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Exempt Vehicle Certificate MV-197 - New York

Exempt Vehicle Certificate Form. This is a New York form and can be used in Department Of Motor Vehicles Statewide .
 Fillable pdf Last Modified 4/6/2010
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New York State Department of Motor Vehicles EXEMPT VEHICLE CERTIFICATE INSTRUCTIONS N An ambulance is exempt from an annual registration fee if no charge is made for services, or if the cost of service is incidental to the operation of a non-profit hospital. You must provide a New York State Insurance Identification Card (Form FS-20) to register an ambulance or bus if "For-Hire" insurance coverage is not required. You can obtain the required insurance coverage and identification card from any insurance company authorized to do business in New York State This certificate must be signed. If the vehicle is registered by a firm or corporation, an officer must sign this certificate. Specify the officer's title or position in the box at the bottom of this form. N N I, ______________________________________________________, affirm under penalty of perjury that the information given below is correct, and that I am the owner of this vehicle, or an officer of the firm or corporation registering this vehicle. This certificate pertains to the vehicle with license plate number_________________________________. Note: If the vehicle is not currently registered by you (and does not have a license plate on it), please provide the vehicle identification number: _________________________________________________________________________________. Check the box that applies to this vehicle: This vehicle is an ambulance and no charge is made for services, or the cost of service is incidental to the operation of a non-profit hospital. This vehicle is a bus and no charge, direct or indirect, is made for carrying any person. The vehicle has a seating capacity of _____________ and is used follows:________________________________________ Signature (See "Instructions" above) ±_____________________________________________________________ Name of Registrant (Print or Type) Street Address Apt. # City State Zip Code Title or position (if a firm or corporation) MV-197 (11/07) www.nysdmv.com American LegalNet, Inc. www.FormsWorkFlow.com
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