Form Au-463 - Motor Vehicle And Vessel Gift Declaration
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1S
C
TATE OF
ONNECTICUT
Motor Vehicle and Vessel
Gift Declaration
I,
the undersigned (donor), residing at
Donor's Name (Type or Print)
state that:
Street Address
City
State
On or about
, I transferred ownership and title of a
Date
Motor Vehicle
Vessel
Year
Make
Model
to
(donee), receiving no
Donee's Name (Type or Print)
compensation in return, in either cash, property or personal services;
There has been neither a promise to pay for said vehicle or vessel not any expectations of
any future compensation in either cash, property or personal services from the donee; and
The donee has not assumed payment of any chattel mortgage or conditional bill of sale on
the vehicle or vessel described above.
I declare under penalties of false statement that I have examined this information and to the best
of my knowledge and belief it is true, complete and correct. (The penalty for false statement is
imprisonment not to exceed one year or a fine not to exceed two thousand dollars, or both.)
Donor:
Print Your Name
Signature
Date
AU-463 (Rev. 3/99)
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