Form Mv 40 12 250D – Fill Out and Use This PDF

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Form Mv 40 12 250D PDF Details

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Question	Answer
Form Name	Form Mv 40 12 250D
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	nj firefighter license plate application, nj firefighter license plates, FEIN, 4DR

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ALABAMA DEPARTMENT OF REVENUE

MOTOR VEHICLE DIVISION

P.O. Box 327630 • Montgomery, AL 36132-7630 • (334) 242-9006

www.revenue.alabama.gov/motorvehicle/forms.html

Application For Volunteer Fire Department License Plates

MV 40-12-250D 12/13

INSTRUCTIONS ON REVERSE SIDE

REGISTRANT INFORMATION

DEPARTMENT NAME								DEPARTMENT FEIN

STREET ADDRESS								TELEPHONE NUMBER (Include Area Code)				FAX
								(		)	(		)

CITY				STATE		ZIP		EMAIL


ADDITIONS

	MAKE	MODEL	YEAR		BODY	COLOR	VEHICLE IDENTIFICATION NUMBER*							TAG FOR	OFFICE USE
	MAKE	MODEL	YEAR		TYPE	COLOR	VEHICLE IDENTIFICATION NUMBER*						TRANSFER		ONLY
					TYPE								TRANSFER		ONLY

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DELETIONS
	MAKE	MODEL	YEAR		BODY	COLOR			VEHICLE IDENTIFICATION NUMBER*						CURRENT
	MAKE	MODEL	YEAR		TYPE	COLOR			VEHICLE IDENTIFICATION NUMBER*						TAG NUMBER
					TYPE										TAG NUMBER

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Total new license plates requested . . . . . _________ X $24.25 = $_________________

Total license plates to be transferred . . . . _________ X $ 1.25 = $_________________

TOTAL AMOUNT DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_________________

I understand that the Volunteer Fire Department tag(s) issued or reassigned to the motor vehicle(s) identified above cannot be used on any other vehicle. I also understand that this (these) vehicle(s) will not be used for any purpose that is not related to the tasks/functions applicable to the volunteer fire department to which it (they) is (are) registered. The Volunteer Fire Department tag must be removed from the vehicle when it is sold or otherwise permanently taken out of service by the agency to which the tag is assigned. Alabama law requires that a valid registration receipt be carried within the vehicle.

I certify that the information contained hereon is true and correct and that the vehicle(s) described above is (are) insured as required by Alabama law.

Signed by: __________________________________________ Title: ______________________________ Date: _______________________

INFORMATION

The type of license plate issued to a vehicle used by a volunteer fire department (VFD) depends on who owns the vehicle.

1.Owned by state, county, or municipal entity – State, County, or Municipal government license plate issued by the Department of Revenue. Please complete Form MV 40-12-250.

2.Owned by VFD – VFD may choose:

a.Standard passenger license plate issued by the county licensing official’s office. There is no registration fee due for this license plate; however, a new year validation decal and registration receipt must be obtained for the license plate from the county licensing official’s office each year; or

b.Volunteer Fire Department license plate issued by the Department of Revenue. There is a one-time registra- tion fee for this license plate. The license plate is permanent and no year validation decals are required. Please complete Form MV 40-12-250D.

3.Owned by federal government and loaned to the VFD – US Government Loaned license plate issued by the Depart- ment of Revenue. Please complete Form MV 40-12-250.

4.Owned by volunteer fire district – Standard passenger or truck license plate issued by the county licensing official’s office based on gross vehicle weight.

INSTRUCTIONS

1.REGISTRANT INFORMATION – complete the registrant information. The street address block should contain the physical address of the department.

2.ADDITIONS – complete vehicle information for new registrations.

a.BODY TYPE. Example: Cars – Four Door (4DR) or Two Door (2DR), Van (VAN), Pickup Truck (PU), Motor- cycle (MC), Bus (BUS), Truck (TK), Trailer (TL), Utility Trailer (UT), etc.

b.TAG FOR TRANSFER. If a tag is not available for transfer, leave this space blank. If a tag is available for trans- fer, enter the number of the tag to be transferred in this space, and complete the “Deletions” section of this form for the vehicle from which the tag will be removed.

3.DELETIONS – complete vehicle information for registrations to be deleted.

a.BODY TYPE. Example: Cars – Four Door (4DR) or Two Door (2DR), Van (VAN), Pickup Truck (PU), Motor- cycle (MC), Bus (BUS), Truck (TK), Trailer (TL), Utility Trailer (UT), etc.

b.If your department is deleting the registration of a vehicle and the vehicle will not be replaced, complete this section and return the license plate to the Department of Revenue at the address listed on the top of the form. If the vehicle will be replaced, complete this section, along with the “Additions” section of this form for the vehicle the tag will be transferred to.

4.Submit the following items with this form:

a.a fee of $24.25 for each new license plate requested. If you already have a license plate and need to trans- fer it to a new vehicle, submit $1.25 per license plate transfer. Checks should be made payable to the Ala- bama Department of Revenue and mailed to the address on the front of this form.

b.a copy of the Alabama title or the title application. The department’s name must appear on the title as the owner or operator. An assigned title or manufacturer’s statement of origin will not be accepted. If the vehicle is not subject to titling, a copy of the bill of sale is required.

c.a copy of the incorporation or charter papers.

d.a copy of the lease agreement if the vehicle to be registered is leased. The lease must include an option to buy in order to be eligible for a Volunteer Fire Department license plate.

5.If a replacement tag or registration receipt is needed for an existing vehicle registration, an Application for Replace- ment License Plates and Registration Receipts (Form MV 40-12-250A), must be completed. The form is available on the Department of Revenue website at www.revenue.alabama.gov.

*All VINs for 1981 and subsequent year model vehicles that conform to federal anti-theft standards are required to have 17 digits/characters.

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Form Mv 40 12 250D – Fill Out and Use This PDF

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