Form TC96-322 "Affidavit of Mileage Correction" - Kentucky

What Is Form TC96-322?

This is a legal form that was released by the Kentucky Transportation Cabinet - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2020;
  • The latest edition provided by the Kentucky Transportation Cabinet;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form TC96-322 by clicking the link below or browse more documents and templates provided by the Kentucky Transportation Cabinet.

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Download Form TC96-322 "Affidavit of Mileage Correction" - Kentucky

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Kentucky Transportation Cabinet
TC 96-322
05/2020
Division of Motor Vehicle Licensing
AFFIDAVIT OF MILEAGE CORRECTION
(Attach this form to your Title and Registration application documents and forward to your County Clerk.)
I,
hereby state that upon transfer to
(Previous Owner/Seller)
on this
(New Owner/Buyer)
(Year)
(Make)
(VIN)
(Title Number)
Vehicle, the odometer was stated incorrectly.
The mileage should have been recorded as
and noted as (select one):
Actual mileage
Exceeds mechanical limits
Not actual mileage
Federal and state laws require mileage to be disclosed by the seller under KRS 190.300 in connection with all transfers of
ownership. Failure to complete, or providing a false statement, may result in fines and/or imprisonment.
(Seller’s signature)
(Buyer’s Signature)
(Printed Name of Seller)
(Printed Name of Buyer)
(Attesting Official)
(Title)
Subscribed and sworn to before me this
day of
,20
My commission #: _______________________________
My commission expires ______/______/__________.
MM
DD
YYYY
__________________________________________________
(Printed Name)
Kentucky Transportation Cabinet
TC 96-322
05/2020
Division of Motor Vehicle Licensing
AFFIDAVIT OF MILEAGE CORRECTION
(Attach this form to your Title and Registration application documents and forward to your County Clerk.)
I,
hereby state that upon transfer to
(Previous Owner/Seller)
on this
(New Owner/Buyer)
(Year)
(Make)
(VIN)
(Title Number)
Vehicle, the odometer was stated incorrectly.
The mileage should have been recorded as
and noted as (select one):
Actual mileage
Exceeds mechanical limits
Not actual mileage
Federal and state laws require mileage to be disclosed by the seller under KRS 190.300 in connection with all transfers of
ownership. Failure to complete, or providing a false statement, may result in fines and/or imprisonment.
(Seller’s signature)
(Buyer’s Signature)
(Printed Name of Seller)
(Printed Name of Buyer)
(Attesting Official)
(Title)
Subscribed and sworn to before me this
day of
,20
My commission #: _______________________________
My commission expires ______/______/__________.
MM
DD
YYYY
__________________________________________________
(Printed Name)