Sd Eform 1995 V1 - South Dakota Extended Or Additional Consideration Lease Tax Worksheet
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1SD EForm -
1995
V1
Complete and use the button at the end to print for mailing.
HELP
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South Dakota Extended or Additional
Division of Motor Vehicles
445 East Capitol Avenue
Consideration Lease Tax Worksheet
Pierre, SD 57501-3100
NOTE: This worksheet is to be used if a lease is extended from that of the initial lease period, or if additional
consideration is paid during the course of a lease or upon termination of a lease. The certificate of title does
not have to be submitted unless the lessor wants the additional tax amount shown on the title. Does not apply
to vehicles with a gross vehicle weight rating of 16,000 pounds or more, except fertilizer vehicles.
Leased Vehicle Information (please print or type)
Year: ______ Make: _________________________________Title Number: _________________________
VIN/Serial Number: _______________________________________________________________________
Owner Information (please print)
Name of Lessor: _________________________________________________________________________
Lessor’s Address:__________________________________City:
State:
Zip:
Name of Lessee: _________________________________________________________________________
Extended Lease or Additional Consideration Tax Information
1. Extended Lease Period
1.
0.00
[number of months ______________ x $______________ per month]
2. Additional Consideration
2.
[additional amount paid during the course of the lease or upon termination
of the lease]
3. Total
3.
0.00
[line 1 or 2; if both lines apply, add line 1 and 2]
4. SD Excise Tax
4.
0.00
[multiply line 3 by .03 for tax due]
Worksheet and additional taxes are to be submitted through the county treasurer’s office. For more information
or if you have additional questions, contact the SD Department of Revenue - Division of Motor Vehicles at
605-773-3541.
I certify that all figures are accurate to the best of my knowledge.
Signature
Date
MV-LTW-1 - 07/06
CLEAR FORM
PRINT FOR MAILING
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