Form Au-677 - Declaration Of Payment Of Connecticut Sal Es And Use Tax On A Motor Vehicle Or Vessel - 2011
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1STATE OF CONNECTICUT
DEPARTMENT OF REVENUE SERVICES
Declaration of Payment of Connecticut Sales and Use Tax on a Motor Vehicle or Vessel
Purpose: A purchaser and a retailer of a motor vehicle or vessel use Form AU-677 to confirm that sales tax was properly
paid to the State of Connecticut and the motor vehicle or vessel does not qualify for exemption under Conn. Gen. Stat.
§12-412(60).
Under Connecticut law, every motor vehicle or vessel retailer making a retail sale of a motor vehicle or vessel within
Connecticut must collect Connecticut sales and use tax at the time of the sale, unless the sale is exempt.
Under Conn. Gen. Stat. §12-412(60), the sale of a motor vehicle or vessel by a Connecticut retailer is exempt only if the
purchaser: (a) is not a resident of Connecticut, (b) does not maintain a permanent place of abode in Connecticut, and (c)
will not present the motor vehicle or vessel for registration with the Connecticut Department of Motor Vehicles.
The sale of the motor vehicle or vessel described below does not qualify for exemption under Conn. Gen. Stat.
§12-412(60) for the following reason(s):
The purchaser is a resident of Connecticut.
The purchaser, purchaser’s spouse or legal guardian maintains a permanent place of abode in Connecticut.
The purchaser has registered the motor vehicle or vessel in Connecticut (includes temporary registration).
The Connecticut sales and use tax was properly charged and collected at the time of the sale.
Motor Vehicle or Vessel Identification
Motor Vehicle Make
Model
Year
Color
Vehicle ID No.
Vessel Make
Model
Year
Type
Length
Hull ID No.
Date of Sale
Retail Price
Trade-in Allowance
Tax Collected
Purchaser Information
Purchaser’s Name
Street Address
City
State
ZIP Code
Retailer Information
Retailer’s Name
Address
Telephone No. (
)
Connecticut Tax Reg. No.
Retailer’s Declaration
I, the undersigned authorized agent of the retailer named above, declare under the penalty of false statement that to the
best of my knowledge the sale of the motor vehicle or vessel described above to the purchaser named above was not
exempt from Connecticut sales and use tax under Conn. Gen. Stat. §12-412(60), that Connecticut sales and use tax was
properly charged and collected on the sale, and that the purchaser is not eligible for a refund of such tax. (The penalty for
false statement is imprisonment not to exceed one year, a fine not to exceed two thousand dollars, or both.)
Signature of Retailer’s Authorized Agent _____________________________________ Date
Print Name
Title
AU-677 (Rev. 07/11)
TWENTY-FIVE SIGOURNEY STREET, SUITE 2
HARTFORD, CONNECTICUT 06106-5032
Affirmative Action / Equal Opportunity Employer
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