Form 51a270 - Certificate Of Sales Tax Paid On The Purchase Of A Motor Vehicle
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151A270 (8-06)
Certificate of Sales Tax Paid
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
on the Purchase of a Motor Vehicle
NAME OF DEALER
DATE OF SALE
Dealer’s FEIN
Motor Vehicle
Dealer’s KY Sales and
(Federal Identification
Dealer Number
Use Tax Permit Account Number
Number, 9 digits)
(6 digits)
Address of Dealer
City
State
ZIP Code
NAME OF PURCHASER(S) (PRINT OR TYPE)
Address of Purchaser
City
State
ZIP Code
Vehicle Identification Information of Purchase
VIN (Vehicle Identification Number)
Year
Make
Model
Calculation of Sales Tax
Trade-in Information
VIN (Vehicle Identification Number)
1. Total Selling Price .........................
_________________
2. Trade-in Allowance .......................
_________________
Year
Make
Model
(Like-kind exchanges only)
3. Amount Subject to Tax ..................
_________________
(Line 1 minus Line 2)
4. Amount of Tax Collected ...............
_________________
(Line 3 multiplied by 6% (.06))
Under penalties of perjury, I hereby certify that the information shown on this certificate is true and correct, and the
amount of Kentucky sales tax was collected from the purchaser for remittance to the Department of Revenue.
Authorized Signature of Seller _________________________________
Title ________________________________________________
Date _______________________________________
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