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Form Stec Nr - Affidavit Regarding Sale Of A Motor Vehicle, Off-Highway Motorcycle Or All-Purpose Vehicle To An Out-Of-State Resident

Affidavit Regarding Sale of a Motor Vehicle,

Off-Highway Motorcycle or All-Purpose Vehicle

STEC NR

to an Out-of-State Resident

Rev. 8/07

The undersigned purchaser hereby certifies that on

Date of sale

the following motor vehicle, off-highway motorcycle, or all-purpose vehicle was purchased from:

Name of dealer/seller

License number, if any

Purchaser’s name

Street address

City, state, ZIP code

Motor Vehicle, Off-Highway Motorcycle or All-Purpose Vehicle:

Driver’s license issued by state of:

License no:

Expiration date:

Year:

Make:

Model:

Body type:

Vehicle identification number (VIN):

Name of state to be titled in:

Purchase price: $

Trade in: $

Tax base: $

Tax due, if any: $

The purchaser further certifies that the purchaser is a nonresident of this state, that possession of the motor

vehicle, off-highway motorcycle or all-purpose vehicle is taken in this state for the sole purpose of immediately

removing it from the state of Ohio. Further, that the motor vehicle, off-highway motorcycle or all-purpose

vehicle will be permanently titled and registered in another state, and that the motor vehicle, off-highway

motorcycle or all-purpose vehicle will not be used in the state of Ohio.

Purchaser’s signature

Sworn before me and subscribed in my presence this _______ day of _______________________, _______.

month

year

Notary public

To be prepared in triplicate. Original to be retained by the vendor with two copies to the Clerk of Courts.

Form Stec Nr - Affidavit Regarding Sale Of A Motor Vehicle, Off-Highway Motorcycle Or All-Purpose Vehicle To An Out-Of-State Resident