OKLAHOMA TAX COMMISSION
MOTOR VEHICLE DIVISION
FORM 779
U.S. ARMED FORCES AFFIDAVIT
FOR AFFIDAVITS SUBMITTED STARTING NOVEMBER 1, 2017.
This form is used to submit U.S. Armed Forces Affidavit STARTING November 1, 2017.
Form 779 |
|
Revised 11-2017 |
|
MVA |
OKLAHOMA TAX COMMISSION - MOTOR VEHICLE DIVISION |
|
U.S. ARMED FORCES AFFIDAVIT |
47 OS Section 1127 provides for a special annual registration fee for vehicles owned by actively serving members of the U.S. Armed Forces, including reservists and members of the National Guard, or spouses of such members, under the conditions outlined in this Affidavit. Please Note:
•The qualifying service person must be either a resident of, or assigned to duty in, Oklahoma.
•The vehicle may not be used in any trade or business, or for any commercial purpose.
•The special registration fee shall not apply to vehicles owned by retired members of the Armed Forces.
This is to certify the following vehicle is owned by a service member, Guardsman, Reservist or their spouse, under the qualifying criteria outlined above.
|
Title Number or Vehicle Identification Number (VIN) |
|
|
|
|
|
Year |
|
|
Make |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Name and Rank of Service Member |
|
|
|
|
|
|
Name of Spouse (if applicable) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Military Unit |
|
|
Service Branch |
|
|
|
Military Installation Where Stationed |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OKLAHOMA RESIDENT ADDRESS |
|
|
|
|
|
NON-RESIDENT STATIONED IN OKLAHOMA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Oklahoma Residency Address |
|
|
|
|
|
|
Home of Record Address |
|
|
|
|
,OK |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
City |
Zip |
|
|
|
|
City |
|
|
|
|
State |
Zip |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CURRENT MAILING ADDRESS:
DELINQUENT VEHICLE REGISTRATION PENALTY WAIVER PROVISION
47 OS Section 1127 provides for the waiver of delinquent vehicle (only) registration penalties for Oklahoma resident armed forces personnel who are stationed out-of-state by official assignment. That waiver applies for the duration of the out-of-state assignment and up to sixty (60) days following the end of such assignment. Your signature below certifies your eligibility for this penalty waiver scenario.
|
|
Signature of Service Person or Spouse |
|
Out-of-State Assignment Location |
|
Assignment End Date |
|
|
|
|
|
|
|
|
|
|
|
I certify the above listed information is true and correct. |
|
|
|
|
|
|
Signature of Service Member, Spouse or, if stationed out-of-state, a Representative |
|
Date |
CERTIFICATION BY AN OFFICER OF THE U.S. ARMED FORCES ORGANIZATION
TO WHICH APPLICANT IS ASSIGNED FOR DUTY
NOTE: In lieu of this certification by an officer, the applicant may submit a copy of written orders documenting that the service member, Guardsman, or Reservist is actively serving at the time of application for registration.
Name of Officer (please print) |
Signature of Officer |
Rank, Branch (please print)
