Form 51a154 - Certificate Of Exemption
Download a blank fillable Form 51a154 - Certificate Of Exemption in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 51a154 - Certificate Of Exemption with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
151A154
COMMONWEALTH OF KENTUCKY
DEPARTMENT OF REVENUE
1-05
SALES AND USE TAX DIVISION
FRANKFORT, KENTUCKY 40620
DEPARTMENT OF REVENUE USE ONLY
IMPORTANT
Form to be executed in triplicate, exemption
will be disallowed if complete and correct
information is not furnished.
CERTIFICATE OF EXEMPTION
OUT-OF-STATE DELIVERY FOR AIRCRAFT, ALL TERRAIN VEHICLE (ATV),
MOBILE/MANUFACTURED HOMES, CAMPERS, BOATS, MOTORS OR TRAILERS
Name of Purchaser __________________________________________________
Telephone Number __________________
Address __________________________________________________________________________________________________
City, State, ZIP Code ________________________________________________________________________________________
I hereby certify under penalty of perjury that the tangible personal property described below is purchased exempt from Kentucky
sales tax and will be delivered by the seller or his agent immediately to the State of
_______________________
and the
information contained herein is true and correct. I further understand that the tangible personal property described herein is not
to be returned to this state for use.
Purchaser’s Signature
Title
Date
New
Used
Name of Seller
_____________________________________
Address
_____________________________________
Aircraft
ATV
City, State, ZIP Code
_____________________________________
Mobile/Manufactured Home
Sales and Use Tax Permit Number _____________________________________
Camper
Telephone Number
_____________________________________
Boat, Motor and/or Trailer
Other
Make
_________________________________________________________
Total Sales Price
$ ___________________
Model _________________________________________________________
(plus options/dealer prep)
Year
_________________________________________________________
Trade In/Discount
$ ___________________
Serial Number ___________________________________________________
Net Sales Price
$ ___________________
Signature of Seller or Authorized Representative
Date
AFFIDAVIT FOR OUT-OF-STATE DELIVERY
State of __________________________________________________
County of __________________________________
I, _______________________________________________________ ,
Address ____________________________________
being duly sworn according to law, depose and say that I have personally delivered the aircraft, ATV, mobile/manufactured
home, camper, boat, motor or trailer, or other tangible property described above to:
Name
Address
Date
Location (Must be completed if property is delivered to a location different from purchaser’s address, P.O. Box is not acceptable.)
Check status of person making delivery.
Seller
Employee of Seller
Signed ____________________________________________
INSTRUCTIONS: The Certificate of Exemption—Out-of-State Delivery must be executed in triplicate by the seller and buyer at
the time of the sale of the tangible personal property. The affidavit for out-of-state delivery must be executed in triplicate by the
person actually making delivery of the tangible personal property within two days of the time of delivery. The original (white
copy) of the certificate must be retained in the file of the seller; the duplicate (canary copy) must be mailed by the seller within 30
days of the sale to the Department of Revenue, Sales and Use Tax Division, P.O. Box 1274, Frankfort, Kentucky 40602-1274; and
the triplicate (pink copy) should be furnished to the out-of-state purchaser.
COPY DISTRIBUTION:
WHITE—Seller
CANARY—Department of Revenue
PINK— Purchaser
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial