TENNESSEE DEPARTMENT OF REVENUE
AFFIDAVIT OF NON-DEALER TRANSFERS OF MOTOR VEHICLES AND BOATS
Vehicle or Boat Information (To be completed by seller or transferor):
Year
Make
(VIN or Serial No.)
Date of Sale:
Fair Market value of the vehicle/boat: $
Is there a lien? Y/N
If 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 only
Considerations 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:
Year
Make
(VIN or Serial No.)
Total Sales Price: $ (The sales price is the total amount of consideration paid by the
purchaser 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 is lower 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, informa-
tion and belief, and this document correctly state 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) Date
Purchaser or Transferee’s Signature(s) Date
RV-F1301201 (Rev. 8-14)
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.:
Relative transfer: If a person is transferring a boat or motor vehicle to certain relatives, those relatives do not have to pay
tax on the transfer of ownership. Tax-exempt relatives include spouses, siblings, and lineal relatives (children, grandchildren,
great-grandchildren, parents, grandparents, and great-grandparents). Spouses of children, grandchildren, and great-
grandchildren also qualify for tax exemption.
Gift transfer or low selling price to person other than tax-exempt relatives. A
low selling price is 75% or less of the
fair market value. Fair market value is determined by referencing the most recent issue of an authoritative automobile
pricing manual, such as the N.A.D.A. Offical Used Car Guide, SE Edition.
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