Form REV-1784 "Pennsylvania Boat Dealer's Report of Sales of Boats Which Are Delivered by the Seller out of State" - Pennsylvania

What Is Form REV-1784?

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

Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the Pennsylvania Department of Revenue;
  • 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 REV-1784 by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Revenue.

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Download Form REV-1784 "Pennsylvania Boat Dealer's Report of Sales of Boats Which Are Delivered by the Seller out of State" - Pennsylvania

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(DR) 10-20
REV-1784
PENNSYLVANIA BOAT DEALER’S REPORT
BUREAU OF DESK REVIEW AND ANALYSIS
OF SALES OF BOATS WHICH ARE
PO BOX 280709
DELIVERED BY THE SELLER OUT OF STATE
HARRISBURg PA 17128-0709
One copy for the Dealer. One copy for Department of Revenue. One copy for your records. Please see instructions on last page.
DEALER INFORMATION
SECTION I
START
PA Boat Dealer
PA Sales Tax License Number
Street Address
City
County
State
ZIP Code
PURCHASER INFORMATION
SECTION II
MM/DD/YYYY
Name
Co-Owner Name (if applicable)
Driver’s License Number (state)
Date of Purchase
Street Address
TIN (if applicable)
TIN Type
City
County
State
ZIP Code
BOAT IDENTIFICATION INFORMATION
SECTION III
Builder
Model
Year
Length
Hull Identification Number
Include Boat, Motor, Accessories
Engine Manufacturer
Engine Identification Number Engine Horsepower
Purchase Price (without trade)
and Freight excluding trailer with
Purchase Price.
BOAT TRAILER IDENTIFICATION INFORMATION
SECTION IV
State of Registration
Registration Number
Purchase Price
USE INFORMATION
SECTION V
Boat Will Be Delivered by the Seller to City/Town
State
Boat Will Be
Documented
Registered in the State of
Storage Address (where boat will be primarily used or moored. Include Marina and/or body of water.)
City
State
ZIP Code
Marina
Slip Number
Body of Water
Boats Storage Location in Non-Use Months (i.e. winter) City/Town
State
CERTIFICATION
SECTION VI
I, the dealer listed above, certify under penalty of law, that I have advised the purchaser(s) of the above declared boat of his/their sales tax responsibility
to the Commonwealth of Pennsylvania. I further certify that the boat was delivered to the address listed in Part IV (A) above.
MM/DD/YYYY
Dealer Signature
Date
SIGN AFTER PRINTING
I/We, the purchaser(s) of the above described boat, have read all parts of this form and certify under penalty of law that the information inserted on the
form is true and correct. I/We understand that should the boat be brought into the state of Pennsylvania following its purchase and delivery, I/We will be
liable for tax at the rate of 6%, add on additional 1% for Allegheny or Philadelphia County Tax.
MM/DD/YYYY
Resident Purchaser’s Signature
Date
SIGN AFTER PRINTING
MM/DD/YYYY
Resident Purchaser’s Signature
Date
SIGN AFTER PRINTING
Reset Entire Form
TOP OF PAGE
GO TO INSTRUCTIONS
PRINT
PURCHASER COPY
(DR) 10-20
REV-1784
PENNSYLVANIA BOAT DEALER’S REPORT
BUREAU OF DESK REVIEW AND ANALYSIS
OF SALES OF BOATS WHICH ARE
PO BOX 280709
DELIVERED BY THE SELLER OUT OF STATE
HARRISBURg PA 17128-0709
One copy for the Dealer. One copy for Department of Revenue. One copy for your records. Please see instructions on last page.
DEALER INFORMATION
SECTION I
START
PA Boat Dealer
PA Sales Tax License Number
Street Address
City
County
State
ZIP Code
PURCHASER INFORMATION
SECTION II
MM/DD/YYYY
Name
Co-Owner Name (if applicable)
Driver’s License Number (state)
Date of Purchase
Street Address
TIN (if applicable)
TIN Type
City
County
State
ZIP Code
BOAT IDENTIFICATION INFORMATION
SECTION III
Builder
Model
Year
Length
Hull Identification Number
Include Boat, Motor, Accessories
Engine Manufacturer
Engine Identification Number Engine Horsepower
Purchase Price (without trade)
and Freight excluding trailer with
Purchase Price.
BOAT TRAILER IDENTIFICATION INFORMATION
SECTION IV
State of Registration
Registration Number
Purchase Price
USE INFORMATION
SECTION V
Boat Will Be Delivered by the Seller to City/Town
State
Boat Will Be
Documented
Registered in the State of
Storage Address (where boat will be primarily used or moored. Include Marina and/or body of water.)
City
State
ZIP Code
Marina
Slip Number
Body of Water
Boats Storage Location in Non-Use Months (i.e. winter) City/Town
State
CERTIFICATION
SECTION VI
I, the dealer listed above, certify under penalty of law, that I have advised the purchaser(s) of the above declared boat of his/their sales tax responsibility
to the Commonwealth of Pennsylvania. I further certify that the boat was delivered to the address listed in Part IV (A) above.
MM/DD/YYYY
Dealer Signature
Date
SIGN AFTER PRINTING
I/We, the purchaser(s) of the above described boat, have read all parts of this form and certify under penalty of law that the information inserted on the
form is true and correct. I/We understand that should the boat be brought into the state of Pennsylvania following its purchase and delivery, I/We will be
liable for tax at the rate of 6%, add on additional 1% for Allegheny or Philadelphia County Tax.
MM/DD/YYYY
Resident Purchaser’s Signature
Date
SIGN AFTER PRINTING
MM/DD/YYYY
Resident Purchaser’s Signature
Date
SIGN AFTER PRINTING
Reset Entire Form
TOP OF PAGE
GO TO INSTRUCTIONS
PRINT
PURCHASER COPY
(DR) 10-20
REV-1784
PENNSYLVANIA BOAT DEALER’S REPORT
BUREAU OF DESK REVIEW AND ANALYSIS
OF SALES OF BOATS WHICH ARE
PO BOX 280709
DELIVERED BY THE SELLER OUT OF STATE
HARRISBURg PA 17128-0709
One copy for the Dealer. One copy for Department of Revenue. One copy for your records. Please see instructions on last page.
DEALER INFORMATION
SECTION I
PA Boat Dealer
PA Sales Tax License Number
Street Address
City
County
State
ZIP Code
PURCHASER INFORMATION
SECTION II
MM/DD/YYYY
Name
Co-Owner Name (if applicable)
Driver’s License Number (state)
Date of Purchase
Street Address
TIN (if applicable)
TIN Type
City
County
State
ZIP Code
BOAT IDENTIFICATION INFORMATION
SECTION III
Builder
Model
Year
Length
Hull Identification Number
Include Boat, Motor, Accessories
Engine Manufacturer
Engine Identification Number Engine Horsepower
Purchase Price (without trade)
and Freight excluding trailer with
Purchase Price.
BOAT TRAILER IDENTIFICATION INFORMATION
SECTION IV
State of Registration
Registration Number
Purchase Price
USE INFORMATION
SECTION V
Boat Will Be Delivered by the Seller to City/Town
State
Boat Will Be
Documented
Registered in the State of
Storage Address (where boat will be primarily used or moored. Include Marina and/or body of water.)
City
State
ZIP Code
Marina
Slip Number
Body of Water
Boats Storage Location in Non-Use Months (i.e. winter) City/Town
State
CERTIFICATION
SECTION VI
I, the dealer listed above, certify under penalty of law, that I have advised the purchaser(s) of the above declared boat of his/their sales tax responsibility
to the Commonwealth of Pennsylvania. I further certify that the boat was delivered to the address listed in Part IV (A) above.
MM/DD/YYYY
Dealer Signature
Date
SIGN AFTER PRINTING
I/We, the purchaser(s) of the above described boat, have read all parts of this form and certify under penalty of law that the information inserted on the
form is true and correct. I/We understand that should the boat be brought into the state of Pennsylvania following its purchase and delivery, I/We will be
liable for tax at the rate of 6%, add on additional 1% for Allegheny or Philadelphia County Tax.
MM/DD/YYYY
Resident Purchaser’s Signature
Date
SIGN AFTER PRINTING
MM/DD/YYYY
Resident Purchaser’s Signature
Date
SIGN AFTER PRINTING
Reset Entire Form
RETURN TO PAGE 1
GO TO INSTRUCTIONS
PRINT
DEALER COPY
(DR) 10-20
REV-1784
PENNSYLVANIA BOAT DEALER’S REPORT
BUREAU OF DESK REVIEW AND ANALYSIS
OF SALES OF BOATS WHICH ARE
PO BOX 280709
DELIVERED BY THE SELLER OUT OF STATE
HARRISBURg PA 17128-0709
One copy for the Dealer. One copy for Department of Revenue. One copy for your records. Please see instructions on last page.
DEALER INFORMATION
SECTION I
PA Boat Dealer
PA Sales Tax License Number
Street Address
City
County
State
ZIP Code
PURCHASER INFORMATION
SECTION II
MM/DD/YYYY
Name
Co-Owner Name (if applicable)
Driver’s License Number (state)
Date of Purchase
Street Address
TIN (if applicable)
TIN Type
City
County
State
ZIP Code
BOAT IDENTIFICATION INFORMATION
SECTION III
Builder
Model
Year
Length
Hull Identification Number
Include Boat, Motor, Accessories
Engine Manufacturer
Engine Identification Number Engine Horsepower
Purchase Price (without trade)
and Freight excluding trailer with
Purchase Price.
BOAT TRAILER IDENTIFICATION INFORMATION
SECTION IV
State of Registration
Registration Number
Purchase Price
USE INFORMATION
SECTION V
Boat Will Be Delivered by the Seller to City/Town
State
Boat Will Be
Documented
Registered in the State of
Storage Address (where boat will be primarily used or moored. Include Marina and/or body of water.)
City
State
ZIP Code
Marina
Slip Number
Body of Water
Boats Storage Location in Non-Use Months (i.e. winter) City/Town
State
CERTIFICATION
SECTION VI
I, the dealer listed above, certify under penalty of law, that I have advised the purchaser(s) of the above declared boat of his/their sales tax responsibility
to the Commonwealth of Pennsylvania. I further certify that the boat was delivered to the address listed in Part IV (A) above.
MM/DD/YYYY
Dealer Signature
Date
SIGN AFTER PRINTING
I/We, the purchaser(s) of the above described boat, have read all parts of this form and certify under penalty of law that the information inserted on the
form is true and correct. I/We understand that should the boat be brought into the state of Pennsylvania following its purchase and delivery, I/We will be
liable for tax at the rate of 6%, add on additional 1% for Allegheny or Philadelphia County Tax.
MM/DD/YYYY
Resident Purchaser’s Signature
Date
SIGN AFTER PRINTING
MM/DD/YYYY
Resident Purchaser’s Signature
Date
SIGN AFTER PRINTING
Reset Entire Form
RETURN TO PAGE 1
GO TO INSTRUCTIONS
PRINT
DEPARTMENT OF REVENUE COPY
Instructions for Form REV-1784
Pennsylvania Boat Dealer’s Report of Sales of Boats
Which Are Delivered by the Seller Out-Of-State
REV-1784 IN (DR) 10-20
SECTION IV
GENERAL INFORMATION
USE INFORMATION
BOAT
Print or type city or town and state boat will be delivered by
Any motorized or nonmotorized watercraft having a capacity
the seller. Check whether the boat will be documented or
of 1,000 pounds or more as evidenced by the capacity plate.
registered and list the state of registration.
BOAT DEALER
Print or type the storage address where the boat will be
Any person engaged in the business of selling and/or
primarily used or moored. Include Marina with slip number
leasing boats in Pennsylvania.
and/or body of water.
It is presumed that all sales of boats are subject to sales tax
Print or type the boats storage location in non-use months,
unless the boat dealer or purchaser provides adequate proof
for example winter storage. Please identify the city/town and
that the sale is not taxable. The PA Department of Revenue
state of storage location.
requires the completion of this form by any boat dealer for
all sales of boats, as described above, which are delivered
SECTION VI
out of state.
CERTIFICATION
LINE INSTRUCTIONS
Dealer must sign and date along with the purchaser, and co-
purchaser if applicable.
SECTION I
IMPORTANT: Boat dealers maybe held liable for the
DEALER INFORMATION
sales tax plus charges for penalty and interest when
Print or type dealer name, PA sales tax license number,
adequate proof of exemption is not available.
address, city, county, state and ZIP code.
Execute this form in triplicate:
SECTION II
Give one copy to the customer.
Retain one copy for your records. This copy must
PURCHASER INFORMATION
be available for audit by officials of the PA
Print or type purchaser’s name, drivers license number
Department of Revenue.
(including state), date of purchase, address, city, county,
Forward one copy within 20 days to:
state and ZIP code. Include name of co-owner if applicable.
PA DEPARTMENT OF REVENUE
SECTION III
BUREAU OF DESK REVIEW AND ANALYSIS
P.O. BOX 280709
BOAT IDENTIFICATION INFORMATION
HARRISBURG PA 17128-0709
Print or type builder name, model, year, length, hull
identification
number,
engine
manufacturer,
engine
identification number, engine horsepower, and purchase
price (without trade). Include boat, motor, accessories and
freight excluding trailer with purchase price.
SECTION IV
BOAT TRAILER IDENTIFICATION INFORMATION
Print or type state of registration, registration number and
purchase price.
www.revenue.pa.gov
REV-1784
1
Reset Entire Form
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