Form Mv-Ab2 - Affidavit - Rescission Of Sale Of A Motor Vehicle

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Rev. 4/99
Form MV-AB2
Massachusetts
Affidavit — Rescission of
Department of
Sale of a Motor Vehicle
Revenue
Please read the instructions below before completing this form. All entries must be printed except for signatures.
Part 1. Motor Vehicle Returned
Year
Make
Model
Vehicle identification number
Title number
Name of purchaser
Date of sale
Date vehicle returned
Street address
City/Town
State
Zip
I purchased the motor vehicle described above from:
Name of seller
Telephone
Street address
City/Town
State
Zip
Part 2. Following to Be Completed by Seller
Private parties must complete 1 and 2. Dealers must complete 1 through 5.
1. Have all monies been refunded (not including registration fees and taxes)?
Yes
No. If no, please explain:
2. Date vehicle returned to you
3. Was the above vehicle returned to stock?
Yes
No.
4. Was this a complete rescission of sale?
Yes
No.
5. Was the above vehicle accepted as a trade-in?
Yes
No.
I declare under the pains and penalties of perjury that I have reviewed this affidavit and the statements I have made in it and declare that they
are true, correct and complete.
Seller
Date
Purchaser
Date
Instructions
The purchaser of a motor vehicle may be entitled to a refund when a sale
Please note that your statements are to be made under the pains and pen-
is rescinded. The purchase price must be refunded in full, less any pre-
alties of perjury and that a statement which is made willfully and is false as
established handling fee and the motor vehicle returned within 180 days from
to a material matter may be punished as a felony under Massachusetts
the date of purchase.
General Laws, Ch. 62C s. 73, or Ch. 268 s. 1A. Perjury is a serious crime
and punishment can be severe.
Please submit the following when applying for an abatement:
1. Application for Abatement (CA-6).
Mail completed package to:
2. Copy of registration showing amount of sales tax paid.
Massachusetts Department of Revenue
3. Completed Affidavit — Rescission of Sale of a Motor Vehicle (MV-AB2).
Customer Service Bureau
Purchaser must complete Part 1.
PO Box 7031
Seller must complete Part 2.
Boston, MA 02204
Both purchaser and seller must sign this form.
(617) 887-MDOR

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