Mv Afv Form PDF Details

Are you looking to fill out a Motor Vehicle Affidavit (MV AFV) form? Filling out these forms can be a complicated process, especially for those with limited knowledge of the legal system. This blog post provides an in-depth look into the MV AFV form, walking you through what it is, why it’s important and how to properly complete one. With a comprehensive overview of this vital document, you will be ready to confidently handle any legal situation that requires filling out this type of form.

QuestionAnswer
Form NameMv Afv Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesMV_Application_ Verification_Al ternative_Fuel_ License_Form_AF V mv afv form

Form Preview Example

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:

Year

 

Vehicle Identification Number

 

 

(V.I.N.)

 

 

 

An Alternative Fueled vehicle is any vehicle fueled by an alternative fuel, as described in O.C.G.A. §40-2-76 (a)(2)(A) or (B).

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:

City

 

County

 

 

 

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

 

MV-AFV application

Page 1 of 2

Department of Revenue Rules:

560-10-30-0-.12 Application and Verification for Issuance of an Alternative Fuel License Plate

(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 eighty-five (85%) of the total time that the said vehicle is in operation per year

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. §§ 40-2-76, 48-2-12

Revision 07/08

 

MV-AFV application

Page 2 of 2