Form ST-A-106 "Affidavit of Exemption for Immediate Removal" - Maine

What Is Form ST-A-106?

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

Form Details:

  • Released on October 1, 2013;
  • The latest edition provided by the Maine Department of Administrative and Financial Services;
  • 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 ST-A-106 by clicking the link below or browse more documents and templates provided by the Maine Department of Administrative and Financial Services.

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Download Form ST-A-106 "Affidavit of Exemption for Immediate Removal" - Maine

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MAINE REVENUE SERVICES
SALES/EXCISE TAX DIVISION
AFFIDAVIT OF EXEMPTION FOR IMMEDIATE REMOVAL
For a Motor Vehicle (including all-terrain vehicles and snowmobiles),
Camper trailer (including a slide-in truck camper), Aircraft or Semitrailer
Sold to a Legal Resident of another State or to a Resident business with fixed locations outside the State
I certify that this sale is exempt from sales tax, pursuant to 36 MRSA §1760(23) of the Maine Sales and Use Tax Law.
Make
Model
Year
VIN
Date of Sale
Sale Price $
Trade-in: Type of Vehicle
$
Purchaser’s Name – (please print) last name first middle
Purchaser’s Address – (please print) street address, PO Box number, etc.
city State
The purchaser has stated to me at the time of sale that the purchaser is a legal resident of another state or a resident business with fixed locations out-
side the state and intends to remove the vehicle from Maine immediately upon delivery. If any information available to me indicates otherwise, I
have retained evidence in addition to this affidavit which indicates that the purchaser has established legal residence in another state, such as records
of permanent home, employment, tax registrations, federal identification number or driver’s license from another state.
I declare under the penalties of perjury that all statements made by me herein are true, to the best of my knowledge and belief, and hereby authorize
Maine Revenue Services to furnish a copy of this affidavit to the state which the purchaser declares herein to be their residence and/or to the state to
which the vehicle is being removed.
Dealer’s Name
Sales Tax #
Signature
____ I am a non-resident
I *________________________ hereby certify that my legal residence** or commercial domicile is in the state of ___________________
and that I will remove the vehicle to the state of ____________________ immediately upon delivery.
I do not claim Maine residency on any current income tax returns, homestead property exemptions or licenses; to verify this my social se-
curity number or EIN is _____________________ and my date of birth or date of incorporation is ___________________.
____ I am a resident business
I hereby certify that I am organized under the laws of the State of Maine with EIN _________________ or have my principle place of
business in the State of Maine and that I also conduct business activity from a fixed location or locations outside this state. The address of
the sole or primary fixed business location outside of Maine is _________________________________________.
I will remove the vehicle to the state of ________________________ immediately upon delivery and will use the vehicle exclusively in
business activities outside of the State of Maine.
I make this statement to allow the sale of the above described vehicle to me without payment of the Maine sales tax, otherwise applicable. If I regis-
ter the vehicle in Maine within 12 months of the date of purchase (or in the case of a resident business, I use the vehicle in Maine within 12 months
of purchase), I will pay the Maine use tax at the time of registration based on the original purchase price. I declare under the penalties of perjury that
the statements made herein are true to the best of my knowledge and belief and hereby authorize Maine Revenue Services to furnish a copy of this af-
fidavit to the state of my legal residence and/or to the state to which the vehicle is being removed.
________________________________________________ _________________________________Date _______________________________
Signature of Purchaser Title
* Name of Business, if other than an individual
** An individual’s fixed permanent home (domicile)
Enclose affidavit with the Maine Sales and Use Tax Return, and the Dealer’s and Lessor’s Supplemental Report ST-A-106
Rev. 10/13
MAINE REVENUE SERVICES
SALES/EXCISE TAX DIVISION
AFFIDAVIT OF EXEMPTION FOR IMMEDIATE REMOVAL
For a Motor Vehicle (including all-terrain vehicles and snowmobiles),
Camper trailer (including a slide-in truck camper), Aircraft or Semitrailer
Sold to a Legal Resident of another State or to a Resident business with fixed locations outside the State
I certify that this sale is exempt from sales tax, pursuant to 36 MRSA §1760(23) of the Maine Sales and Use Tax Law.
Make
Model
Year
VIN
Date of Sale
Sale Price $
Trade-in: Type of Vehicle
$
Purchaser’s Name – (please print) last name first middle
Purchaser’s Address – (please print) street address, PO Box number, etc.
city State
The purchaser has stated to me at the time of sale that the purchaser is a legal resident of another state or a resident business with fixed locations out-
side the state and intends to remove the vehicle from Maine immediately upon delivery. If any information available to me indicates otherwise, I
have retained evidence in addition to this affidavit which indicates that the purchaser has established legal residence in another state, such as records
of permanent home, employment, tax registrations, federal identification number or driver’s license from another state.
I declare under the penalties of perjury that all statements made by me herein are true, to the best of my knowledge and belief, and hereby authorize
Maine Revenue Services to furnish a copy of this affidavit to the state which the purchaser declares herein to be their residence and/or to the state to
which the vehicle is being removed.
Dealer’s Name
Sales Tax #
Signature
____ I am a non-resident
I *________________________ hereby certify that my legal residence** or commercial domicile is in the state of ___________________
and that I will remove the vehicle to the state of ____________________ immediately upon delivery.
I do not claim Maine residency on any current income tax returns, homestead property exemptions or licenses; to verify this my social se-
curity number or EIN is _____________________ and my date of birth or date of incorporation is ___________________.
____ I am a resident business
I hereby certify that I am organized under the laws of the State of Maine with EIN _________________ or have my principle place of
business in the State of Maine and that I also conduct business activity from a fixed location or locations outside this state. The address of
the sole or primary fixed business location outside of Maine is _________________________________________.
I will remove the vehicle to the state of ________________________ immediately upon delivery and will use the vehicle exclusively in
business activities outside of the State of Maine.
I make this statement to allow the sale of the above described vehicle to me without payment of the Maine sales tax, otherwise applicable. If I regis-
ter the vehicle in Maine within 12 months of the date of purchase (or in the case of a resident business, I use the vehicle in Maine within 12 months
of purchase), I will pay the Maine use tax at the time of registration based on the original purchase price. I declare under the penalties of perjury that
the statements made herein are true to the best of my knowledge and belief and hereby authorize Maine Revenue Services to furnish a copy of this af-
fidavit to the state of my legal residence and/or to the state to which the vehicle is being removed.
________________________________________________ _________________________________Date _______________________________
Signature of Purchaser Title
* Name of Business, if other than an individual
** An individual’s fixed permanent home (domicile)
Enclose affidavit with the Maine Sales and Use Tax Return, and the Dealer’s and Lessor’s Supplemental Report ST-A-106
Rev. 10/13