PURCHASER CERTIFICATION PURCHASER NAME print PURCHASER SIGNATURE DATE mmddyyyy SELLER CERTIFICATION In accordance with all applicable statutes administrative rules and regulations I certify th ID: 845749
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1 In accordance with all applicable statut
In accordance with all applicable statutes, administrative rules and regulations, I certify that the purchase price of the above-described motor vehicle was $ ______________, which included all accessories and/or attachments with no trade-in allowance or any other transaction. I further certify and affirm that PURCHASER CERTIFICATION PURCHASER NAME (print) PURCHASER SIGNATURE DATE (mm/dd/yyyy) SELLER CERTIFICATION In accordance with all applicable statutes, administrative rules and regulations, I certify that the selling price of the above-described motor vehicle was SELLER NAME (print) SELLER SIGNATURE DATE (mm/dd/yyyy) VEHICLE INFORMATION SALE DATE (mm/dd/yyyy) VEHICLE IDENTIFICATION NUMBER (VIN) COLOR YEAR (more than 5 years old) MAKE MODEL BODY TYPE VEHICLE PRICE CERTIFICATION (VEHICLE MUST BE MORE THAN 5 YEARS OLD)Purpose:This form is used by individuals (not motor vehicle dealers) to certify the purchase price of a motor vehicle more than 5 years old in order to obtain a vehicle title. Instructions:Seller or Purchaser completes Vehicle Information section and signs the appropriate Certification section.SUT 1 (06/10/2014)