Form Center

2. First Name*
3. Middle Initial*
4. Last Name*
6. Address1*
7. Address2
9. City*
10. State*
11. Zip*
13. Phone #*
14. Email Address*
18. JET SKI INFORMATION
20. # of Jet Skis*
    -- Select One --12
21. KA #*
22. Hull #*
23. Year*
25. Horse Power / CC's*
26. Length*
27. Make*
28. Model
30. Purchase Date*
31. Purchase Price*
32. Address Where Property Is Kept*
34. KA #
35. Hull #
36. Year
37. Horse Power / CC's
39. Length
40. Make
41. Model
43. Were the Jetskis purchased together?
    -- Select One --YesNo
44. Purchase Date
45. Purchase Price
49. Trailer Information
51. Do you own a trailer?*
    -- Select One --YesNo
52. Trailer Capacity
    -- Select One --Single Craft Double CraftQuad Craft
53. Year
54. Make
56. Model
57. Was trailer purchased with Jet Ski*
    -- Select One --YesNo
58. Purchase Date*
59. Purchase Price*
63. The "OWNER" of record must provide the County Appraiser documentation on or before December 20th of the same year of "Acquisition" or "Sale" before the value can be prorated for the number of months the watercraft is owned. K.S.A. 79-306e
65. Please attach a Bill-of-Sale or Invoice
Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit Submit and Print

* indicates a required field