Form St-108a - Certificate Of Sales Tax Paid Or Exemption For Auctions

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Form
Indiana Department of Revenue
ST-108A
Certifi cate of Sales Tax Paid or Exemption for Auctions
State Form 53560
(R3 / 06-13)
For the Purchase of a Vehicle or Watercraft Sold by an Auction
NOT Acting in the Capacity of a Dealer Licensed with the Secretary of State
Section A - Auction Information
Name of Auction (legal name)
Auction’s RRMC #
(Registered Retail Merchant Certifi cate Number)
TID# (10 digits)
LOC# ( 3 digits)
Address of Auction
City
State
Zip Code
I hereby certify that the information shown on this certifi cate is true and correct, and the amount of gross retail sales/use tax was col-
lected from the purchaser, unless an exemption was claimed. I also understand that any false information may result in the revoca-
tion of my gross retail sales/use tax certifi cate.
Date ________________________ Printed Name of Agent ________________________________________________________
Signature of Agent ___________________________________________________________
Title _______________________________________________________________________
Section C -
Section B - Calculation of Sales/Use Tax
Vehicle Identifi cation Information of Purchase
VIN
or HIN
(Vehicle Identifi cation Number)
(Hull Identifi cation Number)
1. Total Selling Price
$
(must be shown for all sales).....
1.
Year
Make
Model
2. Amount of Tax Collected
$
(Line 1 multiplied by 7% (.07))...
2.
IC 6-2.5-9-6 requires that a person titling a vehicle or watercraft at a Bureau of Motor Vehicles license branch present certifi cation in-
dicating that the state gross sales and use tax has been paid. The Line 1 selling price and Line 2 tax collected amounts must be
completed for all purchases, both taxable and exempt.
Printed Name of Purchaser: _________________________________________
Section D - Certifi cation of Exemption Claimed
The exemptions that are available are listed on the other side of this form.
PUBLIC TRANSPORTATION EXEMPTION (Must be completed if exemption # 6 is claimed and the purchaser is not a school bus
operator.)
USDOT # (U.S. Department of Transportation Number) ___________________________________________________________
I certify that the above vehicle or watercraft is exempt from sales/use tax under exemption number ___________________
(see reverse side). I understand making a false statement on this form may constitute the crime of perjury.
Date ________________________ Printed Name of Purchaser ____________________________________________________
Signature of Purchaser ________________________________________________________
SSN, TID, or FID number
(Mandatory only if claiming sales tax exemption) _________________________________________________________________

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