Free 46402.FH11 - Indiana

AFFIDAVIT FOR MILITARY EXEMPTION FROM EXCISE TAX
State Form 46402 (R3 / 11-06)

INDIANA BUREAU OF MOTOR VEHICLES

SECTION 1 - APPLICANT AFFIRMATION

To receive a military exemption from excise tax all of the following criteria must be met: 1. I am serving on active military duty in the armed forces of the United States. 2. I am currently residing in the state of Indiana. 3. Indiana is not my legal state of residence.
Address of legal residence (number and street, city, state, and ZIP code)

I affirm under penalties of perjury that I meet all the criteria listed above for military exemption from excise tax. I also realize that under Indiana Law (IC 6-6-5-11), a person who knowingly registers a vehicle without paying the excise tax commits a Class B misdemeanor.
Please print Rank First name Middle initial Last name

Branch of service

Daytime telephone number

(
Mailing address (number and street, city, state, and ZIP code)

)

Signature of applicant

SECTION 2 - COMMANDER'S OR SUPERVISOR'S CONFIRMATION

I am the commander or supervisor of the person listed above and confirm that he/she meets all three criteria for military exemption from excise tax.
Please print Rank First name Middle initial Last name

Branch of service

Daytime telephone number

(
Base address (number and street, city, state, and ZIP code)

)

Signature of commander or supervisor

SECTION 3 - ADDITIONAL DOCUMENTATION REQUIRED

The applicant for military exemption from excise tax must present: 1. A valid military identification card. 2. A leave earnings statement issued within the last 60 days. The affidavit must be presented when renewing your vehicles's registration. If you are registering by mail, a photocopy of your military identification card and leave earnings statement must be included with your renewal notice. ** If you have any questions regarding military exemption from excise tax call (317) 233-6000, option 2.