Application For Exemption From Payment Of Permissive Tax By Non Resident Member Of The Armed Forces
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Application For Exemption From Payment Of Permissive Tax By Non Resident Member Of The Armed Forces Form. This is a Ohio form and can be use in Bureau Of Motor Vehicles Statewide.
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Tags: Application For Exemption From Payment Of Permissive Tax By Non Resident Member Of The Armed Forces, BMV 5741, Ohio Statewide, Bureau Of Motor Vehicles
OHIO DEPARTMENT OF PUBIC SAFETY
BUREAU OF MOTOR VEHICLES
APPLICATION FOR EXEMPTION FROM PAYMENT OF PERMISSIVE
TAX BY NON-RESIDENT MEMBER OF THE ARMED FORCES
OWNER FIRST NAME
LAST NAME
MI
OHIO RESIDENT ADDRESS
CITY
STATE
ZIP CODE
STATE
ZIP CODE
STATE
ZIP CODE
MILITARY ADDRESS
CITY
BRANCH OF SERVICE
SERVICE #
LEGAL RESIDENCE
CITY
I understand the penalty as covered in section ORC 2913.42. of the Ohio Revised Code, which concerns making a false
statement on an application.
APPLICANT SIGNATURE
X
CERTIFICATION
I, the undersigned, certify that the above named individual is not a legal resident of Ohio (his/her legal state of residence
is shown above).
COMMANDING OR PERSONNEL OFFICER SIGNATURE
X
COMMANDING OR PERSONNEL OFFICER SIGNATURE
X
COMMANDING OR PERSONNEL OFFICER SIGNATURE
X
THIS FORM IS TO BE COMPLETED ONLY WHEN THE ABOVE APPLICANT IS NOT A LEGAL RESIDENT OF OHIO,
BUT IS CURRENTLY STATIONED IN OHIO.
BMV 5741 9/08
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