Rhode Island Affidavit of Gift of Motor Vehicle Form

AFFIDAVIT OF GIFT OF MOTOR VEHICLE STATE OF RHODE ISLAND -- DIVISION OF MOTOR VEHICLES

Division of Taxation 600 New London Avenue ,Cranston, RI 02920-3024 www.dmv.ri.gov

SALES AND USE TAX

I _________________________________________________________ of FULL NAME

________________________________________________________________________ ADDRESS

CITY/TOWN

STATE

ZIP CODE

Hereby depose and say that on _______ day of ________________________, 20 ______ I did receive and accept as a gift or grant a _____________________________________ YEAR

MAKE

MODEL

_____________________________ from ______________________________ of VEHICLE IDENTIFICATION NUMBER

NAME

________________________________________________________________________ ADDRESS

CITY/TOWN

STATE

ZIP CODE

I swear that no monies, services, barter arrangements or other articles or things of value or consideration in any form were paid or given in connection with or relating to the gift of this vehicle. If subsequent information discloses that the statements contained herein are false, then all penalties imposed by law will be invoked. Signed under penalty of perjury on this ______ day of __________________, 20 ______.

_____________________________________ GRANTEE (person receiving gift)

REV: 08/10