Vehicle Transfer/Tax Form - British Columbia
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Motor Vehicle Act
Commercial Transport Act
Consumption Tax Rebate and Transition Act
Excise Tax Act
Motor Vehicle (All Terrain) Act
Motor Dealer Act
Insurance Corporation
of British Columbia
Transfer/Tax Form
This form must be fully completed and presented to an Autoplan Broker with identification within ten days of the sale
WARNING TO PURCHASER AND SELLER
This form is not valid if the information shown is inconsistent, changed or altered. Any false information regarding the purchase price and trade-in
(if applicable) or tax payable may result in fi nes and penalties.
SEE REVERSE FOR IN STRUC TIONS
APV9T (072010)
Canadian Import
Foreign Import
Proof of ownership
Physical Damage
(
except BC dealer with NVIS)
Canadian vehicle - previous jurisdiction _______________________________________
P - may not be sold or disposed of in Canada at any time without authorization from
Canada Border Services Agency
N - not subject to a disposal restriction
T - may not be sold on or before ______________________________________________
TYPE OF IDENTIFICATION TYPE OF IDENTIFICATION
AUTOPLAN AGENT TO COMPLETE For all new registrations, and rebuilt or altered vehicles – Check applicable boxes
NVIS/Certifi cate of Origin
Vehicle Registration
Bill of Sale
Salvage Invoice
012
Broker Enquiry confi rmed ownership
BC Vehicle Inspection Report(s)
Vehicle Import Form – Form 1
IPRE confi rmed
VIN sighted and confi rmed
Windshield
Body location
None visible
Vehicle Registration
Certifi cate of Title
I have viewed the purchaser’s iden ti fi ca tion or confirmed legal entity
and verified the “Autoplan Agent to complete” information.
No. of plates
surrendered
IDENTIFICATION NUMBER IDENTIFICATION NUMBER
LEGAL ENTITY NUMBER
(other than individual)
NAME OF AGENT (PRINT) SIGNATURE OF AGENT
NOT VALID UNLESS STAMPED BY
AUTHORIZED ISSUING OFFICE
MAKE
FRAME / BODY
VEHICLE IDENTIFICATION NO. (VIN)
FRAME / BODY
VEHICLE IDENTIFICATION NO. (VIN)
NET WEIGHT
(kg)
GROSS WEIGHT
(kg)
DISP (CC)
FUEL YEAR MAKE MODEL
COLOUR
REG IS TRA TION NO.
Complete this line only if the vehicle was constructed new by a primary manufacturer
and a secondary manufacturer and has 2 vehicle identifi cation numbers (e.g. motor homes,
school buses). (see reverse)
A - ALTERED
D - NON-REPR
R - REBUILT
S - SALVAGE
VEHICLE STATUS
FLOOD
PROVINCE POSTAL CODE
RESIDENTIAL ADDRESS OF SELLER
NAME
(SURNAME followed by given names
(
no initials
)
or registered company name
(
s
)
)
Comments: _______________________________________________________________________________________________________
YEAR MAKE MODEL VIN NO.
LESS TRADE (if applicable)
SIGNATURE OF PARENT OR LEGAL GUARDIAN
I,
Consent of parent or legal guardian for applicant under 18 years of age
PRINT NAME OF PARENT OR LEGAL GUARDIAN
PRINT ADDRESS IN FULL
consent to the registration and licencing in the name of the applicant(s), of the vehicle described hereon.
If the Autoplan Broker determines the purchase price is below current market value or that a trade-in vehicle
is more than current market value, or if an exemption is being claimed, the purchaser may be required to
provide supporting documentation to the Autoplan Broker. The purchaser should retain all documents
supporting the tax payable or claimed exemption for tax audit purposes.
- Stated purchase price below market value?
- Stated trade-in value more than market value?
- Exemption from tax being claimed?
A signed Vehicle Registration (APV250) must accompany this document (for licensed dealers an
APV250 or APV9 is acceptable)
No
Yes
DATE OF SALE
(ddmmyyyy)
PREVIOUS VEHICLE HISTORY
Lease
HAS VEHICLE EVER BEEN USED FOR ANY OF THE FOLLOWING:
Rental
Emergency
or Police
None of
these
Taxi
No
Yes
No
No
No
Yes
Yes
Yes
NoNo
Yes Yes
PREVIOUS VEHICLE DAMAGE – SUSTAINED IN ANY ONE INCIDENT
No
Yes
VEHICLE HAS CURRENT/
CONDITIONAL AIRCARE PASS
Used vehicle damage over $2,000
New vehicle where
damage exceeded 20%
of purchase price
VEHICLE PREVIOUSLY
REGISTERED OUTSIDE BC
VEHICLE DESCRIPTION
SELLER INFORMATION AND VEHICLE DECLARATION
PURCHASER INFORMATION AND TAX DECLARATION
SEE
REVERSE
SEATING
CAPACITY
YEAR
FRAME / BODY
BODY STYLE
,
ODOMETER READING
ODOMETER
REPLACED/BROKEN
mikm
SELLER’S BC DRIVER'S
LIC. NO.
SELLER’S BC DRIVER'S
LIC. NO.
SIGNATURE OF SELLER(S)
(Print name and title if other than an individual.)
SIGNATURE OF SELLER(S)
(Print name and title if other than an individual.)
I/we the seller(s) certify that we are the registered owner(s) of the described vehicle
and that I/we are entitled to sell it, and that the information above is true.
PROVINCE POSTAL CODE
RESIDENTIAL ADDRESS OF PURCHASER
NAME
(SURNAME followed by given names
(
no initials
)
or registered company name
(
s
)
)
CTB
AUTHORIZING STAMP
(WHERE REQUIRED)
(ALL COPIES)
$
$
$
$
$
PURCHASE PRICE
LESS TRADE
(if applicable)
SST/TDP PAYABLE (if applicable)
HST (BC) PAYABLE (if applicable) HST REG NO.
.
.
,
,
,
,
,
.
.
.
OTHER THAN DEALERS
DEAL ERS/VENDORS ONLY
Tax Calculation
HST REG. NO.
DEALER REG. NO. OR ICBC APP. NO.
PURCHASER’S BC DRIVER'S
LIC. NO.
PURCHASER’S BC DRIVER'S
LIC. NO.
SIGNATURE OF PURCHASER(S)
(Print name and title if other than an individual.)
SIGNATURE OF PURCHASER(S)
(Print name and title if other than an individual.)
I/we the purchaser(s) being 18 Years of age or older or having obtained parents’
consent apply to the Insurance Corporation of British Columbia for vehicle
registration or transfer of registered ownership of the vehicle described above and
by my/our signature(s), I/we declare that the information included above is true.
10786 4738 RT 0081
NET PURCHASE PRICE
Vehicle purchased from GST/HST registrant?
Yes No
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