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The seller or purchaser completes the Vehicle Information section (year, make, model, body type, VIN, color, sale date) and signs the appropriate certification section. Each certification confirms the stated selling or purchase price, the inclusion of accessories, and the truth and accuracy of submitted information under penalty of 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motor vehicle more than 5years old in order to obtain a vehicle title.  \n# Instructions:\n\nSeller or Purchaser completes Vehicle Information section and signs the appropriate Certification section.  \n\n| VEHICLE INFORMATION   |  |  |  |\n| --- | --- | --- | --- |\n| YEAR(more than 5 years old)   | MAKE   | MODEL   | BODY TYPE   |\n| VEHICLE IDENTIFICATION NUMBER(VIN)   |  | COLOR   | SALE DATE(mm/ddlyyyy)   |\n\n\n| SELLER CERTIFICATION   |  |  |\n| --- | --- | --- |\n| In accordance with all applicable statutes,administrative rules and regulations,I certify that the selling price of the above-described motor vehicle was  \u003Cbr>$_  \u003Cbr>____  ___,which included allaccessories and/or attachments with no trade-in allowance or any other transaction.I furthercertify and affirm that  \u003Cbr>allinformation presented in this form is true and correct,that any documents l have presented to DMV are genuine,and that the information included in all  \u003Cbr>supporting documentation is true and accurate.I make this certification and affirmation under penalty of perjury and l understand that knowingly making a  \u003Cbr>false statement or representation on this form is a criminal violation.   |  |  |\n| SELLER NAME(print)   | SELLER SIGNATURE   | DATE(mm/dd/yyyy)   |\n\n\n| PURCHASER CERTIFICATION   |  |  |\n| --- | --- | --- |\n| In accordance with all applicable statutes,administrative rules and regulations,I certify that the purchase price of the above-described motor vehicle was  \u003Cbr>$_  \u003Cbr>_,which included allaccessories and/or attachments with no trade-in allowance or any other transaction.I further certify and affrm that  \u003Cbr>all information presented in this form is true and correct,that any documents I have presented to DMV are genuine,and that the information included in all  \u003Cbr>supporting documentation is true and accurate.I make this certification and affirmation under penalty of perjury and l understand that knowingly making a  \u003Cbr>false statement or representation on this form is a criminal violation.   |  |  |\n| PURCHASER NAME(print)   | PURCHASER SIGNATURE   | DATE(mm/dd/yy)   |","cbCaiutYdPbsNIrr","https://ap.wps.com/l/cbCaiutYdPbsNIrr","pdf",1004613,"English","# Purpose\n# Instructions\n# Vehicle Information\n# Seller Certification\n# Purchaser Certification","[{\"question\":\"Who should complete the Vehicle Price Certification form?\",\"answer\":\"Individuals (not motor vehicle dealers) complete the form to certify the purchase price for a vehicle title when the vehicle is more than 5 years old.\"},{\"question\":\"What information is required in the Vehicle Information section?\",\"answer\":\"The form requires year (more than 5 years old), make, model, body type, VIN, color, and sale date.\"},{\"question\":\"What does the seller or purchaser certification require?\",\"answer\":\"The certifier must state the selling or purchase price (including accessories/attachments with no trade-in allowance), affirm the submitted information and supporting documentation are true and accurate, and sign under penalty of perjury.\"}]","VEHICLE PRICE CERTIFICATION - Vehicle Must Be More Than 5 Years Old | PDF",1789598646]