Affidavit of Motor Vehicle Gift Transfer - Texas
14-317
(Rev.2-15/6)
Affidavit of Motor Vehicle Gift Transfer
(Must be filed in person by recipient or donor. See instructions.)
STATE OF TEXAS
COUNTY OF ______________________________
DO NOT SEND TO THE COMPTROLLER’S OFFICE.
A reproduced copy of the non-appearing party’s notarized signature is acceptable.
Tax Code Section 152.101 provides a penalty to a person who signs a false state-
ment. An offense under this section is a felony of the third degree.
Vehicle Information
Year Model Make Vehicle Identification Number (VIN)
To qualify for the gift tax, a motor vehicle must be received from one of the following eligible parties as defined by Tax Code Section 152.025(a).
Check applicable box:
Parent/Stepparent or Father/Mother-in-Law Child/Stepchild or Son/Daughter-in-Law Spouse
(Vehicle previously held as separate
property; see Rule 3.80.)
Grandchild/Grandchild-in-law Sibling or Brother/Sister-in-Law Grandparent/Grandparent-in-Law
Guardian Decedent’s estate (inherited) Qualified nonprofit IRC Section 501(c)(3),
donor or recipient
Certain revocable (living) trusts (see Tax Code Section 152.025, donor or recipient)
Donor Certification
I hereby certify that all statements in this document are true and correct to
the best of my knowledge and belief. This motor vehicle is being transferred
without consideration, including no assumption of debt.
Donor Certification (if multiple donors)
Name
Mailing address
City State
ZIP code Phone (area code and number)
SEAL
or
STAMP
SIGNATURE OF DONOR / EXECUTOR
sign
here
SWORN TO and SUBSCRIBED before me on this the day
of A.D. .
NOTARY PUBLIC FOR THE STATE OF ______________________________
OR AUTHORIZED EMPLOYEE OF THE TAX ASSESSOR-COLLECTOR’S OFFICE
sign
here
Name
Mailing address
City State
ZIP code Phone (area code and number)
SEAL
or
STAMP
I hereby certify that all statements in this document are true and correct to
the best of my knowledge and belief. This motor vehicle is being transferred
without consideration, including no assumption of debt.
SIGNATURE OF DONOR
sign
here
SWORN TO and SUBSCRIBED before me on this the day
of A.D. .
NOTARY PUBLIC FOR THE STATE OF ______________________________
OR AUTHORIZED EMPLOYEE OF THE TAX ASSESSOR-COLLECTOR’S OFFICE
sign
here
Recipient Certification
I hereby certify that all statements in this document are true and correct to
the best of my knowledge and belief. This motor vehicle is being transferred
without consideration, including no assumption of debt.
Recipient Certification (if multiple recipients)
Name
Mailing address
City State
ZIP code Phone (area code and number)
SEAL
or
STAMP
SIGNATURE OF RECIPIENT
sign
here
SWORN TO and SUBSCRIBED before me on this the day
of A.D. .
NOTARY PUBLIC FOR THE STATE OF ______________________________
OR AUTHORIZED EMPLOYEE OF THE TAX ASSESSOR-COLLECTOR’S OFFICE
sign
here
Name
Mailing address
City State
ZIP code Phone (area code and number)
SEAL
or
STAMP
I hereby certify that all statements in this document are true and correct to
the best of my knowledge and belief. This motor vehicle is being transferred
without consideration, including no assumption of debt.
SIGNATURE OF RECIPIENT
sign
here
SWORN TO and SUBSCRIBED before me on this the day
of A.D. .
NOTARY PUBLIC FOR THE STATE OF ______________________________
OR AUTHORIZED EMPLOYEE OF THE TAX ASSESSOR-COLLECTOR’S OFFICE
sign
here
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