Form CDTFA-106 "Vehicle/Vessel Use Tax Clearance Request" - California

What Is Form CDTFA-106?

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

Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the California Department of Tax and Fee Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form CDTFA-106 by clicking the link below or browse more documents and templates provided by the California Department of Tax and Fee Administration.

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Download Form CDTFA-106 "Vehicle/Vessel Use Tax Clearance Request" - California

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CDTFA-106 (FRONT) REV. 17 (8-17)
STATE OF CALIFORNIA
VEHICLE/VESSEL USE TAX
CALIFORNIA DEPARTMENT OF
CLEARANCE REQUEST
TAX AND FEE ADMINISTRATION
NAME OF CLAIMANT
TELEPHONE NO.
EMAIL ADDRESS
ADDRESS (street, city, state, zip code)
NAME OF SELLER OR TRANSFEROR
TELEPHONE NO.
EMAIL ADDRESS
ADDRESS (street, city, state, zip code)
MAKE OF:
YEAR
Vehicle
Vessel
LICENSE NO.(s)/CF NO.(s)/DECAL NO.(s)
VIN/HIN NO.(s)/SERIAL NO.(s)
PURCHASE OR TRANSFER DATE
DATE YOU APPLIED FOR CALIFORNIA
REGISTRATION
LOCATION OF PURCHASE/TRANSFER
DATE VEHICLE/VESSEL ENTERED CALIFORNIA
DATE YOU BECAME RESIDENT OF CALIFORNIA
DATE EMPLOYED IN CALIFORNIA
WAS VEHICLE/VESSEL PREVIOUSLY REGISTERED TO YOU OUTSIDE THE STATE OF CALIFORNIA? IF YES, WHERE?
MODEL
YEAR
MOBILEHOME MANUFACTURER
PURCHASE PRICE
SIZE
FOR
MOBILEHOMES
ONLY:
I hereby request a Certificate of Use Tax Clearance to allow completion of registration at DMV/HCD without payment of
the California use tax for the following reason:
I hereby certify that the above statements, to the best of my knowledge and belief, are true and correct.
SIGNATURE OF CLAIMANT
DATE
Please refer to California Department of Tax and Fee Administration (CDTFA)
publication
52, Vehicles and Vessels, How to Request a
Use Tax Clearance for DMV Registration, available at www.cdtfa.ca.gov, for information on the required documentation to submit with
this request. Take or mail all required forms to a local CDTFA office (check the CDTFA website, or call 1-800-400-7115 to locate an
office nearest you).
CLEAR
PRINT
CDTFA-106 (FRONT) REV. 17 (8-17)
STATE OF CALIFORNIA
VEHICLE/VESSEL USE TAX
CALIFORNIA DEPARTMENT OF
CLEARANCE REQUEST
TAX AND FEE ADMINISTRATION
NAME OF CLAIMANT
TELEPHONE NO.
EMAIL ADDRESS
ADDRESS (street, city, state, zip code)
NAME OF SELLER OR TRANSFEROR
TELEPHONE NO.
EMAIL ADDRESS
ADDRESS (street, city, state, zip code)
MAKE OF:
YEAR
Vehicle
Vessel
LICENSE NO.(s)/CF NO.(s)/DECAL NO.(s)
VIN/HIN NO.(s)/SERIAL NO.(s)
PURCHASE OR TRANSFER DATE
DATE YOU APPLIED FOR CALIFORNIA
REGISTRATION
LOCATION OF PURCHASE/TRANSFER
DATE VEHICLE/VESSEL ENTERED CALIFORNIA
DATE YOU BECAME RESIDENT OF CALIFORNIA
DATE EMPLOYED IN CALIFORNIA
WAS VEHICLE/VESSEL PREVIOUSLY REGISTERED TO YOU OUTSIDE THE STATE OF CALIFORNIA? IF YES, WHERE?
MODEL
YEAR
MOBILEHOME MANUFACTURER
PURCHASE PRICE
SIZE
FOR
MOBILEHOMES
ONLY:
I hereby request a Certificate of Use Tax Clearance to allow completion of registration at DMV/HCD without payment of
the California use tax for the following reason:
I hereby certify that the above statements, to the best of my knowledge and belief, are true and correct.
SIGNATURE OF CLAIMANT
DATE
Please refer to California Department of Tax and Fee Administration (CDTFA)
publication
52, Vehicles and Vessels, How to Request a
Use Tax Clearance for DMV Registration, available at www.cdtfa.ca.gov, for information on the required documentation to submit with
this request. Take or mail all required forms to a local CDTFA office (check the CDTFA website, or call 1-800-400-7115 to locate an
office nearest you).
CLEAR
PRINT
CDTFA-106 (BACK) REV. 17 (8-17)
FOR CDTFA USE ONLY
BRIEF STATEMENT OF FACTS
EVIDENCE PRESENTED (attach copies)
CONCLUSION
Taxable
Tax paid to an out-of-state dealer.
Return and payment received. Include CDTFA-111 pr ess number on return.
Tax to be paid at DMV/HCD.
Requesting payment plan. Copy of packet to Consumer Use Tax Section. Include CDTFA-111 press number on payment pl
an
request.
Exempt (Based on review of supporting documentation)
Clearance Issued (For registration only)
*If the test period has already expired, a decision of taxable, exempt or denied/withdrawn must be made.
Required For Test Period Not Yet Expired:
Copy of purchase agreement
Out of state delivery statement
CDTFA-111-AT letter provided to taxpayer
Complete copy of CDTFA-106 packet to HQ – CUTS
Additional supporting documentation (optional)
Denied/Withdrawn (Additional documentation required, all documents returned to taxpayer.)
PREPARED BY
OFFICE/UNIT
DATE
APPROVED BY
DATE
CERTIFICATE OF USE TAX CLEARANCE ISSUED:
Form CDTFA-111, Vehicle/Mobilehome/Commercial Coach
Form CDTFA-111-B, Vessel
PRESS NO.
SIGNED BY
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