Form 1155E "Sworn Statement for the Transfer of a Used Motor Vehicle in the Province of Ontario" - Ontario, Canada

Form 1155E is a Ontario Ministry of Finance form also known as the "Form 1155e "sworn Statement For The Transfer Of A Used Motor Vehicle In The Province Of Ontario" - Ontario, Canada". The latest edition of the form was released in June 1, 2014 and is available for digital filing.

Download an up-to-date Form 1155E in PDF-format down below or look it up on the Ontario Ministry of Finance Forms website.

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Download Form 1155E "Sworn Statement for the Transfer of a Used Motor Vehicle in the Province of Ontario" - Ontario, Canada

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Sworn Statement for the Transfer of a
Ministry of Finance
Retail Sales Tax
Used Vehicle in the Province of Ontario
33 King Street West
PO Box 623
Clear Form
Oshawa ON L1H 8H7
TO WIT:
Under the Retail Sales Tax Act, R.S.O. 1990, c.R.31 (as amended), clause 4.2(4) (a)(b)(c)(e), 4.2(8), 8(2), and Regulation
1013 Section 13 of Revised Regulations of Ontario, 1990 made under the Retail Sales Tax Act, as amended.
We,
of the
of
(Name of Recipient)
(City, Town, etc.)
(Name of City, Town, etc.)
in the
of
, Province of Ontario, and
(County, Regional Municipality, etc.)
(Name of County, Regional Municipality, etc.)
of the
of
(Name of Donor)
(City, Town, etc.)
(Name of City, Town, etc.)
in the
of
, Province of Ontario,
(County, Regional Municipality, etc.)
(Name of County, Regional Municipality, etc.)
MAKE OATH AND SAY:
1.
We have personal knowledge of the matters stated below.
2.
The Recipient is now the owner of the Used Vehicle(s) named in the Application(s) for Transfer.
3.
The Used Vehicle(s) owned by the said Recipient is/are a
(year)
(make)
(model)
bearing Vehicle Identifi cation Number
.
If more than 1 vehicle is being transferred attach list including Year, Make, Model and VIN Number.
4.
The Used Vehicle(s) was/were acquired by the said
on
(Name of Owner/Recipient)
(Date)
from
as the result of
(Name of Donor)
(Reason(s))
5.
The detailed reason(s) for the transfer of the Used Vehicle(s) was/were
SWORN before me
at the
of
)
(City, Town, etc.)
(Name of City, Town, etc.)
)
in the
of
(Signature of Recipient)
)
(County, Regional Municipality, etc.)
(Name of County, Regional Municipality, etc.)
)
this
day of
)
(month)
(year)
(Signature of Donor)
)
)
* A Commissioner, etc.
)
)
*
Commissioner may be:
Lawyer/Notary Public
Note: When claiming an exempt transfer of used vehicles between
Justice of the Peace
Corporations, or between a Corporation and Shareholder, attach to the
Local municipal/town Clerk, Deputy Clerk, Treasurer, Head of Municipal
Council, Reeve/Deputy
sworn statement an information Addendum which may be
Others appointed by Lieutenant Governor to administer oaths and to take
obtained from the ServiceOntario Centre/Driver and Vehicle License
affi davits (call 1 866 668-8297 for availability of a Commissioner)
Issuing Offi ce.
WARNING: Every person who knowingly makes a false or deceptive statement herein is guilty of an offence and is liable on conviction to
a fi ne, or term of imprisonment, or both (Retail Sales Tax Act, Subsections 32(4) and 32(4.1)).
Personal information is collected on this form under authority of subsection 4.2(8) of the Ontario Retail Sales Tax Act, R.S.O. 1990, c.R.31, (as amended)
and may be used to determine eligibility for retail sales tax exemption. Questions about this collection should be directed to:
Ministry of Finance, 33 King Street West, PO Box 623, Oshawa ON L1H 8H7, 1 866 668-8297.
Print Form
1155E (2014/06)
© Queen’s Printer for Ontario, 2014
Disponible en français
Sworn Statement for the Transfer of a
Ministry of Finance
Retail Sales Tax
Used Vehicle in the Province of Ontario
33 King Street West
PO Box 623
Clear Form
Oshawa ON L1H 8H7
TO WIT:
Under the Retail Sales Tax Act, R.S.O. 1990, c.R.31 (as amended), clause 4.2(4) (a)(b)(c)(e), 4.2(8), 8(2), and Regulation
1013 Section 13 of Revised Regulations of Ontario, 1990 made under the Retail Sales Tax Act, as amended.
We,
of the
of
(Name of Recipient)
(City, Town, etc.)
(Name of City, Town, etc.)
in the
of
, Province of Ontario, and
(County, Regional Municipality, etc.)
(Name of County, Regional Municipality, etc.)
of the
of
(Name of Donor)
(City, Town, etc.)
(Name of City, Town, etc.)
in the
of
, Province of Ontario,
(County, Regional Municipality, etc.)
(Name of County, Regional Municipality, etc.)
MAKE OATH AND SAY:
1.
We have personal knowledge of the matters stated below.
2.
The Recipient is now the owner of the Used Vehicle(s) named in the Application(s) for Transfer.
3.
The Used Vehicle(s) owned by the said Recipient is/are a
(year)
(make)
(model)
bearing Vehicle Identifi cation Number
.
If more than 1 vehicle is being transferred attach list including Year, Make, Model and VIN Number.
4.
The Used Vehicle(s) was/were acquired by the said
on
(Name of Owner/Recipient)
(Date)
from
as the result of
(Name of Donor)
(Reason(s))
5.
The detailed reason(s) for the transfer of the Used Vehicle(s) was/were
SWORN before me
at the
of
)
(City, Town, etc.)
(Name of City, Town, etc.)
)
in the
of
(Signature of Recipient)
)
(County, Regional Municipality, etc.)
(Name of County, Regional Municipality, etc.)
)
this
day of
)
(month)
(year)
(Signature of Donor)
)
)
* A Commissioner, etc.
)
)
*
Commissioner may be:
Lawyer/Notary Public
Note: When claiming an exempt transfer of used vehicles between
Justice of the Peace
Corporations, or between a Corporation and Shareholder, attach to the
Local municipal/town Clerk, Deputy Clerk, Treasurer, Head of Municipal
Council, Reeve/Deputy
sworn statement an information Addendum which may be
Others appointed by Lieutenant Governor to administer oaths and to take
obtained from the ServiceOntario Centre/Driver and Vehicle License
affi davits (call 1 866 668-8297 for availability of a Commissioner)
Issuing Offi ce.
WARNING: Every person who knowingly makes a false or deceptive statement herein is guilty of an offence and is liable on conviction to
a fi ne, or term of imprisonment, or both (Retail Sales Tax Act, Subsections 32(4) and 32(4.1)).
Personal information is collected on this form under authority of subsection 4.2(8) of the Ontario Retail Sales Tax Act, R.S.O. 1990, c.R.31, (as amended)
and may be used to determine eligibility for retail sales tax exemption. Questions about this collection should be directed to:
Ministry of Finance, 33 King Street West, PO Box 623, Oshawa ON L1H 8H7, 1 866 668-8297.
Print Form
1155E (2014/06)
© Queen’s Printer for Ontario, 2014
Disponible en français