Fillable Printable Motor Vehicle Certificate of Payment of Sales or Use Tax
Fillable Printable Motor Vehicle Certificate of Payment of Sales or Use Tax
Motor Vehicle Certificate of Payment of Sales or Use Tax
A. Sale by licensed motor vehicle dealer.Dealer must complete this schedule.
1. Gross sales price. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $______________
2a. Manufacturer’s excise (sec. 4061 (A) of IRC) (applies to new motor vehicles only)
2a. $
______________
2b. Trade-in allowance, if any
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b. $______________
2b. Year
________
Make
___________________
VIN number
____________________
2c. Manufacturer’s rebate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c. $______________
2. Total adjustments. Add lines 2a, 2b and 2c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $______________
3. Taxable sales price. Subtract line 2 from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. $______________
4. Sales tax. Multiply line 3 by .0625. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. $______________
B. Sale by a person other than a motor vehicle dealer
1. Gross sales price. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $______________
2. Use tax. Multiply line 1 by .0625. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $______________
I declare under the penalties of perjury that this certificate has been examined by me and to the best of my
knowledge and belief is complete, and the statements made herein are true and correct.
Purchaser:
Firm name (if any)Date
SignatureTitle
Seller (seller must also sign):
Firm name (if any)License number (if dealer)
SignatureTitle
AddressSales/use tax registration number
Subject to verification and assessment by the Department of Revenue. Erroneous information will result in
suspension of registration. Make check or money order payable to the Commonwealth of Massachusetts.
For DORuse only:
Tax payment for the amount entered in section A or B above has been received.
Approved byNumberDate
Form ST-7R
Motor Vehicle Certificate
of Payment of Sales or Use Tax
Purchaser’s nameSocial Security or Federal ID number
Purchaser’s address
Description of motor vehicle or trailer sold:
Year of modelMakeModel name
TypeVehicle identification numberDate of sale
DOR COPY30M7/09PCDOR2010JMBPRINTOFF15007
Rev. 7/09
3
Audit
Massachusetts
Department of
Revenue
A. Sale by licensed motor vehicle dealer.Dealer must complete this schedule.
1. Gross sales price. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $______________
2a. Manufacturer’s excise (sec. 4061 (A) of IRC)
(applies to new motor vehicles only)
. . . . 2a. $
______________
2b. Trade-in allowance, if any
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b. $______________
2b. Year
________
Make
___________________
VIN number
____________________
2c. Manufacturer’s rebate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c. $______________
2. Total adjustments. Add lines 2a, 2b and 2c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $______________
3. Taxable sales price. Subtract line 2 from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. $______________
4. Sales tax. Multiply line 3 by .0625. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. $______________
B. Sale by a person other than a motor vehicle dealer
1. Gross sales price. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $______________
2. Use tax. Multiply line 1 by .0625. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $______________
I declare under the penalties of perjury that this certificate has been examined by me and to the best of my
knowledge and belief is complete, and the statements made herein are true and correct.
Purchaser:
Firm name (if any)Date
SignatureTitle
Seller (seller must also sign):
Firm name (if any)License number (if dealer)
SignatureTitle
AddressSales/use tax registration number
Subject to verification and assessment by the Department of Revenue. Erroneous information will result in
suspension of registration. Make check or money order payable to the Commonwealth of Massachusetts.
Tax payment received in the amount entered in A or B above:
NUMBER_____________________________DATE _____________________________
REGISTRAR OF MOTOR VEHICLES
Form ST-7R
Motor Vehicle Certificate
of Payment of Sales or Use Tax
Purchaser’s nameSocial Security/Federal ID number
Purchaser’s Address
Description of motor vehicle or trailer sold:
Year of modelMakeModel name
TypeVehicle identification numberDate of sale
COPY FOR REGISTRY OF MOTOR VEHICLES30M7/09PCDOR2010JMBPRINTOFF15007
Rev. 7/09
3
Audit
Massachusetts
Department of
Revenue
A. Sale by licensed motor vehicle dealer.Dealer must complete this schedule.
1. Gross sales price. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $______________
2a. Manufacturer’s excise (sec. 4061 (A) of IRC)
(applies to new motor vehicles only)
. . . . 2a. $
______________
2b. Trade-in allowance, if any
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b. $______________
2b. Year
________
Make
___________________
VIN number
____________________
2c. Manufacturer’s rebate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c. $______________
2. Total adjustments. Add lines 2a, 2b and 2c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $______________
3. Taxable sales price. Subtract line 2 from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. $______________
4. Sales tax. Multiply line 3 by .0625. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. $______________
B. Sale by a person other than a motor vehicle dealer
1. Gross sales price. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $______________
2. Use tax. Multiply line 1 by .0625. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $______________
I declare under the penalties of perjury that this certificate has been examined by me and to the best of my
knowledge and belief is complete, and the statements made herein are true and correct.
Purchaser:
Firm name (if any)Date
SignatureTitle
Seller (seller must also sign):
Firm name (if any)License number (if dealer)
SignatureTitle
AddressSales/use tax registration number
Subject to verification and assessment by the Department of Revenue. Erroneous information will result in
suspension of registration. Make check or money order payable to the Commonwealth of Massachusetts.
Tax payment received in the amount entered in A or B above:
NUMBER_____________________________DATE _____________________________
REGISTRAR OF MOTOR VEHICLES
Form ST-7R
Motor Vehicle Certificate
of Payment of Sales or Use Tax
Purchaser’s nameSocial Security/Federal ID number
Purchaser’s Address
Description of motor vehicle or trailer sold:
Year of modelMakeModel name
TypeVehicle identification numberDate of sale
Rev. 7/09
3
Audit
Massachusetts
Department of
Revenue
COPY FOR REGISTERED DEALER OR OTHER SELLER’S RECORDS
30M7/09PCDOR2010JMBPRINTOFF15007
A. Sale by licensed motor vehicle dealer.Dealer must complete this schedule.
1. Gross sales price. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $______________
2a. Manufacturer’s excise (sec. 4061 (A) of IRC)
(applies to new motor vehicles only)
. . . . 2a. $
______________
2b. Trade-in allowance, if any
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b. $______________
2b. Year
________
Make
___________________
VIN number
____________________
2c. Manufacturer’s rebate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c. $______________
2. Total adjustments. Add lines 2a, 2b and 2c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $______________
3. Taxable sales price. Subtract line 2 from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. $______________
4. Sales tax. Multiply line 3 by .0625. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. $______________
B. Sale by a person other than a motor vehicle dealer
1. Gross sales price. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $______________
2. Use tax. Multiply line 1 by .0625. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $______________
I declare under the penalties of perjury that this certificate has been examined by me and to the best of my
knowledge and belief is complete, and the statements made herein are true and correct.
Purchaser:
Firm name (if any)Date
SignatureTitle
Seller (seller must also sign):
Firm name (if any)License number (if dealer)
SignatureTitle
AddressSales/use tax registration number
Subject to verification and assessment by the Department of Revenue. Erroneous information will result in
suspension of registration. Make check or money order payable to the Commonwealth of Massachusetts.
Tax payment received in the amount entered in A or B above:
NUMBER_____________________________DATE _____________________________
REGISTRAR OF MOTOR VEHICLES
Form ST-7R
Motor Vehicle Certificate
of Payment of Sales or Use Tax
Purchaser’s nameSocial Security/Federal ID number
Purchaser’s Address
Description of motor vehicle or trailer sold:
Year of modelMakeModel name
TypeVehicle identification numberDate of sale
COPY FOR TAXPAYER30M7/09PCDOR2010JMBPRINTOFF15007
Rev. 7/09
3
Audit
Massachusetts
Department of
Revenue
