Motor Vehicle Gift Affidavit Form
Print and mail this completed application
to Driver and Vehicle Services, 445 Minnesota Street, St. Paul, Minnesota 55101-5187. It may also
•
The certificate of title, and all applicable documents and fees, are required to be submitted with this form.
Seller(s) Name(s) (FIRST, MIDDLE, LAST)
PS2080 B-05 (02/11)
Year
Vehicle Identification Number
(if not registered in Minnesota)
Current Plate Number
Make
OR
I (we),
and I (we)
was for
no monetary or other consideration or expectation of consideration.
I (we)
understand that preparing, completing, or submitting a false or fraudulent motor vehicle sales tax declaration is a gross
misdemeanor, or,
if the tax involved exceeds $300, is a felony, pursuant to Minnesota Statutes 168...
X
Seller’s Signature(s) – all sellers must sign
(date).
X
Notary or Deputy Signature
County State My Commission expires Notary or Deputy Stamp
•
NOTE: If purchaser has a security agreement (lien) on the vehicle, a signed explanation is required. The transfer may be
subject to sales tax.
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If you have questions or need additional information, please contact DVS at (651) 297-2126 or (651) 282-6555 (TTY).
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
445 Minnesota Street, St. Paul, MN 55101-5187
Buyer(s) Name(s) (FIRST, MIDDLE, LAST)
•
This form is for use when claiming exemption from motor vehicle sales tax in a gift transaction, pursuant to Minnesota Statutes
168.171.
X
Buyer's Signature(s) – all buyers must sign
(date).
X
Notary or Deputy Signature
County State My Commission expires Notary or Deputy Stamp