Form St-108e- Department Of Revenue -Indiana
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Indiana Department of Revenue
ST-108E
Certifi cate of Gross Retail or Use Tax
State Form 48841
EXEMPTION for the Purchase of a
)
(R4 / 3-08
Motor Vehicle or Watercraft
NAME OF DEALER
Dealer’s RRMC #
(Registered Retail Merchant Certifi cate Number)
TID# (10 digits)
LOC# ( 3 digits)
Dealer’s FID #
Dealer’s License Number(seven digits)
(Federal Identifi cation Number, 9 digits)
Address of Dealer
City
State
Zip Code
NAME OF PURCHASER(S) (PRINT OR TYPE)
SSN, TID, OR FID # (Mandatory)
Address of Purchaser
City
State
Zip Code
Vehicles Identifi cation Information of Purchase
VIN #
Year
Make
Model/Length
(Vehicle Identifi cation Number) or HIN # (Hull Identifi cation Number)
Calculation Of Purchase Price
Trade in Information
VIN # (Vehicle Identifi cation Number) or HIN # (Hull Identifi cation Number)
1. Total Purchase Price .........................
1.
2. Trade-Allowance
(Like-kind exchanges only) ................
2.
Year
Make
Model/Length
3. Net Purchase Price
(Line 1 minus Line 2) .........................
3.
CALCULATION OF PURCHASE PRICE LINES 1, 2 & 3 MUST BE COMPLETED FOR ALL EXEMPTED PURCHASES
NEW RESIDENT STATEMENT Must Be Completed if Exemption # 8 is claimed, see reverse side.
I certify that I became a resident of INDIANA on (month & year) __________________________________.
My previous State of Residence was ___________________________. I hereby certify that the above statement is true and correct.
Date ______________ Signature of Owner __________________________________________________________________________________
SALES/USE TAX WORKSHEET To be completed if Sales and/or Use Tax was paid to a state other than Indiana, Exemption # 15. See reverse side.
Date of Purchase
1. Purchase price of property subject to sales/use tax .......................................................................... 1. $
2. Indiana sales/use tax due: Multiply Line 1 by sales/use tax percentage (7%) .................................. 2. ___________________________________
3. Credit for sales tax previously paid to another state.......................................................................... 3. ___________________________________
(Do not include fl at fees, local, and/or excise taxes.) In what state was the tax paid? __________
4. Total amount due: Subtract Line 3 from Line 2. ________________________________________ 4. $
(Line # 3 can not exceed Line # 2)
DIRECT RELATIVE IDENTIFICATION EXEMPTION (Must Be Completed if Exemption # 11 is claimed, see reverse side).
Name(s) on original title _________________________________________
Relationship of above parties ____________________________
Name(s) being added/deleted ____________________________________________________________________________________________
PUBLIC TRANSPORTATION EXEMPTION (Must be completed if exemption # 6 is claimed and you are 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 # _______________ (see reverse side). I also certify
that any sales tax credit shown as paid to an out of state dealer using exemption #15 was actually collected by the dealer and the dealer has
not provided the buyer with a check to be paid to the BMV. I understand that making a false statement on this form may constitute the crime
of perjury.
Date ___________________________
Signature of Purchaser ____________________________________________________________
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