In an era increasingly aware of environmental sustainability, the MV-AFV form represents a pivotal step forward for Georgia residents who are committed to reducing their carbon footprint through the use of alternative fuels. Serving as an Application and Verification for Issuance of an Alternative Fuel License Plate, this document is critical for owners of vehicles powered by non-traditional fuel sources, such as Compressed Natural Gas (CNG), Propane (LPG), Ethanol (E85), Electricity, or Solar Energy, who wish to avail themselves of a specially designated license plate. The form requires comprehensive details about the vehicle and its owner, including the vehicle's make, model, Vehicle Identification Number (VIN), and the type of alternative fuel it uses. Additionally, the applicant must provide their full legal name, residence address, and driver's license number, and declare their intention to purchase alternative fuel primarily at a specified location. By signing the MV-AFV form, applicants affirm their commitment to operating their vehicle on the chosen alternative fuel for at least 85% of the vehicle's operation time annually. This declaration is taken seriously, underscored by the requirement that applicants must adhere to their statements under penalty of false swearing, with clear directions for maintaining purchase receipts and the protocol for amending application information. Through this form and its associated process, the State of Georgia ensures that the benefits tied to alternative fuel usage—whether those are based on financial savings, reduced environmental impact, or both—are accessible to its residents in a structured and verifiable manner.
| Question | Answer |
|---|---|
| Form Name | Mv Afv Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | MV_Application_ Verification_Al ternative_Fuel_ License_Form_AF V mv afv form |
Application and Verification for Issuance of an Alternative Fuel License Plate
Applicant’s Full Legal Name:
Applicant’s Residence Address Including City, State & Zip Code:
County of Residence:
Daytime Telephone Number Including Area Code:
Make and Model of Vehicle
Owner’s Driver’s License Number:
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Vehicle Identification Number |
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An Alternative Fueled vehicle is any vehicle fueled by an alternative fuel, as described in O.C.G.A.
Please check below the alternative fuel license type & location where you intend to purchase such fuel.
̨Compressed Natural Gas (CNG) or Propane (LPG)
̨Ethanol (E85)
̨Electricity or Solar Energy
Brand of Fuel (except Electricity or Solar Energy):
Fuel will primarily be purchased in:
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Applicants Verification of Information Provided
By signing this application, you are affirming that you:
1.Own and operate an approved alternative fuel vehicle
2.Will purchase approved alternative fuel primarily at the location indicated on this application
3.Will operate this vehicle on the alternative fuel checked above not less than 85% of the total time the vehicle is in operation.
By signing this application you are affirming, under penalties of false swearing, that the statement and answers made by you are true and correct, and that if there are any change in the facts represented on this application you shall immediately surrender the license plate to your county tag office or your registration shall be revoked.
Applicant’s Signature:
Date:
Revision 07/08 |
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Department of Revenue Rules:
(1)The terms “alternative fuel” and “alternative fueled vehicle,” shall have the same meaning as set forth in the Code.
(2)Any person may apply for an Alternative Fuel license plate by completing and signing an Alternative Fuel license plate application in the form prescribed by the Commissioner
(3)The Alternative Fuel license plate application shall contain all of the following:
a.Description of the alternative fueled vehicle (“Vehicle”) including
1.The make, model and Vehicle Identification Number (VIN) of the Vehicle
2.The type of approved alternative fuel that will be used to operate the Vehicle and the primary location where the applicant will purchase the alternative fuel.
b.Information concerning the owner(s);
1.Legal name and address
2.Georgia drivers license number
c.Certification by the applicant(s) that:
1.The vehicle is designated by Georgia Department of Natural Resources (DNR) as an alternative fueled vehicle.
2.The owner will purchase and operate the Vehicle with alternative fuel primarily purchased at the location listed on the application.
3.The owner will operate the Vehicle on the alternative fuel stated in the application not less than
4.The owner will maintain the receipts for purchases of alternative fuel, for three (3) calendar years. The receipts shall be available for a compliance review upon request of a Federal, County or County official.
5.Upon a substantive change in the application information certified by the owner, the owner shall surrender the Alternative Fuel license plate to the County Tax Commissioner or the owner’s registration shall be revoked by DOR.
(4)An annual renewal application shall be submitted for an Alternative Fuel License Plate.
Authority: O.C.G.A. §§
Revision 07/08 |
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