Two pages, and the second one is worth more than the first. Page one is a short affidavit swearing where the parts came from and that the finished vehicle is yours and clear of all liens. Page two is the Cabinet's own checklist of everything that has to travel with it - a properly assigned salvage title, a labour statement, a notarised application, a certified inspector's inspection, original receipts, and a photograph or pencil tracing of a motorcycle's numbers. A rebuilt application that arrives without page two's list is an application that comes back.
Written against TC 96-215 (Rev 11/2025), issued under KRS 186A.520 and KRS 186A.530.
The whole rebuilt process runs to a different address from an ordinary transfer: the Cabinet's Rebuilt Section in Frankfort, by post or by drop box, or through a county clerk. It is one of the few Kentucky vehicle transactions that does not begin and end at a clerk's counter.
Two documents, and they are not the same thing. Take the blank TC 96-215 from the transportation.ky.gov copy so you get the revision that is current today.
This is all 2 pages of the actual TC 96-215, 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.
Amber — you write it
Grey — not yours to fill
Numbered — explained below
Page 1 of 2. Short, and almost all of it is Section 2 - who sold you which parts. The sworn sentence at the foot ties the finished vehicle to those names.Page 2 of 2. The checklist that decides whether the envelope is complete: a properly assigned salvage title, the labour statement, a notarised application, a certified inspection, original receipts, and an insurer's letter where the damage was under three quarters of the value.
Field by field
Every line, in the order you meet it
1
You fill this in
Section 1, who is applying
Dealer or individual name, email and full address, with the county sworn in named on the rule above.
Watch out: The note beside this block is for dealerships only - it says their rebuilt title arrives already assigned to them. An individual's does not.
2
You fill this in
Section 2, every parts seller by name
One row per seller: who they were, and what you bought.
Watch out: If any of the parts were salvaged, the footnote wants a separate attached list naming each part and the identification number of the vehicle it came off.
3
You fill this in
Section 3, the vehicle you have built
Vehicle identification number, make, model number, body style and model year.
Watch out: This is the identification number of the vehicle being rebuilt, which is the one on the salvage title - not the number of any donor car.
4
You fill this in
Sign it, with your capacity beside it
Affiant signature, a title, and a date.
Watch out: An individual writes Owner in the title box. The sworn sentence above it says sole owner and clear of all liens, and both halves of that are checkable.
5
You fill this in
Have it notarised, then read page two before you post it
The notary block, then the numbered list of everything that has to go with the affidavit.
Watch out: Page two is the actual test. Assemble the whole envelope against that list before anything is sent, because a missing receipt costs another cycle.
At a glance
What goes where
On the form
What to put in it
Commonwealth of Kentucky, County of
One rule, above Section 1.
Section 1, affiant information
Dealer or individual name, email, mailing address, city, state and ZIP - with a printed note that dealers receive a printed title already assigned to the dealership.
Section 2, parts information
A two-column table - printed name of seller against parts purchased - with a footnote that if salvaged parts were used you must attach a list describing each part and giving the identification number of the vehicle it was taken from.
Additional comments and explanations
One free line under the parts table.
Section 3, vehicle description
Vehicle identification number, make, model number, body style and model year, with a motorcycle motor number line and the instruction to provide pencil tracings of both the motor and frame numbers.
Section 4, affiant statement
The sworn sentence: that the vehicle has been reconstructed from parts taken from other motor vehicles obtained from the sellers named in Section 2, and that the affiant is the sole owner of the vehicle produced, which is clear of all liens.
Signature, title, date and notary
Affiant signature with a title and a date, then a notary signature and title with a commission expiry and number.
Page two, required documentation
Where to send it, then the numbered list: a properly assigned salvage title as proof of ownership; this affidavit; the labour statement; a completed, signed and notarised application for title where the vehicle is from out of state, is junked in the Kentucky system, or where an affidavit of total consideration is being used; an inspection by a certified inspector; original receipts for all parts; pencil tracings or photos for a motorcycle; and an insurance statement on company letterhead where the vehicle is not 75 percent or more damaged.
Page two, the two deadlines
That applications are processed within 5 business days, and that approvals are valid for 60 days from the date of approval.
What gets this one rejected
•Parts bought from a person with no written statement behind them. Page two wants the seller's name, address and telephone number, the parts sold and the identification number of the vehicle they came from.
•Photocopied ownership documents. The Cabinet's rebuilt page says it will not accept copies of the salvage title or of the application.
•No certified inspector. The inspection is required by statute and it is a named line on page two.
•A vehicle that was not badly damaged, with nothing to explain it. Where the vehicle is not 75 percent or more damaged, page two asks for a statement from the insurance company on its letterhead describing the extent of the damage.
•Receipts that cover several vehicles with nothing marked. Page two asks the applicant to indicate which parts on the receipt were used on this vehicle.
•Letting the approval lapse. It is valid for 60 days, and after that the application is cancelled and the whole thing starts again.
Rules that decide whether it is accepted
•Section 2 is a chain of custody, not a shopping list. The affidavit's sworn sentence ties the finished vehicle to the sellers named in Section 2. That is what the state is actually checking.
•Clear of all liens is part of what you swear. So a rebuilt project financed on a loan against the donor vehicle is not something this affidavit can carry.
