Purchaser'S Statement Of Tax Exemption

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PURCHASER'S STATEMENT OF TAX EXEMPTION
SUT 3 (08/10/2016)
Purpose:
Use this form to certify that a motor vehicle is exempt from Virginia Motor Vehicles Sales and Use Tax.
Instructions: The applicant must complete all sections of this form. Mail completed form to the Titling Work Center at the address
above or present to any DMV Customer Service Center (CSC) or DMV Select.
VEHICLE INFORMATION
SELLER NAME (last)
(first)
(mi)
(suffix)
VEHICLE YEAR
VEHICLE MAKE
VEHICLE MODEL
VEHICLE IDENTIFICATION NUMBER
STATEMENT OF EXEMPTION
In order to obtain a title for the vehicle herein described, in accordance with all applicable statutes and administrative rules and
regulations adopted by the Commissioner in pursuance thereof, I/we do hereby certify that the above described motor vehicle is
exempt from the Virginia Motor Vehicle Sales and Use Tax for the following reasons:
as provided by statute § 58.1-2403 (insert applicable paragraph number from page 2)________________________, Code of Virginia.
RECIPIENT OF VEHICLE AS A GIFT
(if applicable)
IMPORTANT NOTE: Only those applicants that listed paragraph 7 from page 2 of this form, as the reason for exemption from the
Virginia Motor Vehicle Sales and Use Tax should complete this section. As used here, "son", "daughter" or
"parent" includes only biological and adopted children and parents.
As the recipient of this vehicle as a gift, I am the
of the transferor.
(check one)
SPOUSE
SON
DAUGHTER
PARENT
APPLICANT FULL NAME
APPLICANT ADDRESS
CITY
STATE
ZIP
CERTIFICATION
I certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the
information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I
understand that knowingly making a false statement or representation on this form is a criminal violation.
APPLICANT NAME (last)
(first)
(mi)
(suffix)
APPLICANT SIGNATURE
DATE (mm/dd/yyyy)
NAME OF CITY OR COUNTY
STATE
CITY
COUNTY

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