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County Vehicle Use Tax Exemption Certificate UT-11C - New York

County Vehicle Use Tax Exemption Certificate Form. This is a New York form and can be used in Department Of Motor Vehicles Statewide .
 Fillable pdf Last Modified 6/13/2011
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New York State Department of Motor Vehicles COUNTY VEHICLE USE TAX EXEMPTION CERTIFICATE www.dmv.ny.gov As the registrant, I certify that the vehicle described below is not subject to a county use tax for the following reason (check one): A. I am not a legal resident of ____________________________________ County. I reside in _________________________________ County. B. The vehicle is owned by a non-profit religious, charitable or educational organization that is exempt from the tax, as determined by the NYS Department of Taxation and Finance. The tax exemption number is ___________________________. C. The vehicle is used only in connection with the operation of a farm by the owner or tenant of the farm. I understand that this certification will be forwarded to the appropriate county for review, and that if I falsely state that this vehicle qualifies for exemption, I may be subject to punishment under Section 210.45 of the Penal Law, and that I may have to pay penalties and interest as provided by law. Name of Registrant (Please Print) Plate Number Year of Vehicle Make of Vehicle Street City State Zip Code County Sign Name in Full Date ± / / UT-11C (6/11) American LegalNet, Inc. www.FormsWorkFlow.com
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