Sales And Use Tax Affidavit Of Gift Of Motor Vehicle
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1STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
DEPARTMENT OF REVENUE
DIVISION OF TAXATION
EXCISE TAX SECTION
One Capitol Hill
Providence, RI 02908-5800
SALES AND USE TAX
AFFIDAVIT OF GIFT OF MOTOR VEHICLE
(To be used for non-immediate family only)
A notarized gift letter, in place of a Bill of Sale, must accompany this affidavit.
I ______________________________, of _________________________________
FULL NAME OF PERSON RECEIVING VEHICLE
ADDRESS: STREET & NUMBER
APT or FLOOR #
_________________________, ______, __________ hereby depose and say that on
CITY/TOWN
STATE
ZIP CODE
____________________, 20_____, I did receive and accept as a gift or grant a
DATE
YEAR
_____ ____________________ ____________________, vehicle identification
YEAR
MAKE (e.g. Chevrolet)
MODEL (e.g. Camaro)
number _____________________________________________________________,
VIN
from _________________________________, of ____________________________
FULL NAME OF PERSON GIFTING VEHICLE
ADDRESS: STREET & NUMBER
APT or FLOOR #
_________________________, ______, __________.
CITY/TOWN
STATE
ZIP CODE
What is the relationship of the person who gifted you the vehicle: ________________
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 evoked.
Signed under penalty of perjury on this ______ day of ________________, 20_____.
NUMBER
MONTH
YEAR
________________________________
GRANTEE’S SIGNATURE (PERSON RECEIVING GIFT)
NOTARY PUBLIC
________________________________
________________________________
NOTARY PUBLIC SIGNATURE
NOTARY PUBLIC PRINTED NAME
________________________________
________________
COMMISSION EXPIRATION DATE (MANDATORY)
TODAY’S DATE
SU 87 – 65
rev. 04/16
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