Form Gt-500003 - Suggested Format For Affidavit For Exemption Of Boat Sold For Removal From The State Of Florida By A Nonresident Purchaser

order to satisfy the requirements for exemption, the affidavit must contain all of this information and be completed in full.

Before me this day personally appeared the below named affiant who, being duly sworn, deposes and says:

I have read the Florida Department of Revenue Rule 12A-1.007(9), Florida Administrative Code, and § 212.05, Florida

I am not a resident of the State of Florida and did not make my permanent place of abode in Florida at the time of taking

I am not engaged in Florida in any employment, trade, business, or profession for which the designated boat will be used

I represent a corporation which has no officer or director who is a resident of, or makes his or her permanent place of

I represent an artificial entity other than a corporation which has no individual vested with authority to participate in the

management, direction, or control of the affairs of the entity who is a resident of Florida, or makes his or her permanent

Within 30 days of the date of departure from Florida of the herein described boat, I agree to furnish the Florida

Department of Revenue with written proof that this vessel was licensed, titled, registered or documented outside

Within 10 days of the date of departure of the herein described vessel, I agree to furnish the Florida Department

of Revenue with invoices for fuel, dockage charges, or repairs issued by out-of-state vendors or suppliers or

other documentary evidence which specifically identifies this boat, including the hull ID number; and

I claim exemption under § 212.05(1)(a)2., F.S., from Florida sales and use tax on the purchase of the boat designated

Boat herein identified and described is 5 net tons of admeasurement or larger and I plan to have the boat in Florida

for a period up to 90 days from the date of purchase . I hereby agree to purchase from the selling dealer, at the time

of sale, a decal issued by the Florida Department of Revenue authorizing the boat to remain in Florida up to 90 days

following the date of sale. I further agree to remove the boat from Florida within the 90 day period authorized by the

Boat will be removed by me or by my designated agent from the State of Florida within 10 days of the date of

Boat is to be repaired or altered and will be removed from the State of Florida by me or by my designated agent

within 20 days (excluding tolled days) after completion of the repairs or alterations consistent with § 212.05, F.S.

If Purchaser is a Corporation or Partnership, List Officers or Partners _________________________________________

Purchaser’s Permanent Address (Street) _______________________________________________________________

(City) ________________________________________ (State/Country) ________________ (ZIP) ________________

Purchaser’s Daytime Telephone Number ( _ ) _________________ D.O.B. ____________________________________

Purchaser’s Driver’s License Number and State of Issuance ________________________________________________

Purchaser’s Passport or Visa Number _________________________________________________________________

Address of Selling Dealer (Street) _____________________________________________________________________

(City) ________________________________________ (State/Country) ________________ (ZIP) ________________

Selling Dealer’s Florida Sales and Use Tax Registration Number ____________________________________________