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Commonwealth of Kentucky
Department of Revenue
Settled with insurance company
On January 1
Statement showing another state as residency required
Upload copy of proof
On January 1
Prior to January 1
Upload description of the damage or related documentation
Any other reason not already listed above
I understand that if this vehicle/ boat has been junked and the tag and title have not been returned to the County Clerk office and I do not have these items in my possession that i must contact the clerks office.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I hereby swear (affirm) under penalty of perjury that the information above is true and correct. I further attest that the property taxes on the above listed vehicle be corrected/ exonerated for the assessment date(s)
Enter current year
It is now ordered, under the authority of the Kentucky Revised Statutes 133.110 and 133.130, that said error be corrected in accordance with the department of Revenue policy based on information listed above.
Signature of the Property Valuation Administrator
The PVA's signature authorizes the clerk to reverse the Ad Valorem tax (if paid) from the system. The PVA will then correct the tax segment and inform the clerk of the next step.
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