Form Dtf-806 - Application For Refund Or Credit Of Sales Or Use Tax Paid On A Casual Sale Of Motor Vehicle
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2DTF-806
New York State Department of Taxation and Finance
Application for Refund or Credit of Sales or Use Tax
(5/11)
Paid on a Casual Sale of Motor Vehicle
Use this application to request a refund or credit of sales or use tax already paid on the casual sale of a motor vehicle. You cannot
use this application to request a refund of motor vehicle registration fees.
Section 1 — Applicant information
(Type or print legibly.)
Name
Telephone number
NYS Sales Tax ID number
or EIN or social security number
(Legal business name, including DBA or individual)
(if registered)
(
)
Mailing address
Refund claimed
(number and street or rural route)
$
City
State
ZIP code
County
Credit claimed
$
Representative’s name (
); see instructions
Telephone number
Total consideration paid for vehicle including money
if any
and other property or services
(
)
Representative’s mailing address
(number and street or rural route)
$
City
State
ZIP code
Explanation of your claim:
• Include copies of all supporting documents (see instructions).
• Use additional sheets, if necessary. Make sure your name and ID number are on each sheet.
• We can’t process applications that aren’t signed, don’t include supporting documents, or that are in any other way incomplete.
Section 2 — Previous owner information
Last name, first name, middle initial or business name
Telephone number
(
)
Number and street address
City
State
ZIP code
Section 3 — Vehicle information
Year
Make
Model
Cylinders Identification number
Section 4 — Certification
I,
, the applicant named above, or partner, officer, or other authorized
representative of such applicant, do hereby:
• make application for credit and/or refund of tax, pursuant to the New York State Tax Law; and
• certify that the above statements, and any documents provided to substantiate the credit or refund claimed, are true, complete and
correct and that no material information has been omitted; and
• certify that all of the tax for which this claim is filed has been paid, and no portion has been previously credited or refunded to the
applicant by any person required to collect tax; or, if the claim for credit or refund is made by a person required to collect tax, that
the amount claimed has previously been refunded to the appropriate purchaser; and
• certify that no amount claimed has previously been subject to a credit or refund; and
• make these statements with the knowledge that willfully providing false or fraudulent information with this document with the intent
to evade tax may constitute a felony or other crime under New York State Law, punishable by a substantial fine and a possible jail
sentence; and
• understand that the Tax Department is authorized to investigate the validity of the credit or refund claimed and the accuracy of any
information provided with this claim.
Applicant’s signature
Date
/
/
Representative’s signature (
)
Representative’s ID number
Date
if any
/
/
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