Form GT-500003 "Suggested Format for Affidavit for Exemption of Boat Sold for Removal From the State of Florida by a Nonresident Purchaser" - Florida

What Is Form GT-500003?

This is a legal form that was released by the Florida Department of Revenue - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2001;
  • The latest edition provided by the Florida Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form GT-500003 by clicking the link below or browse more documents and templates provided by the Florida Department of Revenue.

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Download Form GT-500003 "Suggested Format for Affidavit for Exemption of Boat Sold for Removal From the State of Florida by a Nonresident Purchaser" - Florida

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GT-500003
Suggested Format for Affidavit for Exemption of Boat Sold for Removal
R. 12/01
from the State of Florida by a Nonresident Purchaser
The following is a suggested format for an affidavit to be completed by the purchaser and furnished to the selling dealer. In
order to satisfy the requirements for exemption, the affidavit must contain all of this information and be completed in full.
STATE OF _______________ COUNTY OF_______________________
*** READ CAREFULLY BEFORE SIGNING ***
Before me this day personally appeared the below named affiant who, being duly sworn, deposes and says:
1.
I have read the Florida Department of Revenue Rule 12A-1.007(9), Florida Administrative Code, and § 212.05, Florida
Statutes (F.S.); and
2.
I am not a resident of the State of Florida and did not make my permanent place of abode in Florida at the time of taking
delivery of the boat designated below; and
3.
I am not engaged in Florida in any employment, trade, business, or profession for which the designated boat will be used
in Florida; and
4.
I represent a corporation which has no officer or director who is a resident of, or makes his or her permanent place of
abode in Florida; and
5.
I represent an artificial entity other than a corporation which has no individual vested with authority to participate in the
management, direction, or control of the affairs of the entity who is a resident of Florida, or makes his or her permanent
place of abode in Florida; and
Within 30 days of the date of departure from Florida of the herein described boat, I agree to furnish the Florida
6.
Department of Revenue with written proof that this vessel was licensed, titled, registered or documented outside
Florida; and
7.
Within 10 days of the date of departure of the herein described vessel, I agree to furnish the Florida Department
of Revenue with invoices for fuel, dockage charges, or repairs issued by out-of-state vendors or suppliers or
other documentary evidence which specifically identifies this boat, including the hull ID number; and
8.
I claim exemption under § 212.05(1)(a)2., F.S., from Florida sales and use tax on the purchase of the boat designated
below for the following reason:
■ ■
Boat herein identified and described is 5 net tons of admeasurement or larger and I plan to have the boat in Florida
for a period up to 90 days from the date of purchase . I hereby agree to purchase from the selling dealer, at the time
of sale, a decal issued by the Florida Department of Revenue authorizing the boat to remain in Florida up to 90 days
following the date of sale. I further agree to remove the boat from Florida within the 90 day period authorized by the
decal and understand that the 90 day period may not be tolled for any reason including repairs.
■ ■
Boat will be removed by me or by my designated agent from the State of Florida within 10 days of the date of
purchase.
■ ■
Boat is to be repaired or altered and will be removed from the State of Florida by me or by my designated agent
within 20 days (excluding tolled days) after completion of the repairs or alterations consistent with § 212.05, F.S.
PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION:
Name of Purchaser __________________________________________________________ SSN: ________________
If Purchaser is a Corporation or Partnership, List Officers or Partners _________________________________________
_________________________________________________________________________ T.I.N. ________________
Purchaser’s Permanent Address (Street) _______________________________________________________________
(City) ________________________________________ (State/Country) ________________ (ZIP) ________________
Purchaser’s Daytime Telephone Number ( _ ) _________________ D.O.B. ____________________________________
Purchaser’s Driver’s License Number and State of Issuance ________________________________________________
Purchaser’s Passport or Visa Number _________________________________________________________________
Name of Selling Dealer _____________________________________________________________________________
Address of Selling Dealer (Street) _____________________________________________________________________
(City) ________________________________________ (State/Country) ________________ (ZIP) ________________
Selling Dealer’s Florida Sales and Use Tax Registration Number ____________________________________________
Dealer’s Telephone Number ( __ ) __________________
Date of Sale (Month) ____________ (Day) ________ (Year) ______________
GT-500003
Suggested Format for Affidavit for Exemption of Boat Sold for Removal
R. 12/01
from the State of Florida by a Nonresident Purchaser
The following is a suggested format for an affidavit to be completed by the purchaser and furnished to the selling dealer. In
order to satisfy the requirements for exemption, the affidavit must contain all of this information and be completed in full.
STATE OF _______________ COUNTY OF_______________________
*** READ CAREFULLY BEFORE SIGNING ***
Before me this day personally appeared the below named affiant who, being duly sworn, deposes and says:
1.
I have read the Florida Department of Revenue Rule 12A-1.007(9), Florida Administrative Code, and § 212.05, Florida
Statutes (F.S.); and
2.
I am not a resident of the State of Florida and did not make my permanent place of abode in Florida at the time of taking
delivery of the boat designated below; and
3.
I am not engaged in Florida in any employment, trade, business, or profession for which the designated boat will be used
in Florida; and
4.
I represent a corporation which has no officer or director who is a resident of, or makes his or her permanent place of
abode in Florida; and
5.
I represent an artificial entity other than a corporation which has no individual vested with authority to participate in the
management, direction, or control of the affairs of the entity who is a resident of Florida, or makes his or her permanent
place of abode in Florida; and
Within 30 days of the date of departure from Florida of the herein described boat, I agree to furnish the Florida
6.
Department of Revenue with written proof that this vessel was licensed, titled, registered or documented outside
Florida; and
7.
Within 10 days of the date of departure of the herein described vessel, I agree to furnish the Florida Department
of Revenue with invoices for fuel, dockage charges, or repairs issued by out-of-state vendors or suppliers or
other documentary evidence which specifically identifies this boat, including the hull ID number; and
8.
I claim exemption under § 212.05(1)(a)2., F.S., from Florida sales and use tax on the purchase of the boat designated
below for the following reason:
■ ■
Boat herein identified and described is 5 net tons of admeasurement or larger and I plan to have the boat in Florida
for a period up to 90 days from the date of purchase . I hereby agree to purchase from the selling dealer, at the time
of sale, a decal issued by the Florida Department of Revenue authorizing the boat to remain in Florida up to 90 days
following the date of sale. I further agree to remove the boat from Florida within the 90 day period authorized by the
decal and understand that the 90 day period may not be tolled for any reason including repairs.
■ ■
Boat will be removed by me or by my designated agent from the State of Florida within 10 days of the date of
purchase.
■ ■
Boat is to be repaired or altered and will be removed from the State of Florida by me or by my designated agent
within 20 days (excluding tolled days) after completion of the repairs or alterations consistent with § 212.05, F.S.
PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION:
Name of Purchaser __________________________________________________________ SSN: ________________
If Purchaser is a Corporation or Partnership, List Officers or Partners _________________________________________
_________________________________________________________________________ T.I.N. ________________
Purchaser’s Permanent Address (Street) _______________________________________________________________
(City) ________________________________________ (State/Country) ________________ (ZIP) ________________
Purchaser’s Daytime Telephone Number ( _ ) _________________ D.O.B. ____________________________________
Purchaser’s Driver’s License Number and State of Issuance ________________________________________________
Purchaser’s Passport or Visa Number _________________________________________________________________
Name of Selling Dealer _____________________________________________________________________________
Address of Selling Dealer (Street) _____________________________________________________________________
(City) ________________________________________ (State/Country) ________________ (ZIP) ________________
Selling Dealer’s Florida Sales and Use Tax Registration Number ____________________________________________
Dealer’s Telephone Number ( __ ) __________________
Date of Sale (Month) ____________ (Day) ________ (Year) ______________
DESCRIPTION OF BOAT
Make ______________________ Model ___________________ Year _______________________
■ ■
■ ■
Hull Number ______________________________________
New
Used
Name of Vessel (New) _______________________________ (Ex) _________________________________________
State/County Registration and/or Coast Guard Documentation Number _______________________________________
Sales Price __________________________________ Trade-In Allowance ____________________________________
Net Amount Paid __________________________________
Ninety Day Decal Number, if applicable (Affix Here): ______________________________________________________
Primary Location of the Vessel Prior to Removal: _________________________________________________________
_______________________________________________________________________________________________
Under the penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true to
the best of my knowledge and belief. I understand that if I fail to comply with the requirements of this
affidavit I will be liable for payment of the tax and a mandatory penalty equal to the tax. I further
understand that if I purchase a decal and remove or alter it, or cause or allow another person to do the
same, then I will be subject to payment of the tax plus a 200 percent penalty. I further understand that I
may be subject to imprisonment of up to 1 year and a fine of up to $1000.00.
____________________________
Signature of Affiant (Purchaser)
Sworn to (or affirmed) and subscribed before me this day of ____________ , ________ .
Signature of Notary
Print, Type or Stamp Name of Notary
■ ■
Personally known
■ ■
Produced identification
Type of Identification: ___________________________
Original and copy of invoice, bill of sale or closing statement must be submitted within five (5) days of the date of sale to
the Florida Department of Revenue, Central Compliance and Enforcement, Boat Enforcement Unit, P.O. Box 6417,
Tallahassee, Florida 32314-6417.
1st copy: To be retained by the dealer and made part of the dealer’s records
2nd copy: Purchaser’s copy
Dealer’s Notice: Affidavits not filed within five (5) days of the date of sale or closing will not be accepted by the Florida
Department of Revenue.
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