14-305
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(Rev.9-11/6)
Motor Vehicle Verifi cation Certificate for Rental Tax
This certifi cate is not valid for tax-free registration. This certificate must be retained for tax verifi cation purposes.
Section I. Rent for Re-Rental: Verification of Gross Rental Receipts Tax Collected in Texas
To be completed by renter re-renting a motor vehicle and furnished to title owner of motor vehicle. Indicate the total amount of gross rental receipts
tax collected and paid to the state Comptroller. This amount can be used as a credit toward satisfying the minimum gross rental receipts tax liability
of the title owner. This certificate is retained by the title owner.
Make of vehicle
Motor or vehicle identifi cation number
Model year
Body style
License plate number
I certify that I hold Motor Vehicle Rental Permit No.
, that I have rented the vehicle described above for the purpose
of re-rental and that I have collected and paid to the Comptroller gross rental receipts taxes in the amount of $
for the period
,
to
,
.
(Month and day)
(Year)
(Month and day)
(Year)
I declare that the information contained in this document and any attachments is true and correct to the best of my knowledge and belief
and this information can be verified by audit of my records by the Comptroller of Public Accounts.
Name of renter
Address (Street and number or P.O. Box number)
City
State
ZIP code
Section II. Reimbursement of Sales or Use Tax Verification
To be completed by title owner when a vehicle is rented for re-rental and the renter reimburses the owner for the sales or use tax paid at registration.
This certificate is retained by the renter.
Make of vehicle
Motor or vehicle identifi cation number
Model year
Body style
License plate number
I certify that I paid sales or use tax in the amount of $
at the time of registration on the above described motor
vehicle, that I have collected gross rental receipts tax in the amount of $
on the gross rental receipts received
from renting the above described motor vehicle and that I have contracted and received reimbursement in the amount of
$
from the re-renter named (below).
Name of re-renter:
Taxpayer ID:
Street address:
City:
State:
ZIP code:
I declare that the information contained in this document and any attachments is true and correct to the best of my knowledge and belief,
and this information can be verified by audit of my records by the Comptroller of Public Accounts.
Name of vehicle owner
Address (Street and number or P.O. Box number)
City
State
ZIP code