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Affidavit of Non-Dealer Transfers of Motor Vehicles and Boats

Executing the following affidavit is done by an affiant in order to state the amount required for transferring a vehicle/boat. The failure to provide the correct information can result in additional fees.

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TENNESSEE DEPARTMENT OF REVENUEAFFIDAVIT OF NON-DEALER TRANSFERS OF MOTOR VEHICLES AND
BOATS
Lineal 	relative 	transfer	   (Persons 	qualified 	when 	related 	to 	transferor 	as: 	 spouse, 	sibling, 	child, 	grandchild,	
great grandchild, parent, grandparent, great grandparent, and spouse of lineal relative)
Gift 	transfer 	or 	low 	selling 	price 	to 	person 	other 	than 	lineal 	relative 	(Low 	selling 	price 	is 	considered 	to 	be 	75%	
or 	less 	of 	the 	fair 	market 	value 	by 	reference 	to 	the 	most 	recent 	issue 	of 	an 	authoritative 	automotive 	pricing 	manual,	
such as tha N.A.D.A. Official Used Car Guide, SE Edition)
Vehicle or Boat Information (To be completed by seller or transferor):YearMake(VIN or Serial No.)Date of Sale:Fair Market value of the vehicle  $Is there a lien?  Y/NIf yes, what is the amount of the outstanding lien?If yes, who is the lienholder?If applicable, please state the relationship between Seller or Transferor and Purchaser or Transferee:This box to be completed if gift or low selling price onlyConsiderations involved in the transfer:  (Please check all that apply)Money involved:Loan Assumption, loan pay-off, etc.:Services or labor performed:  Value:Other:  (Explain)Trade-in: 	 (Trade-in 	must 	be 	of 	like 	kind, 	such 	as 	motor 	vehicle, 	motorcycle, 	boat, 	etc. 	in 	order 	to 	get 	sales	
tax
credit for trade-in)
Trade-in value:  $Trade Description:YearMake(VIN or Serial No.)Total Sales Price:  $                                                 (The sales price is thetotal amount of consideration paid by thepurchaser 	or 	transferee, 	including 	any 	money 	paid 	to 	a third 	party, 	such 	as 	lienholder. 	If no 	consideration 	was 	given 	for	
the transfer, then the amount of the sales price is $0.)
$$$If the sales price islower than the average value please indicate the reason for the low price:Under 	the 	penalties 	of 	perjury, 	I swear 	that 	the 	foregoing 	information 	is 	true 	and 	correct 	to 	the 	best 	of 	my 	knowledge,	
information 	and 	belief, 	and 	this 	document 	correctly 	states 	the 	total 	amount 	of 	consideration 	for 	the 	transfer 	of 	this 	vehicle	
or 	boat. 	 I understand 	that 	failure 	to 	report 	proper 	consideration 	for 	the 	sale 	or 	transfer 	of 	the 	aforementioned 	vehicle 	or	
boat may result in assessment of applicable sales tax, penalty and interest against the purchaser.
Seller or Transferor's Signature(s)                                         DatePurchaser or Transferee's Signature(s)                                 DateRV-F1301201  (Rev. 5-00)Seller or Transferor(Please Print)Purchaser or Transferee(Please Print)Name:Address:City, State, Zip:Phone:FEIN or Drivers License No.Name:Address:City, State, Zip:Phone:FEIN or Drivers License No.
Next: Application for Duplicate and Replacement License Plate or Decal Previous: Affidavit (Name Change or Correction)
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