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How to fill out Kentucky TC 96-192

A secured party's sworn account of how a car left its owner without the owner signing anything. It is not a seller's form - the header restricts it to secured parties - but it is the document behind a title you may be handed if you buy at the cheap end of the market, and the document your own lender would file if a loan on your car went badly wrong. One long running sentence carries the whole story: who lent, who borrowed, what the collateral was, what the default was, and who has the car now.

Written against TC 96-192 (05/2020), issued under KRS 186.045(6). If you are buying rather than selling, a repossession affidavit in the file is not a red flag on its own - it is the ordinary way a lender's car reaches the market. What matters is that the vehicle identification number on it matches the certificate, and that the odometer figure on it matches both.

Two documents, and they are not the same thing. Take the blank TC 96-192 from the transportation.ky.gov copy so you get the revision that is current today.

Filled in

What a completed one looks like

This is the actual TC 96-192, 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.

Kentucky form TC 96-192 filled in by a credit union: Sheila M. Rentschler, Vice President of Lending at Rolling Fork Federal Credit Union in Bardstown, states that Marcus D. Ealy entered into a security agreement in March 2023 over a 2019 Jeep Cherokee, vehicle identification number 1C4PJMDX2KD284107, that possession was lawfully taken after six missed instalments, and that the vehicle has been disposed of to Havenwood Auto Group, sworn before a notary in August 2026.
The whole document is one sentence with the blanks filled in, which is why it reads oddly and why so many of its rules are dates. The free line after the printed default recital is where the lender says what actually went wrong.
Field by field

Every line, in the order you meet it

  1. 1
    Dealers only

    The affiant and the secured party

    The officer's name, their title, the lender's name and its city.

    Watch out: For a seller reading this: the officer named here is a real person at a real institution, and the affidavit is signed in their name rather than the company's.

  2. 2
    Dealers only

    The debtor and the date of the security agreement

    The day, month and year the agreement was entered into, and the debtor's name.

    Watch out: This date sits before the repossession, not at it. It is the loan, not the seizure.

  3. 3
    Dealers only

    The vehicle

    Make, type, vehicle identification number, year, model, body style and the odometer reading.

    Watch out: The identification number on this affidavit and the one on the certificate have to be the same characters. A mismatch here is the one thing a buyer can check for themselves.

  4. 4
    Dealers only

    The covenants violated

    A free line under the printed default recital, for whatever else the security agreement required.

    Watch out: Missed payments are already covered by the printed sentence. This line is for the rest - insurance dropped, the vehicle moved out of state, a lien allowed to attach.

  5. 5
    Dealers only

    Disposition

    The purchaser's name and address, or the secured party's own name where the lender kept the car.

    Watch out: If you are buying from a dealer whose stock came this way, the name on this line should be the dealership you are standing in.

  6. 6
    Dealers only

    Signature and oath

    The affiant signs, and the person administering the oath signs, dates and gives a commission number and expiration.

    Watch out: An unsworn copy is not a document. If a seller shows you an unsigned repossession affidavit, the transfer has not happened yet.

At a glance

What goes where

On the formWhat to put in it
The affiant and the secured partyA name, a job title with the printed examples President and Secretary beside it, the name of the secured party and the city it sits in.
The security agreementA day, a month and a year, then the name of the debtor who entered into a security agreement with the secured party or the assignor.
The collateralMake of vehicle and type of vehicle - passenger car, trailer and so on - then a serial or identification line.
Vehicle identificationVehicle identification number, year, model and body style on one row.
Odometer readingOne box, with the printed note that an odometer reading is required on all transfers.
Where the financing was recordedThe date the financing was titled, a file number, and the county court clerk's office it sits in.
The defaultA printed recital that possession has been lawfully taken because the debtor has defaulted in the payment of one or more of the cash instalments, followed by a free line for any covenants violated.
DispositionThe name and address of the purchaser the vehicle has been disposed of to, or the secured party's own name where it has been retained in satisfaction of the debtor's obligation.
The last plateThe last Kentucky licence number issued for the vehicle, its county, and the year.
Signature and juratThe affiant's signature, then subscribed and sworn to before me by, a day, a month, a year, and the signature of the person administering the oath with a commission number and expiration.

What gets this one rejected

Rules that decide whether it is accepted

Every line here was read off TC 96-192 (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.

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