Form MVU-29
Rev. 4/99
Affidavit in Support of a Claim for Exemption
Massachusetts
from Sales or Use Tax for a Motor Vehicle
Department of
Purchased Outside of Massachusetts
Revenue
Please read the instructions below before completing this form and provide the following information.
All entries must be printed or typed except for signature.
This claim for exemption is based on the purchase of a motor vehicle outside of Massachusetts.
Motor Vehicle Transferred:
Year
Make
Model
Vehicle identification number
Title number
I,
, the transferee/owner of the above-described vehicle, certify that I purchased
Name
this vehicle on
from
Date
Name and address of seller
in the state of
and did not receive, and am not entitled to receive, a credit or refund of any tax previously paid in the state in
State
which I purchased this motor vehicle.
Declaration
I 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 they
are true.
Transferee /owner’s signature
Date
Instructions
The purchaser of a motor vehicle acquired for use, storage or
Please note that your statements are to be made under the pains
other consumption in the Commonwealth of Massachusetts is
and penalties of perjury and that a statement which is made will-
required to pay a sales or use tax unless an exemption is specifi-
fully and is false as to a material matter may be punished as a
cally provided for in the Massachusetts General Laws or the
felony under Massachusetts General Laws, Chapter 62C, sec-
Code of Massachusetts Regulations.
tion 73, or Chapter 268, section 1A. Perjury is a serious crime
and punishment can be severe.
An exemption from the sales or use tax for certain motor vehicles
purchased outside of Massachusetts is provided for in the Mass-
If you have any questions about the acceptance or use of this
achusetts regulations and statutes. In order to be exempt from
affidavit, please contact:
the sales or use tax, you must meet the requirements of the law
Massachusetts Department of Revenue
and complete the affidavit above. You must fill in all blanks and
Customer Service Bureau
print or type your entries, except at the end of the affidavit where
PO Box 7010
your signature is required.
Boston, MA 02204
(617) 887-MDOR
This form is approved by the Commissioner of Revenue and may be reproduced.
Form MVU-29
Rev. 4/99
Affidavit in Support of a Claim for Exemption
Massachusetts
from Sales or Use Tax for a Motor Vehicle
Department of
Purchased Outside of Massachusetts
Revenue
Please read the instructions below before completing this form and provide the following information.
All entries must be printed or typed except for signature.
This claim for exemption is based on the purchase of a motor vehicle outside of Massachusetts.
Motor Vehicle Transferred:
Year
Make
Model
Vehicle identification number
Title number
I,
, the transferee/owner of the above-described vehicle, certify that I purchased
Name
this vehicle on
from
Date
Name and address of seller
in the state of
and did not receive, and am not entitled to receive, a credit or refund of any tax previously paid in the state in
State
which I purchased this motor vehicle.
Declaration
I 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 they
are true.
Transferee /owner’s signature
Date
Instructions
The purchaser of a motor vehicle acquired for use, storage or
Please note that your statements are to be made under the pains
other consumption in the Commonwealth of Massachusetts is
and penalties of perjury and that a statement which is made will-
required to pay a sales or use tax unless an exemption is specifi-
fully and is false as to a material matter may be punished as a
cally provided for in the Massachusetts General Laws or the
felony under Massachusetts General Laws, Chapter 62C, sec-
Code of Massachusetts Regulations.
tion 73, or Chapter 268, section 1A. Perjury is a serious crime
and punishment can be severe.
An exemption from the sales or use tax for certain motor vehicles
purchased outside of Massachusetts is provided for in the Mass-
If you have any questions about the acceptance or use of this
achusetts regulations and statutes. In order to be exempt from
affidavit, please contact:
the sales or use tax, you must meet the requirements of the law
Massachusetts Department of Revenue
and complete the affidavit above. You must fill in all blanks and
Customer Service Bureau
print or type your entries, except at the end of the affidavit where
PO Box 7010
your signature is required.
Boston, MA 02204
(617) 887-MDOR
This form is approved by the Commissioner of Revenue and may be reproduced.
