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Application For Disabled Veterans Former Prisoners Of War And Spouses Of Deceased BMV 4507 - Ohio
| Application For Disabled Veterans Former Prisoners Of War And Spouses Of Deceased Form. This is a Ohio form and can be used in Vehicle Registration Bureau Of Motor Vehicles Statewide . |
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OHIO BUREAU OF MOTOR VEHICLES APPLICATION FOR DISABLED VETERANS, FORMER PRISONERS OF WAR & SPOUSES OF DECEASED FORMER PRISONERS OF WAR LICENSE PLATES NO FEE BMV USE ONLY PLATE # ISSUE DATE IMPORTANT INSTRUCTIONS 1) Complete all blocks 2) Submit Certificate of Title or Memorandum Title. Title must show applicant as owner or joint owner. (COPIES NOT ACCEPTED) 3) Spouses of Deceased Former Prisoners of War applicants must submit a copy of the Death Certificate. 4) Follow the directions listed below for those plates for which application is being made. DISABLED VETERAN If you are a disabled veteran, attach a current letter from the U.S. Department of Veterans Affairs (VA) stating that you are entitled to compensation for a service-connected disability at the 100% rate, or stating you have received a monetary allowance from the VA toward the purchase of a motor vehicle. FORMER PRISONER OF WAR If you are a former prisoner of war, attach a copy of your Record of Separation (DD214) or copy of your honorable discharge; AND any one of the following documents stating POW status: A. Any documentary evidence of Prisoner of War status from one of the Armed Forces of the United States. B. Telegram advising family of POW status. C. Letter from the War Claims Commission. D. Letter from U.S. Department of Veterans Affairs. SPOUSE OF DECEASED FORMER PRISONER OF WAR If you are the spouse of a deceased former prisoner of war who has not previously had Ohio Former Prisoner of War plates follow the Former Prisoner of War instructions above. Otherwise, enter the existing POW plate number here:___________. 5) OWNER INFORMATION: OWNER NAME JOINT OWNER NAME CITY STATE ADDRESS TAXING DISTRICT COUNTY ZIP CODE TELEPHONE NUMBER 6) TYPE OR LEGIBLY PRINT THE FOLLOWING SOCIAL SECURITY NUMBER CERTIFICATE OF TITLE NUMBER ODOMETER READING VEHICLE SERIAL NUMBER VEH. YEAR VEH. MAKE VEH. TYPE VEH. COLOR PROOF OF FINANCIAL RESPONSIBILITY I Affirm that the owners (or lessees of leased vehicle) now have insurance or other proof of financial responsibility (FR Proof) covering this vehicle and will not operate or permit the operation of any vehicle without FR Proof; All previous registration fees due have been paid and this plate category is correct. The vehicle described above shall not be used for farm or commercial purposes unless registered as farm or commercial, as defined under O.R.C. 4501.01 and 4503.04, that my statements are correct, that the vehicle is lawfully entitled to registration and that I grant limited Power of Attorney to the Registrar and Deputy Registrar to renew the vehicle registration. Spouses of deceased former prisoners of war, also affirm that they have not remarried. 7) X SIGNATURE OF OWNER DATE THESE LICENSE PLATES ARE ISSUED WITHOUT VALIDATION STICKERS. PLEASE NOTIFY THE GRATIS UNIT OF ANY CHANGE OF ADDRESS OR VEHICILES. RETURN DOCUMENTS TO: OHIO BUREAU OF MOTOR VEHICLES, GRATIS UNIT, P.O. BOX 16521, COLUMBUS, OHIO 43216-6521. WARNING: Applicant giving false information is subject to prosecution O.R.C. 2921.13. Application must be signed by the owner(s) as named on certificate of title. BMV 4507 8/06 F-36 American LegalNet, Inc. www.FormsWorkflow.com
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