Loading
Form preview picture

Get Adeq Exempt Form

Please sign below I hereby certify that the information supplied on this application is true and that the exempt vehicle s listed are not used to commute into the vehicle emissions control area for work or school. A. R.S. 49-550 falsification of this application is a Class 2 Misdemeanor. Applicant s Signature ORIGINAL WHITE MVD VEHICLE EMISSIONS PHOENIX 600 N 40TH STREET PHOENIX AZ 85008 602-771-3950 FAX 602-207-7020 COPY YELLOW ADEQ Not required when original mailed to ADEQ 4040 N. 29TH STREET TUCSON AZ 85711 520-629-5651 FAX 520-628-6139 Form C52-C Rev 10/09. Emissions Exemption Form Code 52 ADEQ Air Quality Vehicle Emissions Code 52 Exemption is issued for vehicles registered outside of the emissions control area but within zip codes which include emissions testing or on Gila River Tribal lands. By signing this form the applicant affirms that the vehicle s listed are not operated within the emissions control area for employment or school* Please provide the following information print or type sign and return to any Motor Vehicle Division office or mail to ADEQ at the address below. Name Physical Address County City and Zip Code Legal Description of Residence Section Township and Range can be found on the property tax evaluation notice and is required for identifying exemption eligibility except for vehicles domiciled on Gila River Tribal lands. Section Township Range Residence Telephone Employer Employment Address List vehicle s used to commute to place of employment or school Plate No* Vehicle ID No* Year/Make Registration Month The following information must be provided to verify eligibility and process your application except for vehicles domiciled on Gila River Tribal lands. A photocopy of the current registration for each vehicle listed* A photocopy of a current utility bill in the name of the applicant identifying the physical address of residence. A photocopy of property owner s tax evaluation notice listing the residence township range and section* If you do not own the property a photocopy of the lease/rental agreement will be required* For vehicles domiciled on Gila River Tribal lands a letter from the Tribal Authority stating the registered owner of the vehicle is residing on Gila River Tribal lands. Please sign below I hereby certify that the information supplied on this application is true and that the exempt vehicle s listed are not used to commute into the vehicle emissions control area for work or school* A. R*S* 49-550 falsification of this application is a Class 2 Misdemeanor. Applicant s Signature ORIGINAL WHITE MVD VEHICLE EMISSIONS PHOENIX 600 N 40TH STREET PHOENIX AZ 85008 602-771-3950 FAX 602-207-7020 COPY YELLOW ADEQ Not required when original mailed to ADEQ 4040 N* 29TH STREET TUCSON AZ 85711 520-629-5651 FAX 520-628-6139 Form C52-C Rev 10/09. Emissions Exemption Form Code 52 ADEQ Air Quality Vehicle Emissions Code 52 Exemption is issued for vehicles registered outside of the emissions control area but within zip codes which include emissions testing or on Gila River Tribal lands. By signing this form the applicant affirms that the vehicle s listed are not operated within the emissions control area for employment or school* Please provide the following information print or type sign and return to any Motor Vehicle Division office or mail to ADEQ at the address below.

How It Works

falsification rating
4.8Satisfied
32 votes

Tips on how to fill out, edit and sign Township online

How to fill out and sign Applicant online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

The days of terrifying complicated legal and tax documents have ended. With US Legal Forms the process of submitting legal documents is anxiety-free. A powerhouse editor is directly close at hand providing you with an array of advantageous tools for completing a Adeq Exempt Form. The following tips, in addition to the editor will help you with the entire procedure.

  1. Click the orange Get Form button to begin editing.
  2. Turn on the Wizard mode on the top toolbar to obtain extra tips.
  3. Fill out every fillable field.
  4. Ensure the details you fill in Adeq Exempt Form is updated and accurate.
  5. Include the date to the document with the Date feature.
  6. Select the Sign button and create a digital signature. You will find three options; typing, drawing, or uploading one.
  7. Make certain each and every field has been filled in properly.
  8. Click Done in the top right corne to save the document. There are several alternatives for getting the doc. An attachment in an email or through the mail as a hard copy, as an instant download.

We make completing any Adeq Exempt Form simpler. Get started now!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

GILA FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to Adeq Exempt Form

  • affirms
  • az
  • falsification
  • ELIGIBILITY
  • photocopy
  • residing
  • GILA
  • exemption
  • township
  • certify
  • emissions
  • Applicant
  • exempt
  • commute
  • misdemeanor
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.