Form St-385 - Affidavit For Intent To License Motor Vehicle, Trailer, Semitrailer Or Pole Trailer Purchased In South Carolina In Purchaser'S State Of Residence

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STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
ST-385
AFFIDAVIT FOR INTENT TO LICENSE MOTOR VEHICLE,
(Rev. 3/26/08)
TRAILER, SEMITRAILER OR POLE TRAILER PURCHASED IN
5056
SOUTH CAROLINA IN PURCHASER'S STATE OF RESIDENCE
STATE OF SOUTH CAROLINA
)
)
AFFIDAVIT
COUNTY OF
)
Personally appears the below named affiant, who being duly sworn, deposes and says that he is a non-resident
of the State of South Carolina, that the information hereinafter set forth is true and correct of his own knowledge
and is made a part of this affidavit, and that he has read and understands the provisions of Section 12-36-930,
Code of Laws of South Carolina, 1976, As Amended, and the instructions which are printed on the reverse side of
this affidavit.
Name of Purchaser
Purchaser's Social Security/Federal Employer Identification Number
Purchaser's Address
(Street)
(City)
(State)
(Zip)
Purchaser's Telephone Number
Area Code (
)
Name of Seller
Seller's Address
(Street)
(City)
(State)
(Zip)
Seller's Retail License Number
(000-00000-0)
Date of Sale
(Month)
(Day)
(Year)
DESCRIPTION OF MOTOR VEHICLE, TRAILER,
SEMITRAILER, OR POLE TRAILER
Make
Model
Year
Vehicle Identification Number
New
Used
Sales Price
$
Trade-In Allowance
$
Net Amount Paid
$
Amount of Sales Tax Paid
$
Sales Tax Rate in Purchaser's State
(Not to exceed $300.00, except for pole trailers)
This motor vehicle, trailer, semitrailer or pole trailer will be licensed in the State of
within ten (10) days from the date of purchase.
Sworn to and subscribed before me
(Purchaser's Signature)
this
day of
, year of
.
(Notary Public for South Carolina)
INSTRUCTIONS
SEE REVERSE SIDE
Original - Retained by Purchaser
Copy - Provided to Seller
50561018

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