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

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Seller’s Certificate
Out-of-State Delivery
To Be Completed At The Time Of Delivery
By The Person Who Delivers The Vehicle To The Buyer
I certify that today I delivered the vehicle described in the Buyer’s Certificate, REV 27 0004, to:
, at
Name of Buyer
Place of Delivery
(If the vehicle sold was previously licensed with Washington plates) I further certify that the Washington
state license plates were removed by
, agent of the seller.
Date
Signature of the Person Who Delivered the Vehicle to the Buyer
Title ─ Officer or Agent
THE FOLLOWING STATEMENTS MUST BE INITIALED BY THE PERSON
WHO DELIVERED THE VEHICLE TO 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 the buyer as
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 0005 (3/12/08)

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