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Excise Tax gift Exemption Form - District Of Columbia

Excise Tax gift Exemption Form Form. This is a District Of Columbia form and can be used in Department Of Motor Vehicle Statewide .
 Fillable pdf Last Modified 2/18/2010
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GOVERNMENT OF THE DISTRICT OF COLUMBIA DEPARTMENT OF MOTOR VEHICLES This application is for people described in one of the relationships listed below and only if the vehicle has an existing DC title. FIRST NAME MIDDLE NAME LAST NAME FIRST NAME MIDDLE NAME LAST NAME (Please Check One) Gift Excise Tax Exemption only applies to the relationships listed below. BETWEEN PARENT AND CHILD SPOUSE DIVORCED/SEPARATED SPOUSE** Special Requirements: * ** *** Must present a certified copy of a "Domestic Partnership Certificate" issued by the DC Department of Health. Must present either: (a) a divorce or separation decree; or (b) a legal document connected to the divorce or separation. Must present both: (a) a court order or a transfer of title between co-owner domestic partners; and (b) a certified copy of a "Termination of Domestic Partnership Certificate" issued by the DC Department of Health. DOMESTIC PARTNER* FORMER DOMESTIC PARTNER*** I certify that the above information is true and correct to the best of my knowledge, information and belief. The making of a false statement on this form is a violation of DC law and is subject to a fine of up to $1,000 or 180 days imprisonment or both (D.C. Official Code ยง 22-2405). ________________ Date ____________________________ Date __________________________ Signature of Current Owner ____________________________________________ Signature of Gift Recipient __________________________ Signature of Current Owner ______________________________________________ Signature of Gift Recipient To report waste, fraud, and abuse by any DC Government agency or official, call the DC Inspector General at 1-800-521-1639 For additional information contact our Customer Service Center at 202-727-5000 or visit our website at www.dmv.dc.gov DMV-EGTE-01Rev. 05/05 American LegalNet, Inc. www.FormsWorkFlow.com
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