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Arkansas Bill of Sale Vehicle Used As Credit


Arkansas Bill of Sale Vehicle Used As Credit
Arkansas Bill of Sale Vehicle Used As Credit
Arkansas Department of Finance and Administration
Revenue Division
_______________________________________________________
Bill of Sale
(For a vehicle claimed as a tax credit towards the purchase of a replacement vehicle)
Purchaser(s) Name(s) Phone Number
Address
City, State, Zip
Seller(s) Names Phone Number
Address
City, State, Zip
Year, Make, Model of Vehicle Sold
Vehicle Identification Number (VIN) Odometer Reading
Date Vehicle Sold Sale Price
Purchaser’s Acknowledgement: I (we) hereby swear and affirm that the above information is true and correct. I
understand that any attempt to evade or defeat the payment of the proper amount of tax on the aforementioned
vehicle by making any false statement is a felony under Arkansas law punishable by fine, imprisonment, or both.
Signature of Purchaser(s) Date
Seller’s Acknowledgement: I (we) hereby swear and affirm that the above information is true
and correct, and that said vehicle was owned and sold by me, and that I am entitled to a reduction
in the taxable price of a newly acquired vehicle under the provisions of Act 1232 of 1997, as
amended. I understand that any attempt to evade or defeat the payment of the proper amount of
tax by making any false statement is a felony under Arkansas law punishable by fine,
imprisonment, or both.
Signature of Seller(s) Date
Arkansas Bill of Sale Vehicle Used As Credit
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