I certify to be the current registered owner of the above vehicle Signature of Vehicle Owner Date VETERANS ADMINISTRATION CERTIFICATION I the undersigned certify that the above named veteran making application for veterans registration is Check appr ID: 32722
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n n ��TR-103 (Rev. 06/16) KANSAS DEPARTMENT OF REVENUE APPLICATION FOR DISABLED VETERANS LICENSE PLATE www.ksrevenue.org Vehicle Information: Present License Plate Number:Expiration Date (month/year): Veteran Information: Name: Street Address City State Zip Auto Truck Truck Weight lbs. Motorcycle Year: Make:Style:VIN: I certify to be the current registered owner of the above vehicle. Signature of Vehicle Owner: Date: Veterans Administration Certification: I, the undersigned, Regional Director Veterans Administration Street Address City Instructions Application must be signed by the vehicle owner applying for disabled veteran status.