Kentucky Certificate of Sales Tax Paid on the Purchase of a Motor Vehicle

Certificate of Sales Tax Paid on the Purchase of a Motor Vehicle
Form 51A270
51A270 (1-21)

Certificate of Sales Tax Paid
on the Purchase of a Motor Vehicle

Commonwealth of Kentucky
DEPARTMENT OF REVENUE

	 NAME OF DEALER	

DATE OF SALE

	 Dealer’s FEIN	

Motor Vehicle	
Dealer Number	
	

	 (Federal Identification	
	 Number, 9 digits)	

	 Address of Dealer	

Dealer’s KY Sales and
Use Tax Permit Account Number  
(6 digits)	

City	

State	

ZIP Code

City	

State	

ZIP Code

	 NAME OF PURCHASER(S) (PRINT OR TYPE)

	 Address of Purchaser	

Vehicle Identification Information of Purchase
	 VIN (Vehicle Identification Number)	

	

Calculation of Sales Tax	
1.	 Total Selling Price............................	 ___________________

Year	

Make	

Model

Trade-in Information
VIN (Vehicle Identification Number)

2.	 Trade-in Allowance..........................	 ___________________
Year	 Make	Model
	 (Like-kind exchanges only)
3.	 Amount Subject to Tax.....................	 ___________________
	 (Line 1 minus Line 2)
4.	 Amount of Tax Collected..................	 ___________________
	 (Line 3 multiplied by 6% (.06))

Under penalties of perjury, I hereby certify that the information shown on this certificate is true and correct, and the amount
of Kentucky sales tax was collected from the purchaser for remittance to the Department of Revenue.

	

Authorized Signature of Seller__________________________________

	

Title_______________________________________________________    

	Date______________________________________________________