Affidavit for Motor Vehicle Tax Exemption

MILITARY PERSONNEL AFFIDAVIT FOR MOTOR VEHICLE TAX EXEMPTION (Pursuant to Federal & Kansas Law)

Military person’s name: Rank:

Address: City: State: Zip:

Work telephone # ( ) Home telephone # ( )

Service branch: Duty Station: Unit:

Permanent resident state (as shown on LES) ETS Date

If Kansas resident, please read and fill out section A, if non-Kansas resident, please read and fill out section B. Everyone must read and sign Section C.

A . Kansas military personnel: Pursuant to Kansas statute 79-5107(e), not more than two (2) motor vehicles may qualify for exemption from property taxation in Kansas if the resident individual is “mobilized and deployed” on the date of the application for registration of the vehicle(s). A separate exemption may be granted by the Kansas Board of Tax Appeals for RV-titled vehicles pursuant to K.S.A. 79-512 (e).

Kansas Resident (All must apply at the time of registration): 1. The military person is shown on the title as the legal owner of the motor vehicle(s) for which the exemption is requested. 2. The military person claims Kansas as his/her permanent state with the military. 3. a) The military person is in the full-time, regular military service of the United States. b) The military person is a member of the National Guard or Reserves and mobilized (in receipt of orders to report for active duty at a certain date, Title 10). 4. The motor vehicle is not used in or arising from a trade or business.

Qualifying individuals may receive exemption for not more than 2 motor vehicles. Vehicle Make Mfg. Year Vehicle Model Vehicle ID Number License Plate #

B. Non-Kansas Resident (All must apply): 1. The military person is shown on the title as the legal owner of the motor vehicle(s) for which exemption is requested. 2. The military person is in the full-time, regular military service of the United States. 3. The military person is absent from his/her permanent residence solely by reason of military orders. 4. The military person is stationed in Kansas and resides in Geary County. 5. The motor vehicle is not used in or arising from a trade or business. 6. At the time of registration/renewal the vehicle(s) is/are kept or is being used in Geary County.

C. MILITARY PERSON OR AUTHORIZED AGENT: I do hereby certify that the information set forth in this application is true and correct to the best of my knowledge.

X (Signature of military person or authorized agent) Date (If authorized agent, relationship to military person)

THIS FORM MUST BE ACCOMPANIED BY A COPY OF YOUR MILITARY ID and ONE of the following: ERB or ORB, LES. Geary Co Treas. 1/20/2010