Form Hsmv 82002 - Initial Registration Fee Exemption Affidavit
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2STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
INITIAL REGISTRATION FEE EXEMPTION AFFIDAVIT
VEHICLE IDENTIFICATION NO.
YEAR
MAKE
BODY
PREV. STATE
TITLE NO.
PLEASE CHECK THE APPROPRIATE BOX AND SIGN
The applicant claims exemption from the $225.00 Initial Registration Fee, which is imposed on the initial application
for registration on a motor vehicle, and attests to one of the following:
I am a qualifying member of the U.S. Armed Forces, or his or her spouse or dependent child. I am claiming
exemption # _________ (see list on the reverse side of this form in section A, 1-6, which also lists the required
documents). Select exemption reason of "military." The customer must complete and sign this form to claim the
exemption.
A Court Order declares/specifies that the applicant is the legal owner of the above described motor vehicle. Select
exemption reason of "court order." (A copy of the court order must be submitted.)
A license plate is being transferred (for a name change) due to a fictitious name change affidavit or corporate name
change affidavit properly filed with the Department of State, pursuant to section 865.09, Florida Statutes. Select
exemption reason of "administrative." (A copy of the name change affidavit from the Department of State must be
submitted.)
A transfer of ownership on a Florida Certificate of Title has occurred due to operation of law as provided by section
319.28, Florida Statutes. Select exemption reason of "operation of law." (A copy of the documentation which
validates how the vehicle was acquired must be submitted.)
A transfer of ownership on a Florida Certificate of Title has occurred from a person to a member of that person's
immediate family as defined in 657.002, Florida Statutes, who resides in the same household. Select exemption
reason of "immediate family." (NOTE: The address of the previous owner and new owner must be the same
in the FRVIS system).
A prior registration or system printout has been submitted for the following license plate number (_______________),
in order to claim the initial registration exemption for the recently acquired above described vehicle. Select
exemption reason of "prior registration."
AN EXEMPTION REASON MUST BE SELECTED IN THE SYSTEM TO RECORD EXEMPTION.
Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in
it are true
.
__________________________________________ ______________________________________ ________________
Signature of Owner
Printed Name of Owner
Date
NOTE: Owner's signature is only required for the military exemption.
FOR FLORIDA DMS OR TAX COLLECTOR/LICENSE PLATE AGENCY USE ONLY
NOTE: Employee must verify (below) all exemptions (listed above):
The exemption (checked above) has been verified by (County #) __________ (Agency #) _________
__________________________________________ ______________________________________ ________________
Date
Signature of Employee
Printed Name of Employee
HSMV 82002 (Rev. 01/14)
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