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New York Bill of Sale Form

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New York Bill of Sale Form Page 2
New York Bill of Sale Form
DTF-802 (1/11)(back)
Purchaser certification — Icertifythattheabovestatementsaretrueandcomplete;andImakethesestatementswith
theknowledgethatwillfullyissuingafalseorfraudulentstatementwiththeintenttoevadetaxisamisdemeanorunderTaxLaw
section1817(b),andPenalLawsection210.45,punishablebyaneupto$10,000foranindividualand$20,000foracorporation.
If this form is submitted by someone other than the new owner/lessee, please provide the following:
Section 5 — Purchase information
1 Purchase price
Value
a. Amountofcashpayment .......................................................................................... 1a
$
b. Balanceofpaymentsassumed ................................................................................ 1b
$
c.
Valueofpropertygiven,traded,orswapped,orservicesperformedinsteadofcashpayment
... 1c
$
d. Purchase price
(total of lines 1a, 1b, and 1c) ........................................................................................................ 1d
$
2 Was this transaction the purchase of a motor vehicle from
your spouse, parent, child, stepparent, or stepchild Yes
(enter 0 on line 4; no tax is due)
No (continue to line 3)
3 Tax rate* (enter as a decimal) ................................................................................................................................. 3
4 Sales tax due
(multiply line 1d by line 3) .................................................................................................................. 4
$
5 Istheamountonline1dlowerthanfairmarketvalue Yes
(seller/donor must complete Section 6)
No (sign certification below)
*
Tax rate note:Foramotorvehicle,trailer,orboat,usethetaxrateofthenewowner'splaceofresidence.Ifthepurchaserisaresidentintwoormorecountiesin
the state, use the rate in effect in the place where the motor vehicle, trailer, or boat will be principally used or garaged. If the new owner is a business, use the tax
rate of the place of business. If the business has locations in two or more counties in the state, use the rate in effect in the place where the motor vehicle, trailer, or
boatwillbeprincipallyusedorgaraged.ForanATVorsnowmobile,usethehigherrateofwherethenewownertookdelivery,orwherethevehicleisstoredorused
if new owner has a residence in storage/use locality.
Section 6 — Affidavit of sale or gift of a motor vehicle, trailer, ATV, vessel (boat), or snowmobile
The seller or donor must complete if:
•
the motor vehicle is a gift to a person other than a spouse, parent, child, stepparent, or stepchild
• themotorvehicleissoldbelowfairmarketvaluetoapersonotherthanaspouse,parent,child,
stepparent,
or stepchild
• thetrailer,ATV,boat,orsnowmobileisagift
• thetrailer,ATV,boat,orsnowmobileissoldbelowfairmarketvalue
6 Cash payment received .................................................................................................................................... 6
$
7 If, as a condition for the sale or gift of the vehicle or boat, the purchaser/recipient did any of the following in addition to, or in
lieuof,acashpayment,pleasemarkanX in the appropriate box and indicate the value of the service or goods you received.
Value
a Performed any service ..................................................................................................... Yes No 7a$
b Assumedanydebt ........................................................................................................... Yes No 7b$
c Traded/swapped a vehicle or other property ................................................................... Yes No 7c$
d Total selling price
(total of lines 6, 7a, 7b and 7c) ............................................................................................. 7d$
8 Complete only if a corporation or business is the seller/donor
a Wasoristhepurchaser/recipientanemployee,ofcer,orstockholderofthecompany/corporation ...................... Yes No
b Was the transaction part of any terms of employment, employment contract, or termination agreement ............... Yes No
9 If you answered Yestoanypartofline7orline8,pleaseprovideanexplanation:
Seller/Donor certification —
IhavereviewedtheinformationonFormDTF-802andIcertifythatthestatementsaretrueandcomplete.
Imakethesestatementswiththeknowledgethatwillfullyissuingafalseorfraudulentstatementwiththeintenttoevadetaxisamisdemeanorunder
TaxLawsection1817(b)andPenalLawsection210.45punishablebyaneupto$10,000foranindividualand$20,000foracorporation.
Signature Name (printed or typed) Date
Signature Date
Name/business name Social security number, TIN, or federal EIN
Address
Privacy notification — TheCommissionerofTaxationandFinancemaycollectandmaintainpersonalinformation
pursuanttotheNewYorkStateTaxLaw,includingbutnotlimitedto,sections5-a,171,171-a,287,308,429,475,
505,697,1096,1142,and1415ofthatLaw;andmayrequiredisclosureofsocialsecuritynumberspursuantto
42USC405(c)(2)(C)(i).
This information will be used to determine and administer tax liabilities and, when authorized by law, for certain tax offset
and exchange of tax information programs as well as for any other lawful purpose.
Information concerning quarterly wages paid to employees is provided to certain state agencies for purposes of fraud
prevention, support enforcement, evaluation of the effectiveness of certain employment and training programs and other
purposes authorized by law.
Failuretoprovidetherequiredinformationmaysubjectyoutocivilorcriminalpenalties,orboth,undertheTaxLaw.
ThisinformationismaintainedbytheManagerofDocumentManagement,NYSTaxDepartment,WAHarrimanCampus,
AlbanyNY12227;telephone(518)457-5181.
New York Bill of Sale Form
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