State of Florida, County of ________________________________________
Name of Nonresident Purchaser _________________________________________________________________________________________
State of Residence and
Address of Purchaser __________________________________________________________________________________________________
(Street) |
(City) |
(State) |
(ZIP) |
If the nonresident purchaser is a corporation or partnership, an officer or partner |
must acknowledge the following to qualify for the |
partial exemption: |
|
|
|
qThe vehicle will be removed from this state within 45 days of purchase and will remain outside this state for a minimum of 180 days.
OR
If the vehicle is not removed from this state, an officer or partner in the nonresident corporation or partnership must certify the following:
qThere is no officer that is a resident of this state.
qThere is no stockholder who owns at least 10% of the corporation that is a resident of this state.
qThere is no partner in the partnership who has at least 10% ownership of the partnership that is a resident of this state.
Name of Seller ________________________________________________________________________________________________________
Address of Seller ______________________________________________________________________________________________________
(Street)(City)(State)(ZIP)
Seller’s Sales Tax Registration Number_____________________________________ Date of Sale___________________________________
Description of Motor Vehicle:
Make___________________________________________Model __________________________________________Year__________________
Vehicle Identification Number _______________________________________ Motor Number ______________________________________
Sales Price________________________________________________________ Trade-In Allowance __________________________________
Florida Sales Tax Paid: ___________________________________________________________
This vehicle will be licensed in the State of ______________________ within forty-five (45) days after the date of purchase.
I, ___________(Purchaser's Initials) understand I may owe sales tax to the State of _________________________ where the vehicle
will be registered or licensed:
•if a credit for sales tax paid to the State of Florida is not allowed, or
•if the tax rate is higher than 6%.
I understand sales tax is being paid to the State of Florida and not to any other state.
Note: Tax Information Publication Motor Vehicle Sales Tax Rates by State is available on the Department's website at
floridarevenue.com/taxes/tips .
Sworn to (or affirmed) and subscribed before me by means of __ physical presence or __ online notarization on this _____________ of
(Day)
_______,_______, by ____________________________ (nonresident purchaser).
(Month) (Year)
______________________________________________ |
________________________________________________ |
Signature of Nonresident Purchaser |
Signature of Notary Public |
Personally known ____________________________________ Or, |
|
Produced identification __________________________________ |
________________________________________________ |
|
Print, Type or Stamp Commissioned Name of Notary Public |
Type of identification produced __________________________ |
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