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Affidavit for Partial Exemption of Motor Vehicle Sold to a Resident of Another State DR-123 R. 01/16 Rule 12A-1. 097 Florida Administrative Code Effective 01/16 AFFIDAVIT State of Florida County of Before me the undersigned Notary Public personally appeared Who being duly sworn says that he/she is a resident of the State of the following described motor vehicle. and that he/she is the purchaser of Name of Purchaser State of Residence and Address of Purchaser Street City State ZIP If the non-resident purchaser is a corporation or partnership an officer or partner must acknowledge the following in order to be allowed the partial exemption The vehicle will be removed from this state within 45 days of purchase and will remain outside this state for a minimum of 180 days. 097 Florida Administrative Code Effective 01/16 AFFIDAVIT State of Florida County of Before me the undersigned Notary Public personally appeared Who being duly sworn says that he/she is a resident of the State of the following described motor vehicle. and that he/she is the purchaser of Name of Purchaser State of Residence and Address of Purchaser Street City State ZIP If the non-resident purchaser is a corporation or partnership an officer or partner must acknowledge the following in order to be allowed the partial exemption The vehicle will be removed from this state within 45 days of purchase and will remain outside this state for a minimum of 180 days. OR If the vehicle is not removed from this state an officer or partner in the non-resident corporation or partnership must certify the following There is no officer that is a resident of this state. There is no stockholder who owns at least 10 of the corporation that is a resident of this state. There is no partner in the partnership who has at least 10 ownership of the partnership that is a resident of this state. Name of Seller Address of Seller Seller s Sales Tax Registration Number Date of Sale Description of Motor Vehicle Make Model Year Vehicle Identification Number Motor Number Sales Price Trade-In Allowance Sales Tax Paid to the STATE OF FLORIDA I understand that I may owe sales tax to the State of Purchaser s Initials Purchaser s State - Do Not Abbreviate if the state in which the vehicle is being registered/licensed does not allow a credit for sales tax paid to the State of Florida or if that state imposes a rate higher than 6. I also understand sales tax is being paid to Florida and not to any other state and I may request a copy of the Motor Vehicle Sales Tax Rates by State from the above motor vehicle dealer or the Florida Department of Revenue. in the State of Florida* within forty-five 45 days after the date it was purchased Sworn to or affirmed and subscribed before me this day of Day of Month Signature of Nonresident Purchaser Personally Known or A*D* Month. and that he/she is the purchaser of Name of Purchaser State of Residence and Address of Purchaser Street City State ZIP If the non-resident purchaser is a corporation or partnership an officer or partner must acknowledge the following in order to be allowed the partial exemption The vehicle will be removed from this state within 45 days of purchase and will remain outside this state for a minimum of 180 days. OR If the vehicle is not removed from this state an officer or partner in the non-resident corporation or partnership must certify the following There is no officer that is a resident of this state.

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Confirming your revenue and submitting all the vital taxation reports, including FL DoR DR-123, is a US citizen?s sole obligation. US Legal Forms tends to make your taxes preparation more transparent and efficient. You can get any juridical blanks you want and fill out them electronically.

How to complete FL DoR DR-123 on the web:

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