Form Au-463 - Motor Vehicle And Vessel Gift Declaration
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1S
C
TATE OF
ONNECTICUT
Motor Vehicle and Vessel
Gift Declaration
I, _______________________________________________ the undersigned (donor), residing at
Donor’s name (print)
_____________________________________________________________________, state that:
Street address
City
State
on or about ________________________________, I transferred ownership and title of a
Date
Motor Vehicle or
Vessel ________________________________________________
Motor Vehicle or Hull Identification Number (VIN or HIN)
___________ ________________________ _________________________________________
Year
Make
Model
to _____________________________________________________ (donee),
Donee’s name (print
)
receiving no compensation in return, in either cash, property or personal services;
There has been neither a promise to pay for said vehicle or vessel nor any expectation of any
future compensation in either cash, property or personal services from the donee; and
The donee has not assumed payment of any chattel mortgage or conditional bill of sale on the
vehicle or vessel described above.
I declare under penalties of false statement that I have examined this information and to the best
of my knowledge and belief it is true, complete, and correct. (The penalty for false statement is
imprisonment not to exceed one year or a fine not to exceed two thousand dollars, or both.)
Donor:
Print donor name
Donor signature
Date
Donee:
Print donee name
Donee signature
Date
AU-463 (Rev. 12/2012)
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Parent category: Financial