Request for Tax Refund
Department of Motor Vehicles
120 State Street
Agency of Transportation
Montpelier, Vermont 05603-0001
dmv.vermont.gov
802.828.2000
Name
License #
Mailing Address
City
State
ZIP Code
Email
Phone
Complete the following section for the vehicle you sold
Sale Price
Plate #
Model Year
Make
Date Sold
Serial Number (VIN)
Vehicle sold to (name)
Vehicle sold to (address)
Complete the following section for the vehicle you purchased
Purchase Price
Plate #
Model Year
Make
Date Purchased
Serial Number (VIN)
To be eligible for a refund of tax paid, the sale of a registered vehicle must occur within three
months of the taxable purchase of another vehicle. The registered owner (or co-owner) must
appear on both the old and the new registration.
Proof of the sale must be included. Failure to include proof of sale will result in a denial of
refund. Example of acceptable proof; Copy of Bill of Sale signed by both buyer and seller.
I certify that the statements herein are true. This declaration is made under the penalties of 23 V.S.A. Section 202, 203 and 32 V.S.A. Section 8910.
Signature of Owner
Date
Mail completed form and proof of sale to:
Vermont DMV
Attn: Refunds
120 State Street
Montpelier, VT 05603-0001
VD-115 5M 02/2018 MTC
Request for Tax Refund
Department of Motor Vehicles
120 State Street
Agency of Transportation
Montpelier, Vermont 05603-0001
dmv.vermont.gov
802.828.2000
Name
License #
Mailing Address
City
State
ZIP Code
Email
Phone
Complete the following section for the vehicle you sold
Sale Price
Plate #
Model Year
Make
Date Sold
Serial Number (VIN)
Vehicle sold to (name)
Vehicle sold to (address)
Complete the following section for the vehicle you purchased
Purchase Price
Plate #
Model Year
Make
Date Purchased
Serial Number (VIN)
To be eligible for a refund of tax paid, the sale of a registered vehicle must occur within three
months of the taxable purchase of another vehicle. The registered owner (or co-owner) must
appear on both the old and the new registration.
Proof of the sale must be included. Failure to include proof of sale will result in a denial of
refund. Example of acceptable proof; Copy of Bill of Sale signed by both buyer and seller.
I certify that the statements herein are true. This declaration is made under the penalties of 23 V.S.A. Section 202, 203 and 32 V.S.A. Section 8910.
Signature of Owner
Date
Mail completed form and proof of sale to:
Vermont DMV
Attn: Refunds
120 State Street
Montpelier, VT 05603-0001
VD-115 5M 02/2018 MTC