Affidavit Of Motor Vehicle Gift Transfer

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CLEAR FIELDS
Affidavit of Motor Vehicle Gift Transfer
14-317
(Rev.10-13/5)
(Must be filed in person by recipient or donor. See instructions.)
STATE OF TEXAS
DO NOT SEND TO THE COMPTROLLER’S OFFICE.
A reproduced copy of the non-appearing party’s notarized signature is acceptable.
COUNTY OF ______________________________
Tax Code Section 152.101 provides a penalty to a person who signs a false state-
ment. An offense under this section is a felony of the third degree.
Vehicle Information
Year
Model
Make
Vehicle Identification Number (VIN)
To qualify for the gift tax, a motor vehicle must be received from one of the following eligible parties as defined by Tax Code Section 152.025(a).
Check applicable box:
(Vehicle previously held as separate
Parent/Stepparent or Father/Mother-in-Law
Child/Stepchild or Son/Daughter-in-Law
Spouse
property; see Rule 3.80.)
Grandchild/Grandchild-in-law
Sibling or Brother/Sister-in-Law
Grandparent/Grandparent-in-Law
Guardian
Decedent’s estate (inherited)
Qualified nonprofit IRC Section 501(c)(3),
donor or recipient
Certain revocable (living) trusts (see Tax Code Section 152.025, donor or recipient)
Donor Certification
Donor Certification (if multiple donors)
Name
Name
Mailing address
Mailing address
City
State
City
State
ZIP code
Phone (area code and number)
ZIP code
Phone (area code and number)
I hereby certify that all statements in this document are true and correct to
I hereby certify that all statements in this document are true and correct to
the best of my knowledge and belief. This motor vehicle is being transferred
the best of my knowledge and belief. This motor vehicle is being transferred
without consideration, including no assumption of debt.
without consideration, including no assumption of debt.
sign
sign
here
here
SIGNATURE OF DONOR / EXECUTOR
SIGNATURE OF DONOR
SWORN TO and SUBSCRIBED before me on this the
day
SWORN TO and SUBSCRIBED before me on this the
day
of
A.D.
.
of
A.D.
.
sign
sign
SEAL
SEAL
here
here
or
or
STAMP
NOTARY PUBLIC FOR THE STATE OF ______________________________
STAMP
NOTARY PUBLIC FOR THE STATE OF ______________________________
OR AUTHORIZED EMPLOYEE OF THE TAX ASSESSOR-COLLECTOR’S OFFICE
OR AUTHORIZED EMPLOYEE OF THE TAX ASSESSOR-COLLECTOR’S OFFICE
Recipient Certification
Recipient Certification (if multiple recipients)
Name
Name
Mailing address
Mailing address
City
State
City
State
ZIP code
Phone (area code and number)
ZIP code
Phone (area code and number)
I hereby certify that all statements in this document are true and correct to
I hereby certify that all statements in this document are true and correct to
the best of my knowledge and belief. This motor vehicle is being transferred
the best of my knowledge and belief. This motor vehicle is being transferred
without consideration, including no assumption of debt.
without consideration, including no assumption of debt.
sign
sign
here
here
SIGNATURE OF RECIPIENT
SIGNATURE OF RECIPIENT
SWORN TO and SUBSCRIBED before me on this the
day
SWORN TO and SUBSCRIBED before me on this the
day
of
A.D.
.
of
A.D.
.
sign
sign
SEAL
SEAL
here
here
or
or
STAMP
NOTARY PUBLIC FOR THE STATE OF ______________________________
STAMP
NOTARY PUBLIC FOR THE STATE OF ______________________________
OR AUTHORIZED EMPLOYEE OF THE TAX ASSESSOR-COLLECTOR’S OFFICE
OR AUTHORIZED EMPLOYEE OF THE TAX ASSESSOR-COLLECTOR’S OFFICE

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