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Affidavit in Support of a Claim

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Affidavit in Support of a Claim for Exemption from Sales or Use Tax for a Motor Vehicle Transferred By a Business Entity

Form MVU-25  |  Rev. 12/13  |  Massachusetts Department of Revenue

Please read the instructions below before completing this form and provide the following information.

All entries must be printed or typed except for signatures.

This claim for exemption is based on the transfer of a motor vehicle to or from a business entity.

Motor Vehicle Transferred:

Year

Make

Model

Vehicle identification number

Title number

I, , an authorized representative of certify that the above-described motor vehicle was transferred to on and such transfer is exempt from taxation because the transfer was pursuant to (check one):

a transaction which qualifies as a “reorganization” within the meaning of Internal Revenue Code, section 368(a)(1).

the formation of a partnership, limited liability company (LLC) or corporate trust, or the organization of a corporation, solely in exchange for an ownership interest in the enterprise.

a sale or transfer to an owner of a business entity solely in exchange for the owner’s interest on the complete dissolution of a partnership, LLC or corporate trust, or the complete liquidation of a corporation.

Declaration

I declare under the pains and penalties of perjury that I have reviewed this affidavit and the statements I have made in it and declare that they are true.

Authorized representative of transferor

Transferor

Date

Authorized representative of transferee

Transferee

Date

Instructions

The purchaser of a motor vehicle acquired for use, storage or other consumption in the Commonwealth of Massachusetts is required to pay a sales or use tax unless an exemption is specifically provided for in the Massachusetts General Laws or the Code of Massachusetts Regulations.

An exemption from the sales or use tax for certain transfers of motor vehicles to or from business entities is provided for by the Massachusetts regulations and statutes. In order to be exempt from the sales or use tax you must meet the requirements of the law and complete the affidavit above. You must fill in all blanks and print your entries, except at the end of the affidavit where your signature is required.

Note: If a final determination letter from the Internal Revenue Service has been issued with respect to the transaction, the letter must accompany this affidavit.

Please note that your statements are to be made under the pains and penalties of perjury and that a statement which is made willfully and is false as to a material matter may be punished as a felony under Massachusetts General Laws, Chapter 62C, section 73, or Chapter 268, section 1A. Perjury is a serious crime and punishment can be severe.

If you have any questions about the acceptance or use of this affidavit, please contact: Massachusetts Department of Revenue, Customer Service Bureau, PO Box 7010, Boston, MA 02204; (617) 887-MDOR.

This form is approved by the Commissioner of Revenue and may be reproduced.

Enter text✕

What an Affidavit in Support of a Claim Is

An Affidavit in Support of a Claim is a sworn written statement used to present facts supporting a legal or administrative claim, typically attached to a complaint, motion, insurance demand, or government benefit application. It is executed under oath before a notary or other authorized official and includes the affiant’s statement of personal knowledge, dates, and material facts that corroborate the claim. In the United States, affidavits must meet rules of evidence and authentication applicable to the proceeding and may be subject to penalties for false statements under federal or state perjury statutes.

Why an Affidavit Strengthens a Claim

Use an Affidavit in Support of a Claim to present sworn factual evidence that strengthens a case or administrative filing, establishes personal knowledge, and creates a formal record. Properly prepared affidavits support admissibility and reduce dispute over foundational facts.

Why an Affidavit Strengthens a Claim

Who Typically Prepares or Relies on This Affidavit

Typical users who complete or rely on an Affidavit in Support of a Claim include claimants, attorneys, insurance adjusters, and administrative officials handling disputes or benefit determinations.

  • Claimants and witnesses providing facts that support a legal or administrative claim.
  • Attorneys preparing pleadings, motions, or affidavits for court or agency proceedings.
  • Insurance adjusters and benefits administrators who need sworn statements to process claims.

Ensure the affiant understands the oath and that signatures are notarized or otherwise authenticated before filing or service.

Primary Signing Roles and Representative Signers

Affiant — Primary

The affiant is the individual making the sworn statement; they must have direct knowledge of the facts asserted, provide accurate dates and details, and be able to swear to the truth under penalty of perjury. Errors risk evidentiary exclusion.

Representative — Authorized Agent

A corporate officer, attorney-in-fact, or authorized representative may execute an affidavit on behalf of an entity only if authority is documented; include title, statutory basis, and proof of authorization to avoid challenges to standing or admissibility.

Core Elements of a Professional Affidavit in Support of a Claim

Core elements that make an Affidavit in Support of a Claim complete, verifiable, and admissible in U.S. legal or administrative proceedings.

Caption

Include the case caption, court or agency name, docket or file number, and party identification at the top of the document so the affidavit is properly associated with the proceeding.

Statement

A clear first-person narrative with numbered paragraphs describing facts, dates, actions, and the affiant’s relationship to the events; avoid legal conclusions and hearsay to preserve admissibility.

Exhibits

List and attach exhibits with labels (Exhibit A, Exhibit B). Cross-reference exhibit numbers in the body to show source documents and strengthen evidentiary value for court.

Jurat

Include the notary or jurat block showing oath language, date, notary name and commission, and signature lines. For RON include session record details as required.

Signature

Affiant signature, printed name, date, and contact details must appear on the affidavit; representative signers should include title and proof of authority.

Certification

If required include a certification clause showing the affiant swore under oath, the statutory penalty for perjury, and any required jurisdictional statements to satisfy local rules.

Step-by-Step: Prepare, Sign, and File an Affidavit

Step-by-step process to complete an Affidavit in Support of a Claim accurately and in order.

  • 01
    Gather Facts: Collect dates, facts, documents showing personal knowledge.
  • 02
    Draft Statement: Write clear first-person factual paragraphs with dates.
  • 03
    Swear and Notarize: Sign before notary or authorized official and date.
  • 04
    Attach Proofs: Include exhibits and references to supporting documents.

Online Customization Settings for eFiling and eSigning

Typical online customization settings when preparing an Affidavit in Support of a Claim for e-signing and review.

Field Configuration
Signature Field Require signature and date fields
Notary Block Add jurat and notarization fields
Access Control Email, SMS code, or KBA
Attachment Rules Require exhibits before final submit

Where to File and Route the Affidavit

Where to file, serve, and route an Affidavit in Support of a Claim depending on the proceeding or agency.

  • Court Filings: Attach to complaint or motion as required
  • Agency Submissions: Include with administrative claims or benefit applications
  • Insurance Claims: Submit affidavit with claim packet and supporting documents
  • Opposing Counsel: Serve copies per civil procedure rules

Technical Considerations for eSigning and eSubmission

Options for eSigning and eSubmission vary by platform capabilities and jurisdictional rules and evidence preservation needs.

  • Formats Supported: PDF, DOCX, HTML, Excel
  • Integrations: Salesforce, NetSuite, Google Workspace
  • Authenticator: Email, SMS, 2FA, advanced auth

Timing Considerations and Filing Deadlines

Key timing considerations for preparing, notarizing, and filing an Affidavit in Support of a Claim.

Upon Request:

Provide affidavit promptly when requested by payer or tribunal

Before Hearing:

File or serve prior to scheduled court or agency hearing

Tax Reporting:

Retain supporting affidavits for at least three years

I-9 and Employment:

Retain following I-9 rule: three years post-hire or one year post-termination

State Deadlines:

Verify state-specific filing or notarization deadlines before submission

Milestone Sequence from Draft to Acceptance

Sequential processing stages for an affidavit from drafting through acceptance by court or agency or insurer.

01

Drafting

Prepare factual numbered statements and list exhibits

02

Execution and Notary

Sign under oath before notary or RON official

03

Filing and Service

File with the correct clerk or agency and serve parties

04

Retention

Store original and certified copies per retention rules

Security and Compliance Considerations for Electronic Affidavits

Encryption In Transit: TLS 1.2 and TLS 1.3
Encryption At Rest: AES-256 encryption for stored data
Regulatory Certifications: SOC 2 Type II; ISO 27001 compliant
Health Data: HIPAA-compliant with BAA available
Authentication Options: Two-factor and advanced signer authentication
Legal Frameworks: ESIGN and UETA compliance

Penalties and Risks of an Incorrect or False Affidavit

Perjury Risk: Criminal penalties for false statements
Civil Evidence Exclusion: May be excluded from evidence
Tax Filing Penalties: 1099 penalties $60–$660+ per form
I-9 Violations: $281–$2,789 per violation
Administrative Delays: Processing delays and requests for proof
Contract Impact: May weaken claim or settlement position

Common Pitfalls to Avoid When Preparing an Affidavit

  • Using unsworn or unclearly signed statements that lack notarization, which can lead a court or agency to reject the affidavit as inadmissible.
  • Including hearsay or speculation instead of personal knowledge; affiants should state only facts they observed or directly know to avoid evidentiary objections.
  • Failing to provide precise dates, locations, or corroborating documents reduces credibility and often triggers follow-up collection or impeachment by opposing parties.
  • Using ambiguous language, legal conclusions, or argumentative phrasing rather than neutral factual statements can limit admissibility and persuasive weight.

Best Practices for Preparing an Admissible Affidavit

Practical tips to prepare an accurate, admissible Affidavit in Support of a Claim and minimize procedural objections.

Use first-person factual statements only
Draft numbered paragraphs in first person limiting content to facts the affiant directly observed. Avoid legal argument and hearsay. Reference and attach exhibits, and cross-reference exhibit labels within the affidavit to simplify verification and reduce discovery requests.
Confirm affiant identity and authority
Have the affiant present government ID for notarization or RON identity proofing. For corporate or representative signers, attach proof of authority such as board resolutions or power of attorney to prevent challenges to standing.
Use required jurat language per jurisdiction
Jurat or acknowledgment wording varies. Use the exact language the notary or jurisdiction requires, particularly for RON, to ensure the oath element is enforceable. Incorrect jurat phrasing can lead to non-acceptance by courts or agencies.
Retain originals and maintain audit trail
Preserve signed originals and certified copies; for e-signed records retain platform audit trails showing timestamps, IP addresses, and authentication steps. Maintain these records per IRS, HIPAA, or agency retention rules to support admissibility and compliance.

Real-World Examples of Affidavit Use

Representative scenarios that illustrate how an Affidavit in Support of a Claim is used across disputes and administrative processes.

Title Dispute

A homeowner discovered an adverse claim recorded against their title and submitted an affidavit to document a sequence of transactions and possession history.

  • Affidavit supplied dated receipts and witness statements.
  • The notarized affidavit, paired with recorded property records and witness affidavits, helped the county recorder and court assess the competing claims and expedited resolution by providing a sworn chronology of events that corroborated the homeowner’s position.

Insurance Claim

An insured submitted an affidavit detailing incident facts, medical treatment dates, and repair estimates to support a disputed property insurance claim.

  • Included medical reports and contractor estimates as exhibits.
  • The sworn affidavit clarified timeline and damages, enabled the insurer’s adjuster to independently verify entries, and reduced back-and-forth requests for information; the attested facts formed the basis for settlement discussions.

eSignature Plan Comparison for Affidavit Workflows

Comparison of common eSignature plan features and starting prices for solutions often used to collect affidavits and sworn statements.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial No No Yes, limited Yes, limited
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

FAQs and Troubleshooting for Affidavits

Answers to common questions about drafting, notarizing, and submitting an Affidavit in Support of a Claim in U.S. proceedings.


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