OKALOOSA COUNTY TAX COLLECTOR
701 E. John Sims Pkwy, Suite 202 Niceville, FL 32578
www.OkaloosaTax.com
Registration Renewal Information
Name(s
) on registration:
Mailing Address:
Residence Address:
Home ph
one: Work phone: Cell phone:
E-mail Address:
Florida Driver License Number:
I would like to renew my tag for: One year Two years
Tag Number(s) of vehicle(s) you wish to renew:
VIN(s) of vehicle(s) you wish to renew:
Speci
al request/Comments:
Form of payment:
Check – Made payable to Okaloosa County Tax Collector
Credit/Debit Card – We accept MasterCard, Discover and American Express (Bank Card
User Fees will be added). For your privacy and security reasons, credit/debit card information
cannot be included on this paperwork. Our office will contact you at the time of processing.
E-check (Personal Cheks Only) - I give OCTC permission to process my payment as an
E-check (Must provide a voided check or image thereof)
Please contact me if the total exceeds: $________________.
Please sign here: ______________________________________________________
(850) 689-5700 (850) 651-7300
OKALOOSA COUNTY TAX COLLECTOR
www.okaloosatax.com
ATTENTION: ACTIVE DUTY MILITARY MEMBERS
The Division of Motor Vehicles in Tallahassee Florida issued a statement on
December 27, 1995 exempting members of the United States Armed Forces assigned to duty
outside Florida from the requirements to provide proof of Florida motor vehicle insurance when
certain circumstances exist:
1. The mo
tor vehicle owner, co-owner or registrant is a legal resident of Florida and subject to
Florida motor vehicle registration.
2. The motor vehicle owner, co-owner or registrant is a member of the United States Armed
Forces and stationed outside of Florida due to military orders.
3. The vehicle is garaged or operated outside the State of Florida.
When the above circumstances are applicable proof of Florida insurance will be
waived provided the following documentation is submitted:
1. An out o
f state address for the Florida Vehicle Registration certificate.
2. Proof of active military status by submitting one of the following:
a. Copy of Military Orders or
b. An affidavit from the military members’ commanding officer which confirms the military
orders and date of assignment.
3. An affidavit stating the motor vehicle will not be operated in the State of Florida.
4. Proof of insurance by submitting one of the following;
a. Insurance card or
b. Insurance policy’s declaration page
Please return these documents with the registration certificate or renewal notice with the
appropriate fees. This process must be repeated each year at renewal time to be exempt from
proof of Florida insurance. We apologize for any inconvenience and look forward to assisting
you with the renewal of your vehicle registration.
Okaloos
a County
Tax Collector Office
1250 N. Eglin Pkwy Suite 101
Shalimar, FL 32579
302 N. Wilson St, Ste. 101
Crestview, FL 32536
701 East John Sims Pkwy Suite 202
Niceville, FL 32578
4012 Commons Dr. W Unit 122
Destin, FL 32541
Bld 210, 310 Van Matre Ave.
Eglin AFB, FL 32542
120 Simpson Ave
Hurlburt Field, FL 32544
EXHIBIT F
Certificate for Florida Resident Who is an Active Duty U.S. Armed Forces Member
Currently Stationed in a State Other Than Florida
AFFIDAVIT
I ___________________________________________ , am an active duty U.S. Armed Forces member who has
(Name of Active Duty U.S. Armed Forces member)
purchased the motor vehicle/vessel listed below while stationed outside of Florida:
________ __________________ _______________________________________
(Year) (Make of Vehicle/Vessel) (Vehicle/Vessel identification Number)
I am certifying the following:
• The active duty U.S. Armed Forces member is a Florida resident who claims Florida as his/her home of
record.
• The active duty U.S. Armed Forces member is currently residing outside of Florida pursuant to duty orders
effective ___________________I am stationed in _____________________.
(Date) (State)
• The active duty U.S. Armed Forces member has an out-of-state mailing address.
• The active duty U.S. Armed Forces member’s vehicle is being maintained in the member's state of duty
assignment and will not be driven in the state of Florida, except in a transient visitor status
.
• The active duty U.S. Armed Forces member is providing acceptable out-of-state proof of insurance for the
vehicle shown above.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THIS DOCUMENT AND
THE FACTS STATED IN IT ARE TRUE.
____________________________________________________
(Signature of U.S. Armed Forces Member or Spouse)
THIS EXEMPTION ONLY APPLIES TO VEHICLES REGISTERED IN THE NAME OF THE U.S. ARMED
FORCES MEMBER, OR THEIR NON-MILITARY SPOUSE OR DEPENDENT CHILD/CHILDREN.
RS-36
