AFFIDAVIT FOR DISABLED VETERAN TAG

Your Branch of Service Percentage of service connected disability My vehicle is equipped with special mechanical devices which are necessary for me to drive. My vehicle is "NOT" equipped with special mechanical devices. The United States Veterans Administration paid for all or part of the vehicle listed below. The United States Veterans Administration "DID NOT PAY" for all or part of the vehicle listed below. Address of Veteran Make Model Year Vehicle Identification Number

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