Affidavit Of Gift Of Motor Vehicle

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STATE OF RHODE ISLAND - DIVISION OF TAXATION
SALES AND USE TAX
AFFIDAVIT OF GIFT OF MOTOR VEHICLE
I ________________________________________________________________________
Full Name
__________________________________________________________________________
Address
City/Town
State
Zip Code
hereby depose and say that on ____________________ 19 ______ I did receive
and accept as a gift or grant a __________________________
Year and Make
__________________________________________________________________________
Model
Vehicle Identification No.
from______________________________________________________________________
Name
__________________________________________________________________________
Address
City/Town
State
Zip Code
I swear that no monies, services, barter arrangements or other articles or
things
of value or consideration in
any
form were paid
or given
in
connection with or relating to the gift of this vehicle.
If subsequent information discloses that the statements contained herein
are false, then all penalties imposed by law will be invoked.
Signed under penalty of perjury on this _______ day of _______ 19 _______
__________________________________
Grantee (Person receiving gift)

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