Form 71a100 - Affidavit Of Total Consideration Given For A Motor Vehicle - 2011

ADVERTISEMENT

71A100 (4-11)
AFFIDAVIT OF TOTAL CONSIDERATION
Commonwealth of Kentucky
GIVEN FOR A MOTOR VEHICLE
DEPARTMENT OF REVENUE
SELLER SECTION
BUYER SECTION
Date of Purchase
____________________________________________________
____________________________________________________
Social Security No. or Federal ID No.
Name of Seller
Social Security No. or Federal ID No.
Name of Buyer
____________________________________________________
____________________________________________________
Street Address
Phone No.
Street Address
Phone No.
____________________________________________________
____________________________________________________
City
County
State
ZIP Code
City
County
State
ZIP Code
VEHICLE IDENTIFICATION SECTION
VEHICLE TRADE-IN SECTION
$
____________________________________________________
____________________________________________________
Vehicle Identification Number
Title Number
Trade-in Allowance
____________________________________________________
____________________________________________________
Year
Make
Model
Body Style
Cylinders
Year
Make
Model
Plate Number
KRS 138.450(9) defines “Total Consideration Given” as the amount given, valued in money, whether received in money or
otherwise, at the time of purchase or at a later date, including consideration given for all equipment and accessories, standard and
optional, as attested to in a notarized affidavit signed by both the buyer and the seller.
NEW VEHICLES
USED VEHICLES
Total Consideration Given*
Selling Price
$ __________________
(Total selling price with no
deduction for trade-in.)
$ __________________
Less Trade-in Allowance
$ __________________
Total Consideration Given*
$ __________________
Comments
*Total consideration given includes cash, the amount financed, and the value, in money, of other items (boats, trailers, guns,
etc.) offered in trade for the vehicle being purchased, but does not include the value of any rebates, service contracts, extended
warranties, finance charges, etc. In the case of new vehicles, total consideration includes the value assigned by the dealer for
any vehicle traded in. In the case of used vehicles, total consideration does not include the value assigned by the seller for any
motor vehicle traded in.
Any person who willfully and fraudulently gives a false statement as to the total and actual consideration paid for a motor
vehicle under Section 3 of this Act shall be guilty of a Class D felony and shall be fined not less than $2,000 per offense.
I declare and affirm under penalty of law that the information given herein to the best of my knowledge and belief represents the
“total consideration given” in exchange for the vehicle and “trade-in allowance” granted for any vehicle traded in.
Seller’s Signature
Date
Buyer’s Signature
Date
Attesting Official
Title
Attesting Official
Title
Subscribed and sworn to before me this ______day of ______ 20____
Subscribed and sworn to before me this ______day of ______ 20____
My commission expires _________________________________________
My commission expires _________________________________________

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Vtr-122 - Rights Of Survivorship Ownership Agreement For A Motor Vehicle Form Vtr-122 - Rights Of Survivorship Ownership Agreement For A Motor Vehicle Legal
Form 2699 - Statement Of Form 2699 - Statement Of "qualified Personal Property" By A "qualified Business" - 2011 Financial
Form Mh - Return Of Tangible Personal Property For Mobile Home(s) - 2011 Form Mh - Return Of Tangible Personal Property For Mobile Home(s) - 2011 Financial
Form Mvu-33 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle Transferred To A Disabled Person - 2011 Form Mvu-33 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle Transferred To A Disabled Person - 2011 Financial
Form G-27a - Motor Vehicle Use Tax Certification - Affidavit In Support Of A Claim For Exemption From Use Tax For A Motor Vehicle Transferred As A Gift Form G-27a - Motor Vehicle Use Tax Certification - Affidavit In Support Of A Claim For Exemption From Use Tax For A Motor Vehicle Transferred As A Gift Financial
Form Mvu-23 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle, Trailer Or Other Vehicle Transferred To An Insurer Form Mvu-23 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle, Trailer Or Other Vehicle Transferred To An Insurer Financial
Form Mvu-33 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle Transferred To A Disabled Person - Massachusetts Department Of Revenue Form Mvu-33 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle Transferred To A Disabled Person - Massachusetts Department Of Revenue Financial
Form Mvu-25 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle Transferred By A Business Entity Form Mvu-25 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle Transferred By A Business Entity Financial
Form Mvu-26 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle Transferred Within A Family Form Mvu-26 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle Transferred Within A Family Financial
Form Mvu-24 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle Transferred As A Gift Form Mvu-24 - Affidavit In Support Of A Claim For Exemption From Sales Or Use Tax For A Motor Vehicle Transferred As A Gift Financial

Related Categories

Parent category: Financial
Download
Go