Transfer/tax Form (Page 2 of 3) in pdf

DO NOT WRITE OR STAPLE

IN THIS SPACE

Motor Vehicle Act

Transfer/Tax Form

Insurance Corporation

Commercial Transport Act

Provincial Sales Tax Act

of British Columbia

Excise Tax Act

Motor Vehicle (All Terrain) Act

Motor Dealer Act

Social Service Tax Act

This form must be completed in full and taken to an Autoplan Broker with identiﬁ cation within ten days of the sale. Use blue or black ink only.

VEHICLE DESCRIPTION

COLOUR

FUEL

YEAR

MAKE

MODEL

BODY STYLE

REG IS TRA TION NO.

SEE

REVERSE

VEHICLE IDENTIFICATION NO. (VIN)

SEATING

NET WEIGHT (kg)

GROSS WEIGHT (kg)

DISP (CC)

VEHICLE STATUS

FLOOD

CAPACITY

A - ALTERED

VEHICLE HAS CURRENT/

D - NON-REPR

CONDITIONAL AIRCARE PASS

R - REBUILT

Yes

S - SALVAGE

MAKE

FRAME / BODY

SECONDARY VEHICLE IDENTIFICATION NO. (VIN)

FRAME / BODY

Complete this line only if the vehicle was constructed new by a primary manufacturer

YEAR

FRAME / BODY

and a secondary manufacturer and has 2 vehicle identiﬁ cation numbers (e.g. motor homes,

school buses).

(see reverse)

SELLER INFORMATION AND VEHICLE DECLARATION

(Must be completed in full by the seller)

DATE OF SALE (ddmmyyyy)

PREVIOUS VEHICLE HISTORY

VEHICLE PREVIOUSLY

CUMULATIVE VEHICLE DAMAGE

ODOMETER READING

ODOMETER

REGISTERED OUTSIDE BC

HAS VEHICLE EVER BEEN USED FOR:

New vehicle where

Used vehicle

REPLACED/BROKEN

damage exceeded 20%

damage

Emergency

None

Rental

Lease

Taxi

of asking price

over $2,000

Yes

or Police

of these

NAME (SURNAME followed by given names

no initials

or registered company name

)

SELLER’S BC DRIVER'S

SELLING PRICE

(

)

(

)

LIC. NO.

I/we the seller(s) certify that we are the registered owner(s) of the described vehicle

and that I/we are entitled to sell it, and that the selling price includes any and all

consideration received for the vehicle and that the information above is true.

RESIDENTIAL ADDRESS OF SELLER

SIGNATURE OF SELLER(S) (Print name and title if other than an individual.)

PROVINCE

POSTAL CODE

SIGNATURE OF SELLER(S) (Print name and title if other than an individual.)

PURCHASER INFORMATION AND TAX DECLARATION

- Exemption from tax being claimed?

Tax Calculation

Yes

- Stated purchase price below market value?

Yes

- Stated trade-in value more than market value?

NON-REGISTRANTS ONLY

PST/HST/GST REGISTRANTS ONLY

Yes

- BC seller collected GST only, but no PST?

Yes

PURCHASE PRICE

SELLER’S PST/HST/GST REG. NO.

- Vehicle received as a gift?

Yes

LESS TRADE (if applicable)

DEALER REG. NO. OR ICBC APP. NO.

Comments: _______________________________________________________________________________________________________

NET PURCHASE PRICE

Your Autoplan Broker or the Ministry of Finance may ask you to provide supporting documentation if the

purchase price is below current market value, the trade-in vehicle is more than current market value, or if an

CTB

exemption is being claimed. Retain all documents supporting the tax paid or the exemption claimed for

PST/SST PAYABLE (if applicable)

AUTHORIZING STAMP

tax audit purposes for ﬁ ve (5) years. If HST paid or exempted retain documents for seven (7) years.

(WHERE REQUIRED)

HST (BC) PAYABLE (if applicable)

(ALL COPIES)

A signed Vehicle Registration (APV250) must accompany this document

(for licensed dealers an

APV250 or APV9 is acceptable)

NAME (SURNAME followed by given names

no initials

or registered company name

)

PURCHASER’S BC DRIVER'S

(

)

(

)

LIC. NO.

I/we the purchaser(s) being 18 Years of age or older or having obtained parents’

consent apply to the Insurance Corporation of British Columbia for vehicle

RESIDENTIAL ADDRESS OF PURCHASER

registration or transfer of registered ownership of the vehicle described above and

by my/our signature(s), I/we declare that the information included above is true.

SIGNATURE OF PURCHASER(S) (Print name and title if other than an individual.)

PROVINCE

POSTAL CODE

SIGNATURE OF PURCHASER(S) (Print name and title if other than an individual.)

Consent of parent or legal guardian for applicant under 18 years of age

PRINT NAME OF PARENT OR LEGAL GUARDIAN

PRINT ADDRESS IN FULL

SIGNATURE OF PARENT OR LEGAL GUARDIAN

consent to the registration and licencing in the name of the applicant(s), of the vehicle described hereon.

WARNING TO PURCHASER AND SELLER

This form is not valid if the information shown is inconsistent, changed or altered. The Ministry of Finance regularly audits vehicle transactions to verify the information provided. Any false

information regarding the selling price or purchase price and trade-in (if applicable) or tax payable may result in ﬁ nes and penalties. It is an offence under Provincial consumption tax legislation

to make false or deceptive statements to evade the payment of tax. A person who commits such an offence is liable to ﬁ nes and/or imprisonment.

AUTOPLAN AGENT TO COMPLETE

For all new registrations, and rebuilt or altered vehicles – Check applicable boxes

Proof of ownership

Physical Damage

Canadian Import

(

)

except BC dealer with NVIS

VIN sighted and conﬁ rmed

NVIS/Certiﬁ cate of Origin

Canadian vehicle - previous jurisdiction _______________________________________