How a written-off car leaves your name when you never signed anything for it. An insurer that has paid a total-loss claim swears this affidavit and applies for the title itself, and the parenthetical under the heading limits it to that: for use by insurance companies. A seller meets it twice - once when their own car is totalled and the certificate never comes back, and once when they are looking at a cheap car whose paperwork runs through an insurer.
Written against TC 96-159S (Rev 05/2020), issued under KRS 186A.190 and KRS 186A.520. If your car has been written off and the insurer has paid you, the vehicle is still registered to you until the insurer's application goes through. The plate is yours to keep under the 2024 rule, and the insurance verification system is still watching that identification number until the record changes.
Two documents, and they are not the same thing. Take the blank TC 96-159S from the transportation.ky.gov copy so you get the revision that is current today.
This is the actual TC 96-159S, rendered from the PDF the Kentucky Transportation Cabinet, Division of Motor Vehicle Licensing publishes and completed end to end: letterhead, every field, and the blocks at the foot.
The officer's name and job title, the insurance company's name, and the city and county it sits in.
Watch out: For a seller reading this: the person named here is who to ask about the date the title application went in.
The day, month and year the current owner or lienholder received full claim settlement.
Watch out: That is the date to match against your own record. If it is weeks before the state's record changed, the delay was in the paperwork rather than the payment.
Make, type, identification number, year, model and body style.
Watch out: Body style takes the form's own examples - sedan, coupe. It is describing the car for a clerk, not for an adjuster.
One figure, on the rule that says it is required on all transfers.
Watch out: It is the reading at the point of the loss, and it is the last mileage the identification number will ever carry as a road vehicle.
The affiant's signature and date, printed name, then the oath, the administering officer's signature and title, and the commission details.
Watch out: This affidavit stands in place of your signature on the assignment, which is precisely why the state insists it be sworn.
| On the form | What to put in it |
|---|---|
| The affiant | A name, and a title with the printed examples President and Secretary beside it. |
| The company | Name of insurance company, then the city and the county it is in - and then the word Kentucky, printed, because the affidavit is sworn here. |
| The settlement | A day, a month and a year, and the current owner or lienholder who received full claim settlement on this vehicle. |
| The vehicle | Make of vehicle, type of vehicle with the printed examples car and trailer, a serial or identification line, the vehicle identification number, the year, the model and the body style with the printed examples sedan and coupe. |
| Odometer reading | One rule, carrying the printed note that it is required on all transfers. |
| The compliance statement | That the affiant is aware of and has fully complied with all applicable requirements set forth in KRS 186A.190(4). |
| The purpose statement | That the affidavit is made for the purpose of obtaining a certificate of title on the vehicle, and that the affiant is duly authorized to sign for and on behalf of the insurance company. |
| Signature, date and jurat | The affiant's signature and date, the printed name of the affiant, the day and month sworn, the signature of the person administering the oath, their title, a commission number and an expiry. |
Every line here was read off TC 96-159S (Rev 05/2020) itself — the PDF is here — and off the Kentucky Transportation Cabinet, Division of Motor Vehicle Licensing pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.
Back to all Kentucky seller paperwork, or what selling a car in Kentucky involves.