Transcription of Form MVU-29 Rev. 4/99 Affidavit in Support of a Claim for ...
1 The purchaser of a motor vehicle acquired for use, storage orother consumption in the Commonwealth of Massachusetts isrequired to pay a sales or use tax unless an exemption is specifi-cally provided for in the Massachusetts General Laws or theCode of Massachusetts exemption from the sales or use tax for certain motor vehiclespurchased outside of Massachusetts is provided for in the Mass-achusetts regulations and statutes. In order to be exempt fromthe sales or use tax, you must meet the requirements of the lawand complete the Affidavit above. You must fill in all blanks andprint or type your entries, except at the end of the Affidavit whereyour signature is MVU-29 Affidavit in Support of a Claim for Exemptionfrom Sales or Use Tax for a Motor VehiclePurchased Outside of MassachusettsRev.
2 4 /99 MassachusettsDepartment ofRevenuePlease read the instructions below before completing this form and provide the following entries must be printed or typed except for Claim for exemption is based on the purchase of a motor vehicle outside of vehicle Transferred:YearMakeModelVehicle identification numberTitle numberI,, the transferee/owner of the above-described vehicle , certify that I purchasedthis vehicle onfromin the state ofand did not receive, and am not entitled to receive, a credit or refund of any tax previously paid in the state inwhich I purchased this motor declare under the pains and penalties of perjury that I have reviewed this Affidavit and the statements I have made in it and declare that theyare /owner s signatureDateInstructionsPlease note that your statements are to be made under the painsand penalties of perjury and that a statement which is made will-fully and is false as to a material matter may be punished as afelony under Massachusetts General Laws, Chapter 62C, sec-tion 73, or Chapter 268, section 1A.
3 Perjury is a serious crimeand punishment can be you have any questions about the acceptance or use of thisaffidavit, please contact:Massachusetts Department of RevenueCustomer Service BureauPO Box 7010 Boston, MA 02204(617) 887-MDOR This form is approved by the Commissioner of Revenue and may be and address of sellerStat
