Fillable Printable Motor Vehicle Gift Affidavit Form

Motor Vehicle Gift Affidavit Form

Print and mail this completed application to Driver and Vehicle Services, 445 Minnesota Street, St. Paul, Minnesota 55101-5187. It may also

be submitted to any Deputy Registrar motor vehicle office statewide.

•

The certificate of title, and all applicable documents and fees, are required to be submitted with this form.

Seller(s) Name(s) (FIRST, MIDDLE, LAST)

PS2080 B-05 (02/11)

Describe the vehicle below. (PRINT OR TYPE)

Year

Vehicle Identification Number

(if not registered in Minnesota)

Current Plate Number

Make

I (we),

and I (we)

certify that the above-described vehicle was a gift between the above-named individuals. We further certify that the transfer

was for

no monetary or other consideration or expectation of consideration.

I (we) understand that preparing, completing, or submitting a false or fraudulent motor vehicle sales tax declaration is a gross

misdemeanor, or, if the tax involved exceeds $300, is a felony, pursuant to Minnesota Statutes 168...

Seller’s Signature(s) – all sellers must sign

Signed and attested

Before me on

(date).

Notary or Deputy Signature

County State My Commission expires Notary or Deputy Stamp

•

NOTE: If purchaser has a security agreement (lien) on the vehicle, a signed explanation is required. The transfer may be

subject to sales tax.

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If you have questions or need additional information, please contact DVS at (651) 297-2126 or (651) 282-6555 (TTY).

MINNESOTA DEPARTMENT OF PUBLIC SAFETY

DRIVER AND VEHICLE SERVICES

445 Minnesota Street, St. Paul, MN 55101-5187

Buyer(s) Name(s) (FIRST, MIDDLE, LAST)

•

This form is for use when claiming exemption from motor vehicle sales tax in a gift transaction, pursuant to Minnesota Statutes

168.171.

Buyer's Signature(s) – all buyers must sign

Signed and attested

Before me on

(date).

Notary or Deputy Signature

County State My Commission expires Notary or Deputy Stamp