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VEHICLE PRICE CERTIFICATION

SUT 1 (06/10/2014). VEHICLE PRICE CERTIFICATION . ( VEHICLE MUST BE MORE THAN 5 YEARS OLD). Purpose: This form is used by individuals (not motor VEHICLE dealers) to certify the purchase PRICE of a motor VEHICLE more than 5. years old in order to obtain a VEHICLE title. Instructions: Seller or Purchaser completes VEHICLE Information section and signs the appropriate CERTIFICATION section. VEHICLE INFORMATION. YEAR (more than 5 years old) MAKE MODEL BODY TYPE. VEHICLE IDENTIFICATION NUMBER (VIN) COLOR SALE DATE (mm/dd/yyyy). SELLER CERTIFICATION . In accordance with all applicable statutes, administrative rules and regulations, I certify that the selling PRICE of the above-described motor VEHICLE was $ _____, which included all accessories and/or attachments with no trade-in allowance or any other transaction.

In accordance with all applicable statutes, administrative rules and regulations, I certify that the purchase price of the above-described motor vehicle was

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Transcription of VEHICLE PRICE CERTIFICATION

1 SUT 1 (06/10/2014). VEHICLE PRICE CERTIFICATION . ( VEHICLE MUST BE MORE THAN 5 YEARS OLD). Purpose: This form is used by individuals (not motor VEHICLE dealers) to certify the purchase PRICE of a motor VEHICLE more than 5. years old in order to obtain a VEHICLE title. Instructions: Seller or Purchaser completes VEHICLE Information section and signs the appropriate CERTIFICATION section. VEHICLE INFORMATION. YEAR (more than 5 years old) MAKE MODEL BODY TYPE. VEHICLE IDENTIFICATION NUMBER (VIN) COLOR SALE DATE (mm/dd/yyyy). SELLER CERTIFICATION . In accordance with all applicable statutes, administrative rules and regulations, I certify that the selling PRICE of the above-described motor VEHICLE was $ _____, which included all accessories and/or attachments with no trade-in allowance or any other transaction.

2 I further certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I make this CERTIFICATION and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation. SELLER NAME (print) SELLER SIGNATURE DATE (mm/dd/yyyy). PURCHASER CERTIFICATION . In accordance with all applicable statutes, administrative rules and regulations, I certify that the purchase PRICE of the above-described motor VEHICLE was $ _____, which included all accessories and/or attachments with no trade-in allowance or any other transaction. I further certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate.

3 I make this CERTIFICATION and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation. PURCHASER NAME (print) PURCHASER SIGNATURE DATE (mm/dd/yyyy).


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