Form 6mb - Nebraska Sales And Use Tax Statement

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Every person who sells a motor vehicle or trailer should complete this statement and give it to the purchaser. This form
can be obtained by contacting the Department or the county treasurer of the county in which it will be registered.
Nebraska Sales and Use Tax Statement
FORM
6MB
for Motorboat Sales
PURCHASER’S NAME AND ADDRESS
SELLER’S NAME AND ADDRESS
Purchaser’s Name
Seller’s Name
Street or Other Address
Street or Other Address
City
State
Zip Code
City
State
Zip Code
PURCHASED MOTORBOAT DESCRIPTION
Make of Boat
Year Manufactured
Hull Identification Number
Total Horsepower
Make of Motors
Serial Number of Motors
Boat Colors
Date of Purchase
TRADE-IN MOTORBOAT DESCRIPTION
Make of Boat
Year Manufactured
Hull Identification Number
Total Horsepower
Make of Motors
Serial Number of Motors
Boat Colors
Number Presently Assigned
TAX COMPUTATION
1 Total sales price ................................................................................................................................................
1 $
2 Less trade-in allowance ....................................................................................................................................
2
3 Less manufacturer’s rebate assigned to dealer at time of sale .........................................................................
3
4 Tax base (line 1 minus line 2 and line 3) ...........................................................................................................
4 $
5 Nebraska sales or use tax (line 4 multiplied by rate) ..............................................
5
6 Local sales or use tax (line 4 multiplied by rate) .....................................................
6
7 Nebraska and local tax due (line 5 plus line 6) ................................................................................................
7 $
8 Credit for tax paid to other states on this motorboat (attach documentation) ...................................................
8
9 Total Nebraska and local tax due (line 7 minus line 8) .....................................................................................
9
10 Penalty for late payment ...................................................................................................................................
10
11 Interest for late payment ...................................................................................................................................
11
12 BALANCE DUE (total of lines 9, 10, and 11) ....................................................................................................
12 $
Under penalties of law, I declare that I have examined this statement and, to the best of my knowledge and belief, it is correct and complete.
sign
here
Signature of Seller
Signature of Purchaser or Agent of Purchaser
Date
Nebraska Resale or Exempt Sale Certificate for Motorboat Sales
If exempt category 1 through 4 is claimed, requested information must be entered or attached.
Type of Exemption
Type of Exemption (Continued)
1
5
Purchase by an exempt organization holding Nebraska Certificate of Exemption
Purchase by a Nebraska governmental entity not engaged in the business of
furnishing gas, water, electricity, or heat.
Number 05 – ___________________________.
6
Motorboat is the subject of an intercompany sale between parent, subsidiary,
2
Purchase by a lessor. Sales tax on the fair market lease payments to be remitted
or brother-sister companies. Sales tax was paid by the seller company on its
under Nebraska Sales Tax Permit
purchase of this motorboat. (Appropriate documentation required.)
Number 01 – ___________________________.
7
Motorboat is a gift or received by inheritance. A gift is a voluntary transfer without
any consideration. The donor paid the tax on the previous transfer. If the person
3
Purchase by a Native American Indian residing on a Nebraska reservation and
accepting the motorboat as a gift or inheritance assumes a lien, mortgage, or
the motorboat is registered at a location within the boundaries of the reservation.
encumbrance, the amount owing shall be subject to sales and use tax. (Appropriate
Tax Exemption ID Card Number: _____________________________
documentation required.)
8
Transfer of the motorboat during the creation, reorganization, or dissolution of
4
Motorboat was purchased, licensed, and operated in a state other than
a corporation, limited liability company, or partnership solely for voting stock
Nebraska. Identify state: ________________________________________.
membership interest or partnership interest. Also, transfer of a motorboat as
additional capital to an ongoing corporation. (Appropriate documentation required.)
(Appropriate documentation required.)
Any purchaser or agent who completes this exemption certificate for any purchase which is not exempt from sales tax under the Nebraska Revenue
Act, as amended, will in addition to any tax, interest, or penalty otherwise imposed, be subject to a penalty of $100 or ten times the tax, whichever amount is
larger. Under penalties of law, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is correct and complete.
sign
here
Signature of Person Claiming Exemption
Date
FOR COUNTY USE ONLY
$
_____________________
Tax Paid
_______________________
Date Paid
NEBRASKA DEPARTMENT OF REVENUE — White and Green Copies
COUNTY — Yellow Copy
PURCHASER — Blue Copy
SELLER — Pink Copy
NEBRASKA DEPARTMENT OF REVENUE, PO BOX 94818, LINCOLN, NE 68509-4818
7-2011
6-362-1996 Rev.
Supersedes 6-362-1996 Rev. 7-2009

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