Form St-109 - Boat Registration Sales Tax Affidavit

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ST-109

Idaho State Tax Commission

EFO00165

BOAT REGISTRATION SALES TAX AFFIDAVIT

8-29-12

To be completed by any person TRANSFERRING or obtaining a NEW boat registration.

Driver's license number

Name of seller

Driver's license number

Street address

Phone number

Address of seller

City, State, Zip

Year

Make

Model

VIN/HIN

Gross sales price of boat ................................................................................................................................................................ $

Trade-in Allowance: Enter an amount here ONLY if item is traded in to a dealer

Item___________________________________________________________Amount ...................................... $

Net taxable sales price (Line 1 minus line 2) ................................................................................................................................... $

Idaho Sales Tax Due (Apply current tax rate to line 3) .................................................................................................................... $

a. Sales Tax paid to Idaho dealer ...................................................................................................... $

b. Sales Tax paid to another state - Name of state

IDAHO TAX DUE: Subtract line 5a or 5b from line 4. If equal to or less than zero, enter zero. ...................................................... $

IF YOU HAVE PAID THE IDAHO SALES TAX TO A DEALER, STOP HERE AND SIGN BELOW.

Check appropriate box.

I OWE THE TAX, because:

The dealer or seller did not collect the tax. I will remit the tax due directly to the State Tax Commission within 15 days.

The out-of-state dealer charged me another state's sales tax that is less than the amount due the state of Idaho. I will provide a copy of the sales invoice

and pay the difference due on line 6 to the State Tax Commission within 15 days.

Other _______________________________________________________________________________________________________

I DO NOT OWE THE TAX, because:

I purchased the boat out-of-state and paid tax to an out-of-state dealer. I will provide a copy of the sales invoice to the Idaho State Tax Commission

within 15 days.

Other _______________________________________________________________________________________________

IMPORTANT!! Read before signing.

I realize that the statements I make here will be verified by the State Tax Commission. I also realize that I am responsible for paying any tax due directly to the

State Tax Commission within 15 days of this registration. If I do not forward the payment or the required information within the 15 days, I realize that the State

Tax Commission will pursue collection of the tax plus penalties and interest as provided by the Idaho Sales Tax Act.

Under penalties of perjury I swear that the above information is true and

correct to the best of my knowledge.

Buyer's Signature

Date

Vendor I.D.

Date

VENDOR Complete this Portion >

OWNER return copy of this form along with any required documentation or payment to:

IDAHO STATE TAX COMMISSION

Tax Discovery Bureau

P.O. Box 36