When a disabled person in Massachusetts is transferring a motor vehicle, they may qualify for an exemption from the sales or use tax, which is where the MVU-33 form comes into play. This important document serves as an affidavit supporting a claim for exemption specifically designed for those who have suffered the loss of two or more limbs or the loss of use of two or more limbs, highlighting the state's effort to provide financial relief to disabled individuals. Detailed in sections, the form requires the declaration of the disabled person and, if applicable, the certification by a physician regarding the permanent loss of use of limbs. It's critical for the applicant to accurately fill out each part and provide verifiable information, as claims are made under the pains and penalties of perjury, indicating the seriousness of making false statements in this context. Moreover, the exemption pertains to one motor vehicle registered for personal, non-commercial use, underscoring the tailored approach to assist disabled individuals in their mobility needs. The Massachusetts Department of Revenue oversees this process, emphasizing the necessity for this affidavit to accompany the RMV-1 form to the Registry of Motor Vehicles, integrating administrative requirements for a smoother transaction. This article aims to dissect the MVU-33 form's key aspects, ensuring readers understand the criteria, the process, and the implications of applying for this tax exemption.
| Question | Answer |
|---|---|
| Form Name | Form Mvu 33 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | mvu 33 form, ma mvu disabled, massachusetts mvu33, ma rmv mvu 33 |
Form
AffidavitinSupportofaClaimforExemption
fromSalesorUseTaxforaMotorVehicle
TransferredtoaDisabledPerson
Rev.9/11
Massachusetts
Department of
Revenue
Please read the instructions below before completing this form and provide the following information.
All entries must be printed or typed except for signatures.
Check applicable box:
Exemption is based on a loss of two or more limbs. Complete only Part A below.
Exemption is based on a loss of use of two or more limbs. Complete both Parts A and B below.
Part A
I, |
Name of disabled person |
, of |
Address |
City/Town |
State |
Zip |
certify that I suffer the loss of two or more limbs, or the permanent loss of use of at least 80% of each of two or more limbs. I hereby authorize the Department of Revenue to have access to my medical records to verify this claim.
Declaration
I declare under the pains and penalties of perjury that I have reviewed this affidavit and the statements I have made in it and declare that they are true.
Signature of disabled person or legal guardian, whichever is applicable |
Date |
Part B
I, |
Name of physician |
, of |
Address |
City/Town |
State |
Zip |
of |
Telephone number |
certify that |
|
Name of disabled person
Address |
City/Town |
State |
Zip |
|
|
|
|
suffers the permanent loss of use of at least 80% of each of two or more limbs.
Declaration
I declare under the pains and penalties of perjury that I have reviewed this affidavit and the statements I have made in it and declare that they are true.
Physician’s signature |
Date |
Instructions
This exemption applies only to one motor vehicle which must be owned and registered for the personal,
This affidavit must accompany Form
The purchaser of a motor vehicle acquired for use, storage or other consumption in the Commonwealth of Massachusetts is required to pay a sales or use tax unless an exemption is specifically pro- vided for in the Massachusetts General Laws or the Code of Mass- achusetts Regulations.
Anexemptionfromthesalesorusetaxfortransferstodisabledper- sons under certain conditions is provided for by the Massachusetts regulations and statutes. In order to be exempt from the sales or use tax you must meet the requirements of the law and complete the affidavit above. You must fill in all blanks and print your entries, except at the end of the affidavit where the signature is required.
Please note that your statements are to be made under the pains and penalties of perjury and that a statement which is made willfully and is false as to a material matter may be punished as a felony under M.G.L. Ch. 62C, sec. 73, or Ch. 268, sec. 1A. Perjury is a serious crime and punishment can be severe.
For specific instructions affecting minors or adults who cannot legally enter into binding contracts, see Directive
If you have any questions about the acceptance or use of this affi- davit, please contact: Massachusetts Department of Revenue,
Customer Service Bureau, PO Box 7010, Boston, MA 02204; (617)
This form is approved by the Commissioner of Revenue and may be reproduced.