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Get ND DoT SFN 17147 2009-2024

MILITARY CLAIM FOR TAX EXEMPTION North Dakota Department of Transportation Motor Vehicle Division SFN 17147 07-2009 Legal Name Address City State Year Make Zip Code Style Model Title Number Vehicle Identification Number I the undersigned claim an exemption from Motor Vehicle Excise Tax as imposed by Chapter 57-40. 3 of the North Dakota Century Code. This claim for tax exemption is based on the following facts which I certify to be true. 1. I certify that I am currently on active military duty with the armed forces of the United States. X Legal Signature Date day of Subscribed and sworn to before me this Seal Signature My Commission Expires NOTE The filing of a false affidavit is a Class A misdemeanor punishable by a maximum penalty of 1 000. 00 and/or one year in jail* Chapter 12. 1-11 NDCC RETURN TO MOTOR VEHICLE DIVISION NORTH DAKOTA DEPARTMENT OF TRANSPORTATION 608 E BOULEVARD AVENUE BISMARCK ND 58505-0780. 3 of the North Dakota Century Code. This claim for tax exemption is based on the following facts which I certify to be true. 1. I certify that I am currently on active military duty with the armed forces of the United States. 1. I certify that I am currently on active military duty with the armed forces of the United States. X Legal Signature Date day of Subscribed and sworn to before me this Seal Signature My Commission Expires NOTE The filing of a false affidavit is a Class A misdemeanor punishable by a maximum penalty of 1 000. X Legal Signature Date day of Subscribed and sworn to before me this Seal Signature My Commission Expires NOTE The filing of a false affidavit is a Class A misdemeanor punishable by a maximum penalty of 1 000. 00 and/or one year in jail* Chapter 12. 1-11 NDCC RETURN TO MOTOR VEHICLE DIVISION NORTH DAKOTA DEPARTMENT OF TRANSPORTATION 608 E BOULEVARD AVENUE BISMARCK ND 58505-0780. 3 of the North Dakota Century Code. This claim for tax exemption is based on the following facts which I certify to be true. 1. I certify that I am currently on active military duty with the armed forces of the United States. X Legal Signature Date day of Subscribed and sworn to before me this Seal Signature My Commission Expires NOTE The filing of a false affidavit is a Class A misdemeanor punishable by a maximum penalty of 1 000. 1. I certify that I am currently on active military duty with the armed forces of the United States. X Legal Signature Date day of Subscribed and sworn to before me this Seal Signature My Commission Expires NOTE The filing of a false affidavit is a Class A misdemeanor punishable by a maximum penalty of 1 000. 00 and/or one year in jail* Chapter 12. 1-11 NDCC RETURN TO MOTOR VEHICLE DIVISION NORTH DAKOTA DEPARTMENT OF TRANSPORTATION 608 E BOULEVARD AVENUE BISMARCK ND 58505-0780. .

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