Form Pub. Ks-1526 - Kansas Business Taxes For Motor Vehicle Transactions Page 32
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44Audit Services
Kansas Department of Revenue
Phone: 785-296-7108
915 SW Harrison St
Fax: 785-296-0531
Topeka, KS 66625-7719
i
Department of Revenue
Nick Jordan, Secretary
Sam Brownback, Governor
Steve Stotts, Director of Taxations
AFFIDAVIT OF DELIVERY OF A MOTOR VEHICLE, SEMITRAILER, POLE TRAILER OR AIRCRAFT TO A
NONRESIDENT OF KANSAS AND TO BE TITLED AND BASED OUTSIDE THE STATE OF KANSAS
STATE OF KANSAS
)
) ss:
COUNTY OF
)
AFFIDAVIT
I,
hereby swear that the purchase of the
(Dealer’s Name)
(Year)
(Make)
motor vehicle, semi-trailer, pole trailer or aircraft purchased by
(Identification No.)
(Name of Purchaser)
from
(Dealer's Name and Address)
evidenced by invoice number
, dated
, for a total selling price of $
,
of which $
, was allowed as a trade-in making a net sales price of $
, and was
pursuant to K.S.A. 79-3606(k) exempt from the imposition of the Kansas sales tax as the motor vehicle, semi-trailer, pole trailer or
aircraft is to be registered and based in
and will not remain in this state more than ten (10) days. I
(City, State)
further swear that the purchaser is a bona fide resident of the state of
and that the purchaser's correct mailing
(State)
address is
(Purchaser’s Street Address)
(City, State, Zip Code)
(Phone Number)
I hereby consent to and authorize the Director of Taxation to furnish to the appropriate officials of my home state charged with the
enforcement of the excise tax laws of that state the information contained in this affidavit pertaining to this transaction. I understand
that the purpose of providing this information to the taxing officials of my state of residence is to allow the imposition of any taxes due
on the importation, use or storage of this vehicle or aircraft in the state of registration.
Further affiant says not.
Purchaser’s Name
(Print)
Purchaser’s Driver’s License Number
Purchaser’s Signature
(Give title if signing for company or organization)
Original Copy — Vehicle or Aircraft Dealer
Duplicate Copy — Audit Services
Triplicate Copy — Purchaser
(SEE REVERSE SIDE FOR INSTRUCTIONS)
ST-8B
(Rev. 3/12)
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