AU-463, Motor Vehicle and Vessel Gift Declaration - CT.gov

There has been neither a promise to pay for said vehicle or vessel nor any expectation of any future compensation in either cash, property or personal...

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STATE OF CONNECTICUT Motor Vehicle and Vessel Gift Declaration I, _______________________________________________ the undersigned (donor), residing at Donor’s name (print)

_____________________________________________________________________, state that: Street address

City

State

on or about ________________________________, I transferred ownership and title of a Date

Motor Vehicle or

Vessel

________________________________________________ Motor Vehicle or Hull Identification Number (VIN or HIN)

___________ ________________________ _________________________________________ Year

Make

Model

to _____________________________________________________ (donee), Donee’s name (print)

receiving no compensation in return, in either cash, property or personal services; There has been neither a promise to pay for said vehicle or vessel nor any expectation of any future compensation in either cash, property or personal services from the donee; and The donee has not assumed payment of any chattel mortgage or conditional bill of sale on the vehicle or vessel described above. I declare under penalties of false statement that I have examined this information and to the best of my knowledge and belief it is true, complete, and correct. (The penalty for false statement is imprisonment not to exceed one year or a fine not to exceed two thousand dollars, or both.) Donor: Print donor name

Donor signature

Date

Donee: Print donee name

Donee signature AU-463 (Rev. 12/2012)

Date