Form Mv-260f - Certified Farm Vehicle Use

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CERTIFIED FARM
New York State
Department of Motor Vehicles
VEHICLE USE
List most direct route(s) and distance between farms or
(Complete both Part 1 & Part 2, and sign “Certification”.)
portions of farms and sanitary landfill:
Location (by township) of all farms or portions of farms
between which this vehicle will be operated on the public
_________________________________________________
highway:
______________________
_______________________
_________________________________________________
______________________
_______________________
_________________________________________________
Location of nearest municipal sanitary landfill:
___________________________________________
_________________________________________________
CERTIFICATION: The information I have given is true to
the best of my knowledge. I certify that the vehicle is used
exclusively as a farm vehicle, and will be operated on public
highways using the most direct route (but not more than 25
_________________________________________________
miles one-way) between:
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the farm(s) or portions of farms owned or operated by me;
_________________________________________________
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the farm and the nearest municipal sanitary landfill;
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the farm and licensed motor vehicle repair shops; and
_________________________________________________
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the point of sale and the farm.
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______________________________ _______________
_________________________________________________
(Signature of Registrant)
(Date)
IMPORTANT: Any person making a false statement
_________________________________________________
in connection with this certificate shall be guilty of a
misdemeanor and may be subject to fines, imprisonment
GIVE THIS PART TO
and license sanctions.
DEPARTMENT OF MOTOR VEHICLES
PLEASE COMPLETE
MV-260F (9/16) PART 1
MV-260F (9/16) PART 1
"
"
Cut along dotted line
CERTIFIED FARM
List most direct route(s) and distance between farms or
portions of farms and sanitary landfill:
VEHICLE USE
_________________________________________________
_________________________________________________
Location (by township) of all farms or portions of farms between
which this vehicle will be operated on the public highway:
_________________________________________________
______________________
_______________________
_________________________________________________
______________________
_______________________
_________________________________________________
Location of nearest municipal sanitary landfill:
_________________________________________________
___________________________________________
_________________________________________________
Certified to be operated on the most direct route to and from
_________________________________________________
any licensed motor vehicle repair shop within 25 miles of the
farm(s) or portions of farms listed above.
_________________________________________________
PLEASE COMPLETE
KEEP THIS PART WITH YOUR REGISTRATION
MV-260F (9/16) PART 2
MV-260F (9/16) PART 2

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