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Get CT B-276 2019-2024

APPLICATION FOR WAIVER OF REGISTRATION FEE ACTIVE SERVICE IN U.S. ARMED FORCES B-276 REV. 5-2015 STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES On The Web At ct. gov/dmv INSTRUCTIONS In order to qualify YOU MUST HAVE BEEN A CONNECTICUT RESIDENT AT THE TIME OF INDUCTION* Submit completed/signed/certified application indicating evidence of active duty with the armed forces of the United States. If Army or Air National Guard or reservist submit copy of your orders showing that you have been called to active duty in the armed forces of the United States within the registration period for which you are applying for fee waiver. If HONORABLE DISCHARGE or SEPARATION submit photocopy of your separation papers and specify DATE OF SEPARATION below SIGNATURE OF COMMISSIONED OFFICER IN CHARGE is not required. NAME OF APPLICANT First Name Middle Initial Last Name RANK REGISTRATION NUMBER MOTOR VEHICLE MARINE VESSEL MAILING ADDRESS No* Street Town State CT OPERATOR LICENSE NO. IF NOT LICENSED IN CT SPECIFY STATE ISSUING CONNECTICUT RESIDENT ADDRESS No* Street Town - If same as above write SAME CHECK ONE FOR ACTIVE DUTY STATUS REASON FOR WAIVER ARMY PRESENT ACTIVE SERVICE IN U*S* ARMED FORCES NAVY AIR FORCE ARMY or AIR NATIONAL GUARD COAST GUARD FULL NAME AND MAILING ADDRESS OF ARMED FORCES UNIT No Abbreviations I certify that the above named applicant has provided evidence of military ID and is in the active service of the Armed Forces of the U*S* I further certify the applicant was a legal resident of Connecticut or was at time of induction* PRINTED NAME RANK OF COMMISSIONED OFFICER SIGNATURE OF COMMISSIONED OFFICER X HONORABLY SEPARATED FROM ACTIVE SERVICE DATE OF SEPARATION Complete DATE OF SEPARATION at left and submit separation papers to DMV for verification* You are exempt from the payment of registration fees only within two 2 years following the date of honorable discharge or release. I certify under penalty of false statement that I was a legal resident of Connecticut or was SIGNATURE OF APPLICANT at the time of induction that I am on active duty or was honorably separated from service within the last two years and that the information given on this application and in any attachments is true and accurate. DATE OF APPLICATION NOTARIZATION Not valid unless notarized below SUBSCRIBED AND SWORN TO BEFORE ME PLACE SWORN SIGNATURE OF DULY AUTHORIZED PERSON C. G* S* 1-24 DATE SIGNED DATE COMMISSION EXPIRES OR JURIS NO. Sec* 12-81. Exemptions. The following-described property shall be exempt from taxation 53 Motor vehicle of member of armed forces. a One motor vehicle belonging to leased to or held in trust for any member of the United States armed forces if such motor vehicle is garaged inside or outside the state b Any person claiming the exemption provided under this subdivision for any assessment year shall not later than the thirty-first day of December next following the date on which property tax is due in such assessment year file with the assessor or board of assessors in the town in which such motor vehicle is registered written application claiming such exemption on a form approved for such purpose by such assessor or board.

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