Transcription of GROSS RECEIPT DECLARATION FOR LEASED OR …
1 -MVR-60B(5/92)GROSSRECEIPTDECLARATIONFOR LEASEDORRENTALVEHICLEST hisistocertifythatI purchaseda(YEAR)(MAKE)forleaseorrentalpu rposes.(VEHICLEIDENTIACATIONNUMBER)0I electtopaya taxonthegrossreceiptsoftheleaseorrentalo fthevehicledirectlytotheNorthCarolinaDep artmentofRevenueunderSalesandUseTaxregis trationnumber0I willbeleasingthis-vehicletothepersonlist edbelowwhowillre-leaseit 'sSalesandUseTaxregistrationnumberis(NAM EOFOWNER)(SIGNATURf:pFOWNER)(STREETADDRE SS)(CITY)(STATE)(ZIPCODE)(NAMEOFLESSEE)( STREETADDRESS)(CITY)(STATE)(ZIPCODE)