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Get FL HSMV 82002 2018-2024

Signature of Owner Printed Name of Owner Date NOTE Owner s signature is only required for the military exemption. FOR FLORIDA DMS OR TAX COLLECTOR/LICENSE PLATE AGENCY USE ONLY NOTE Employee must verify below all exemptions listed above The exemption checked above has been verified by County Agency Signature of Employee HSMV 82002 Rev. 01/14 A. STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTORIST SERVICES SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE www. flhsmv*gov/offices/ INITIAL REGISTRATION FEE EXEMPTION AFFIDAVIT VEHICLE IDENTIFICATION NO. YEAR MAKE BODY PREV. STATE TITLE NO. PLEASE CHECK THE APPROPRIATE BOX AND SIGN The applicant claims exemption from the 225. 00 Initial Registration Fee which is imposed on the initial application for registration on a motor vehicle and attests to one of the following I am a qualifying member of the U*S* Armed Forces or his or her spouse or dependent child. I am claiming exemption see list on the reverse side of this form in section A 1-6 which also lists the required documents. Select exemption reason of military. The customer must complete and sign this form to claim the exemption* A Court Order declares/specifies that the applicant is the legal owner of the above described motor vehicle. Select exemption reason of court order. A copy of the court order must be submitted* A license plate is being transferred for a name change due to a fictitious name change affidavit or corporate name change affidavit properly filed with the Department of State pursuant to section 865. 09 Florida Statutes. Select submitted* A transfer of ownership on a Florida Certificate of Title has occurred due to operation of law as provided by section 319. 28 Florida Statutes. Select exemption reason of operation of law. A copy of the documentation which validates how the vehicle was acquired must be submitted* immediate family as defined in 657. 002 Florida Statutes who resides in the same household. Select exemption reason of immediate family. NOTE The address of the previous owner and new owner must be the same in the FRVIS system. A prior registration or system printout has been submitted for the following license plate number in order to claim the initial registration exemption for the recently acquired above described vehicle. Select AN EXEMPTION REASON MUST BE SELECTED IN THE SYSTEM TO RECORD EXEMPTION* Under penalties of perjury I declare that I have read the foregoing document and that the facts stated in it are true. LIST OF QUALIFYING MILITARY EXEMPTIONS I am a member of the U* S* Armed Forces or his or her spouse or dependent child who is not a Florida resident and is stationed in the state of Florida on military orders. Submit a copy of your military orders and out of state driver license. not a Florida resident and is stationed in the state of Florida on military orders and is now becoming a resident of Florida* Submit a copy of your military orders and Florida driver license.

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