Form MVH-OOS-01.02 "Affidavit of Purchaser" - Nevada

What Is Form MVH-OOS-01.02?

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

Form Details:

  • Released on October 15, 2014;
  • The latest edition provided by the Nevada Department of Taxation;
  • 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 fillable version of Form MVH-OOS-01.02 by clicking the link below or browse more documents and templates provided by the Nevada Department of Taxation.

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Download Form MVH-OOS-01.02 "Affidavit of Purchaser" - Nevada

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NEVADA DEPARTMENT OF TAXATION
AFFIDAVIT OF PURCHASER
(EXECUTE WITH SPECIAL DRIVE AWAY PERMIT)
THIS FORM IS NOT VALID UNLESS ALL INFORMATION IS OBTAINED
I/We,
certify that I/we purchased on
the following
vehicle
vessel from
(Check type)
Year:
Make:
Model:
VIN/HULL#:
I/We further certify that I/we are not residents of Nevada and the described vehicle/vessel is not for storage, use or
consumption in the State of Nevada, except for its transportation from this State within the 15 days provided for in the
Special Drive-Away permit issued at the time of sale.
Signature of Purchaser
Signature of Purchaser
Name of Purchaser
Name of Purchaser
Address of Purchaser
Address of Purchaser
Drivers License Number
State
Drivers License Number
State
Social Security Number
Social Security Number
**This form is for use only by non-residents of the State of Nevada. If you are a member of the armed services
stationed in the State of Nevada or you are a student attending a Nevada school, the affidavit does not apply
since the vehicle/vessel will be used in the State of Nevada. Attn retailers: Failure to verify non-residency may
result in assessment of tax, penalty and interest.**
On
,
, identified to be the person(s)
Date
Purchaser(s)
named above appeared before me and affirmed, under penalty of perjury, that the above statements are true.
Notary Public Signature
County
State
(Notary Seal)
Dealership Representative
Title
Date
(Authorized Signature)
THIS FORM IS NOT VALID UNLESS ALL INFORMATION IS OBTAINED
(Dealers Representative Must Also Sign Form)
AFFIDAVIT OF PURCHASER
MVH-OOS-01.02
Revised: 10-15-14
NEVADA DEPARTMENT OF TAXATION
AFFIDAVIT OF PURCHASER
(EXECUTE WITH SPECIAL DRIVE AWAY PERMIT)
THIS FORM IS NOT VALID UNLESS ALL INFORMATION IS OBTAINED
I/We,
certify that I/we purchased on
the following
vehicle
vessel from
(Check type)
Year:
Make:
Model:
VIN/HULL#:
I/We further certify that I/we are not residents of Nevada and the described vehicle/vessel is not for storage, use or
consumption in the State of Nevada, except for its transportation from this State within the 15 days provided for in the
Special Drive-Away permit issued at the time of sale.
Signature of Purchaser
Signature of Purchaser
Name of Purchaser
Name of Purchaser
Address of Purchaser
Address of Purchaser
Drivers License Number
State
Drivers License Number
State
Social Security Number
Social Security Number
**This form is for use only by non-residents of the State of Nevada. If you are a member of the armed services
stationed in the State of Nevada or you are a student attending a Nevada school, the affidavit does not apply
since the vehicle/vessel will be used in the State of Nevada. Attn retailers: Failure to verify non-residency may
result in assessment of tax, penalty and interest.**
On
,
, identified to be the person(s)
Date
Purchaser(s)
named above appeared before me and affirmed, under penalty of perjury, that the above statements are true.
Notary Public Signature
County
State
(Notary Seal)
Dealership Representative
Title
Date
(Authorized Signature)
THIS FORM IS NOT VALID UNLESS ALL INFORMATION IS OBTAINED
(Dealers Representative Must Also Sign Form)
AFFIDAVIT OF PURCHASER
MVH-OOS-01.02
Revised: 10-15-14