascendants and descendants runs on the Affidavit of Relationship instead, which is also what makes it tax-exempt.
•Ticking more than one statement for more than one problem. Each statement is a separate sworn assertion; a sheet doing two jobs gets read at the counter as doing neither.
•Writing a token price on a gift. A bona fide gift is given without any consideration - the Department's tax publication draws exactly that line, and a dollar of consideration makes it a taxable sale.
•Signing the certification without printing the name beneath it. The block asks for the printed name of the person(s) that signed above, and the county cannot process a signature it cannot read.
•Using the assignment statement to fix a name that was never on the deal. Adding a name to a completed assignment requires every person to be listed as a purchaser to sign - it is a correction of the record, not a side door onto someone else's title.

Rules that decide whether it is accepted

•A gift still moves on the title. The affidavit certifies why no tax is due; the ownership itself still transfers by assignment of the certificate, like every other Kansas transfer that is not an antique.
•One and the Same is the cheap fix for a misspelling. Where the certificate says one version of your name and your license another, the statement puts both on one sworn page - no court order, no replacement title, no notary.
•The non-use statement has a calendar's teeth. It requires the vehicle out of operation for the full registration year - the form's own example runs a June expiration from June of one year until after May of the following year.

Every line here was read off TR-12 (Rev 6-22) itself — the PDF is here — and off the Kansas Department of Revenue, Division of Vehicles pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.

Forms that go with this one

Giving the car away with this affidavit? Avoid the month's last business day, when Topeka's Shawnee County tag office handles title work by appointment only.

Back to all Kansas seller paperwork, or what selling a car in Kansas involves.

How to fill out Kansas TR-12

What a completed one looks like

Every line, in the order you meet it

The vehicle band

Tick one statement

The gift's two lines

The certification

Attach it to the paperwork it explains

What goes where

What gets this one rejected

Rules that decide whether it is accepted

Forms that go with this one

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