Form Rev 27 - Washington Seller'S Certificate In-State Delivery

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Seller’s Certificate
In-State Delivery
I certify that before final delivery of the vehicle described in the Buyer’s Affidavit, REV 27 0002:
A.
I examined trip permit No.
, which authorizes the vehicle’s transit; or
B.
License plates numbered
, issued for the vehicle by the state of
, and expiring
, were affixed to the vehicle.
I further certify that I have examined and retained a copy of the following item(s) of documentary
evidence showing the buyer’s residency in the state of
:
(Select at least one from each column)
Column A
Column B
Current Residential Rental Agreement
Driver’s License #
Property Tax Statement from current or
Other official picture identification #
previous year
Utility bill dated within the previous two
months
State Income Tax Return from previous year
Voter Registration Card
Current credit report
Other (approved by Department of Revenue)
(If the vehicle sold was previously licensed with Washington plates) I further certify that the Washington
state license plates were removed by
, agent of the seller.
Date
Signature of Seller or Representative
Title ─ Officer or Agent
For tax assistance, visit dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in
an alternate format for the visually impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985.
REV 27 0003 (3/13/08)

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