Reg 5045, Nonresident Military (Nrm) Vehicle License Fee Exemption

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NONRESIDENT MILITARY (NRM) VEHICLE LICENSE FEE EXEMPTION
STATE OF CALIFORNIA
SIDE A – U.S. SERVICEMEMBER USE ONLY (50 U.S.C. §§568, 571, 595)
DEPARTMENT OF MOTOR VEHICLES
®
A Public Service Agency
(NATO MEMBERS – SEE FORM REG 5046)
VEHICLE IDENTIFICATION NUMBER
MAKE OF VEHICLE
VEHICLE LICENSE NUMBER
You qualify for this exemption if your duty station is located in California and your vehicle is not used in a trade or business.
I am on active duty in the U.S. Uniformed Services* with the
BRANCH OF SERVICE
I am now stationed at
, California with the
.
DUTY STATION
UNIT
This can be verified by my commanding officer, who can be reached at (
)
.
TELEPHONE NUMBER
I am not a resident of California, my legal residence is
.
STATE
NOTE: NRM exemption not applicable to California residents.
This vehicle is garaged primarily in the county of
.
COUNTY
Military Identification Verified
OFFICE
DATE
ID #
DMV EMPLOYEE INITIALS
*Note: 10 U.S. Code Section 101(a) defines a U.S. Uniformed Service Member as a member of the Army, Navy, Air Force, Marine Corps, Coast Guard,
the Commissioned Corps of the National Oceanic and Atmospheric Administration, and the Commissioned Corps of the Public Health Service.
THE INFORMATION YOU ARE PROVIDING IS SUBJECT TO DEPARTMENT OF DEFENSE VERIFICATION AND DMV AUDIT.
EXECUTED ON (DATE)
AT (CITY)
STATE
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
PRINT TRUE FULL NAME
SIGNATURE
DAYTIME TELEPHONE NUMBER
X
(
)
MAILING ADDRESS
CITY
STATE
ZIP CODE
REG 5045 (REV. 4/2016) WWW
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