Form St-7r - Motor Vehicle Certificate Of Payment Of Sales Or Use Tax

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Rev. 7/09
Audit
3
Form ST-7R
Massachusetts
Motor Vehicle Certificate
Department of
of Payment of Sales or Use Tax
Revenue
Purchaser’s name
Social Security or Federal ID number
Purchaser’s address
Description of motor vehicle or trailer sold:
Year of model
Make
Model name
Type
Vehicle identification number
Date of sale
A. Sale by licensed motor vehicle dealer.
Dealer must complete this schedule.
1. Gross sales price . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $ ______________
2a. Manufacturer’s excise (sec. 4061 (A) of IRC) (applies to new motor vehicles only) 2a. $ ______________
2b. Trade-in allowance, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b. $ ______________
Year ________ Make ___________________ VIN number ____________________
2b.
2c. Manufacturer’s rebate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c. $ ______________
2. Total adjustments. Add lines 2a, 2b and 2c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $ ______________
3. Taxable sales price. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. $ ______________
4. Sales tax. Multiply line 3 by .0625 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. $ ______________
B. Sale by a person other than a motor vehicle dealer
1. Gross sales price . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $ ______________
2. Use tax. Multiply line 1 by .0625 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $ ______________
I declare under the penalties of perjury that this certificate has been examined by me and to the best of my
knowledge and belief is complete, and the statements made herein are true and correct.
Purchaser:
Firm name (if any)
Date
Signature
Title
Seller (seller must also sign):
Firm name (if any)
License number (if dealer)
Signature
Title
Address
Sales/use tax registration number
Subject to verification and assessment by the Department of Revenue. Erroneous information will result in
suspension of registration. Make check or money order payable to the Commonwealth of Massachusetts.
For DOR use only:
Tax payment for the amount entered in section A or B above has been received.
Approved by
Number
Date
DOR COPY
30M 7/09 PCDOR2010JMBPRINTOFF15007

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Parent category: Financial
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