Form 14-317 - Affidavit Of Motor Vehicle Gift Transfer
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CLEAR FIELDS
14-317
Affidavit of Motor Vehicle Gift Transfer
(Rev.6-11/4)
(must be filed in person by recipient or donor. See instructions.)
STATE OF TEXAS
COUNTY OF ______________________
Vehicle Information
Year
Model
Make
Vehicle Identification Number (VIN)
Donor’s relationship to recipient (also includes in-law relationships) – Check one (must be one of the following as defined by Tax Code §152.025(a))
(Vehicle previously held as
Parent/Stepparent
Child/Stepchild
Spouse
separate property; see TAC §3.80)
Grandchild
Sibling
Grandparent
Guardian
Decedent’s estate
Qualified nonprofit IRC §501(c)(3),
donor or recipient
Donor Certification
Name
Phone (area code and number)
Mailing address
City
State
ZIP code
I hereby certify that all statements in this document are true and correct to the best of my knowledge and belief. This
motor vehicle is being transferred without consideration, including no assumption of debt.
sign
sign
here
here
SIGNATURE OF dONOR / ExECUTOR
SIGNATURE OF dONOR / ExECUTOR
SWORN TO and SUBSCRIBED before me on this the ______ day of _________________ A.D. _______ .
sign
here
(SEAL)
NOTARY PUBLIC FOR THE STATE OF ______________________________
AUTHORIzEd EmPLOYEE OF THE TAx ASSESSOR-COLLECTOR’S OFFICE
Recipient Certification
Name
Phone (area code and number)
Mailing address
City
State
ZIP code
I hereby certify that all statements in this document are true and correct to the best of my knowledge and belief. This
motor vehicle is being transferred without consideration, including no assumption of debt.
sign
sign
here
here
SIGNATURE OF RECIPIENT
SIGNATURE OF RECIPIENT
SWORN TO and SUBSCRIBED before me on this the ______ day of _________________ A.D. _______ .
sign
here
(SEAL)
NOTARY PUBLIC FOR THE STATE OF ______________________________
AUTHORIzEd EmPLOYEE OF THE TAx ASSESSOR-COLLECTOR’S OFFICE
Faxed notary public authorizations are accepted.
Tax Code §152.101 provides a penalty to a person who signs a false statement. An offense under this section is a felony of the third degree.
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