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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

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. Manufacturers 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. Manufacturers 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
Signature Title
Seller (seller must also sign):
Firm name (if any) License number (if dealer)
Signature Title
Address Sales/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 DOR use only:
Tax payment for the amount entered in section A or B above has been received.
Approved by Number Date
Form ST-7R
Motor Vehicle Certificate
of Payment of Sales or Use Tax
Purchasers name Social Security or Federal ID number
Purchasers address
Description of motor vehicle or trailer sold:
Year of model Make Model name
Type Vehicle identification number Date of sale
DOR COPY 30M 7/09 PCDOR2010JMBPRINTOFF15007
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. Manufacturers 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. Manufacturers 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
Signature Title
Seller (seller must also sign):
Firm name (if any) License number (if dealer)
Signature Title
Address Sales/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
Purchasers name Social Security/Federal ID number
Purchasers Address
Description of motor vehicle or trailer sold:
Year of model Make Model name
Type Vehicle identification number Date of sale
COPY FOR REGISTRY OF MOTOR VEHICLES 30M 7/09 PCDOR2010JMBPRINTOFF15007
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. Manufacturers 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. Manufacturers 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
Signature Title
Seller (seller must also sign):
Firm name (if any) License number (if dealer)
Signature Title
Address Sales/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
Purchasers name Social Security/Federal ID number
Purchasers Address
Description of motor vehicle or trailer sold:
Year of model Make Model name
Type Vehicle identification number Date of sale
Rev. 7/09
3
Audit
Massachusetts
Department of
Revenue
COPY FOR REGISTERED DEALER OR OTHER SELLER’S RECORDS
30M 7/09 PCDOR2010JMBPRINTOFF15007
A. Sale by licensed motor vehicle dealer. Dealer must complete this schedule.
1. Gross sales price . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $ ______________
2a. Manufacturers 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. Manufacturers 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
Signature Title
Seller (seller must also sign):
Firm name (if any) License number (if dealer)
Signature Title
Address Sales/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
Purchasers name Social Security/Federal ID number
Purchasers Address
Description of motor vehicle or trailer sold:
Year of model Make Model name
Type Vehicle identification number Date of sale
COPY FOR TAXPAYER 30M 7/09 PCDOR2010JMBPRINTOFF15007
Rev. 7/09
3
Audit
Massachusetts
Department of
Revenue
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