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Tag Form

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Submitted By ronnie20
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Exhibit E

MILITARY INSURANCE EXEMPTION INFORMATION
The exemption 1. for providing proof of Florida insurance applies in the following circumstances:

The military member or spouse is an owner, co-owner or registrant. or

2.

The military member is a Florida resident stationed outside Florida.

All of the following is required: 1. An out-of-state mailing address (which will be shown on the Florida Vehicle Registration Certificate) for the military member. The military member's Florida address of residence, which will be shown in the DMV database.

2. 3.

A copy of the military orders. or, An affidavit from the military member's commanding military orders and the date of assignment. officer that confirms the member's

4.

An affidavit stating the vehicle is being maintained in the member's state of military assignment and will not be driven in the state of Florida, except in a transient visitor status (see sample below).

AFFIDAVIT
I,
(Name of Military Member or Spouse)

certify that my vehicle is maintained in the , where I am on military orders and will not be driven in the state

state of of

I

Florida, except in a transient visitor status.

I also declare that I have: Property Damage Liability, currently in effect with:
(Policy Number / Binder Number)

I

D Personal Injury Protection
(Insurance Company Name / Agent)

o

on the following described motor vehicle
(Year) (Make) (Vehicle Identification Number)

UNDER PENALTIES OF PERJURY, FACTS STATED IN IT ARE TRUE.

I DECLARE THAT I HAVE READ THIS DOCUMENT

AND THE

(Signature of Military Member or Spouse)

THIS EXEMPTION ONLY APPLIES TO VEHICLES REGISTERED MILITARY MEMBER OR THE NON-MILITARY SPOUSE.
RS-36 (11127/07)

IN THE NAME OF THE

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