Form Stec Nr - Affidavit Regarding Sale Of A Motor Vehicle, Off-Highway Motorcycle Or All-Purpose Vehicle To An Out-Of-State Resident

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STEC NR
Rev. 3/04
Reset Form
tax.ohio.gov
Affidavit Regarding Sale of a Motor Vehicle,
Off-Highway Motorcycle or All-Purpose Vehicle to an Out-of-State Resident
The undersigned hereby certifies that on
Date of sale
the following motor vehicle, off-highway motorcycle or all-purpose vehicle was purchased from:
Name of vendor/seller
Vendor's license number, if any
Purchaser's name
Street address
City, state, ZIP code
Motor Vehicle, Off-Highway Motorcycle or All-Purpose Vehicle
Driver's license issued by state of
License number
Expiration date
Year
Make
Model
Body type
Vehicle identification number (VIN)
Name of state to be titled in
Purchase price $
Trade in $
Tax base $
Tax due, if any $
The purchaser further certifies that the purchaser is a nonresident of this state, that possession of the motor vehicle, off-
highway motorcycle or all-purpose vehicle is taken in this state for the sole purpose of immediately removing it from the state
of Ohio. Further, that the motor vehicle, off-highway motorcycle or all-purpose vehicle will be permanently titled and registered
in another state, and that the motor vehicle, off-highway motorcycle or all-purpose vehicle will not be used in the state of Ohio.
Purchaser’s signature
Sworn before me and subscribed in my presence this
day of
,
Year
Month
Notary public
To be prepared in triplicate. Original to be retained by vendor with two copies to the Clerk of Courts.

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