Form Mv-315 - Affidavit For Truck Tractor Converted To A Motor Home
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SD EForm - 1827
V3
SOUTH DAKOTA DIVISION OF MOTOR VEHICLES
AFFIDAVIT FOR TRUCK TRACTOR CONVERTED TO A MOTOR HOME
[A PHOTOGRAPH SHOWING A FULL VIEW OF THE VEHICLE MUST ACCOMPANY
THE APPLICATION, AFFIDAVIT, TITLE AND SUPPORTING DOCUMENTATION AND A
WEIGHT SLIP)
AFFIANT NAME(S):__________________________________________________________________
ADDRESS:__________________________________________________________________________
VEHICLE DATA: YEAR ____ MAKE_________________________ TITLE #__________________
LICENSE #___________________ SERIAL #_____________________________________________
I (we) hereby affirm that this vehicle meets equipment requirements and will not be
used for private business use.
Note: To become a motor home, the truck tractor shall be modified to include a vehicular-type unit
built on the tractor's chassis and designed primarily as temporary living quarters for recreational,
camping, vacation, or travel use.
Check all equipment that applies to this vehicle. [To qualify, must meet at least 5 of the criteria
listed, as well as the modification requirement stated above (SDCL 32-3-65):
___ Cooking facilities
___ Heating or air conditioning system separate from vehicle engine or vehicle engine
electrical system (must be permanently installed and meet American National
Standards Institute and National Fire Protection Association standards in effect on the
date of manufacture)
___ Self-contained toilet or toilet connected to a plumbing system with connection for
external water disposal (must be permanently installed and meet American National
Standards Institute and National Fire Protection Association standards in effect on the
date of manufacture)
___ Portable water supply, including plumbing and a sink with faucet either self-
contained or with connections for an external source (must be permanently installed
and meet American National Standards Institute and National Fire Protection
Association standards in effect on the date of manufacture)
___ Sleeping facilities
___ Refrigerator
___ 110 or 115 volt system separate from the vehicle engine electrical system either with its own
power supply or with a connection for an external source or a liquefied petroleum system and
supply (must be permanently installed and meet American National Standards Institute and
National Fire Protection Association Standards in effect on the date of manufacture)
PLEASE COMPLETE BOTH SIDES OF FORM
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