Purchase Date: Purchase Date:
Vehicle Value: Vehicle Value: Bill of sale amount for the vehicle (note: this value is an ESTIMATE only and may be higher or lower than the taxable amount actually assessed.) Bill of sale amount for the vehicle (note: this value is an ESTIMATE only and may be higher or lower than the taxable amount actually assessed.) *
Trade In Amt: Trade In Amt: Value of the motor vehicle as stated in the bill of sale for a vehicle which has been traded in to the dealer when purchasing another vehicle from the dealer Value of the motor vehicle as stated in the bill of sale for a vehicle which has been traded in to the dealer when purchasing another vehicle from the dealer  
Rebates: Rebates: Vehicle manufacturer’s rebates (note: this value will be $0.00 in most cases; for the most accurate estimated tax, enter $0.00 in this field or leave this field blank.) Vehicle manufacturer’s rebates (note: this value will be $0.00 in most cases; for the most accurate estimated tax, enter $0.00 in this field or leave this field blank.)