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STATE OF GEORGIA
Form MV-30 (Rev 03-2013)
COUNTY OF ___________________
Georgia Veteran's Affidavit for Relief of State and Local Title Ad Valorem Tax Fees
Exemption Verification
Military Disabled-Service Connected: O.C.G.A 48-8-3 (30). The sale of a vehicle to a service-connected disabled
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veteran where the veteran received a grant from the United States Department of Veterans Affairs to purchase and specially
adapt the vehicle to his disability? Attach grant letter from the United States Department of Veterans Affairs
Military Disabled-Constitutional Exemption: O.C.G.A 48-5-478. Constitutional Exemption from ad valorem tax for
disabled veterans? Attach letter from the United States Department of Veterans Affairs. Designated plate required.
Prisoner of War: O.C.G.A. 48-5-478.1. Exemption of certain motor vehicles owned by former prisoners of war or
unremarried surviving spouse? Attach Department of Defense Form 214, Military 201 file and sufficient proof of his or
her former prisoner of war status.
Purple Heart Recipient: O.C.G.A. 48-5-478.2 Veterans awarded Purple Heart exempt from ad valorem taxes? Attach
Department of Defense Form 214, Military 201 file or other sufficient proof of the award of the Purple Heart.
Designated plate required.
Medal of Honor: O.C.G.A. 48-5-478.3. Tax Exemption for veterans awarded Medal of Honor? Attach Act of Congress
award of the Medal of Honor, Department of Defense Form 214, Military 201 file, or similar sufficient proof of the
award of the Medal of Honor. Designated plate required.
Vehicle Information
VIN
Year
Make
Model
Owner(s) Information
Vehicle Owner(s) Information (must be a citizen and resident of Georgia)
Last Name
Driver License/ID Card No.
First Name
Initial
License/ID Expiration Date
Street Number
Street Name
Apt. No. (if applicable)
County
City
State
Zip Code
Affirmation
I hereby certify that all statements made on this application are true and correct to the best of my knowledge and I understand that any false
statement made herein will subject me to the penalties within the applicable state law. I hereby apply for exemption from Title Ad Valorem Tax. No
vehicle upon which I claim tax exemption as a veteran was conveyed to me for the purpose of obtaining exemption other than from my spouse.
Signature of Owner______________________________________________ Date ________/________/_____________
This form must be complete and legible. Any alteration or correction voids this form.
County Tag Agent shall retain for audit purposes.
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