Form Rev 27 - Washington Buyer'S Certificate Out-Of-State Delivery printable pdf download

Form Rev 27 - Washington Buyer'S Certificate Out-Of-State Delivery

Buyer’s Certificate

Out-of-State Delivery

To Be Completed By The Buyer

At Time Of Delivery Outside Washington State

Buyer’s Name

Street and Number or Rural Route

City, Town, or Post Office

State

Zip Code

, I purchased from

the following vehicle:

Date

Name of Seller

Make:

Model:

Year:

Serial No. (VIN):

Under the terms of the sales agreement the seller was required to, and did on this day, deliver this vehicle

to me at

, in

Place of Delivery

State

Dated at

, this

day of

, 20

City & State

Service No. if Member of

Buyer’s Signature

Armed Services

THE FOLLOWING STATEMENTS MUST BE INITIALED BY THE BUYER

I certify under penalty of perjury under the laws of the State of Washington that all of the

information on this certificate is true. I further understand that I may be subject to criminal

prosecution or other legal penalties for providing false information on this certificate.

I have completed and signed this certificate after the vehicle was delivered to me at the place

and time described above.

For tax assistance, visit dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in an alternate

format for the visually impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985.

REV 27 0004 (3/12/08)

Form Rev 27 - Washington Buyer'S Certificate Out-Of-State Delivery