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The Connecticut B 276 form serves a significant purpose for those who have served in the U.S. Armed Forces and are residents of Connecticut. This application allows eligible individuals to request a waiver of registration fees for their vehicles, provided they meet certain criteria. To qualify, applicants must have been Connecticut residents at the time of their induction into the military. The form requires the submission of a completed, signed, and certified application, along with evidence of active duty service. For members of the Army or Air National Guard, or reservists, it is essential to include a copy of the orders that confirm their call to active duty within the relevant registration period. Additionally, those who have been honorably discharged or separated from service with a qualifying condition must provide a photocopy of their separation papers, detailing their date of separation. The form also necessitates the certification of military status by a commissioned officer, affirming the applicant's active service and residency status at the time of induction. Furthermore, the application outlines the specific conditions under which individuals may be exempt from registration fees, emphasizing the importance of timely submission within two years of honorable discharge. Understanding these aspects is crucial for applicants seeking to navigate the waiver process effectively and ensure compliance with state regulations.

Connecticut B 276 Example

APPLICATION FOR WAIVER OF REGISTRATION FEE -

ACTIVE SERVICE IN U.S. ARMED FORCES

B-276 Rev. 4-2019

STATE OF CONNECTICUT

DEPARTMENT OF MOTOR VEHICLES

On The Web At ct.gov/dmv

INSTRUCTIONS: In order to qualify, YOU MUST HAVE BEEN A CONNECTICUT RESIDENT AT THE TIME OF INDUCTION.

Submit a completed/signed/certified application indicating evidence of your active duty with the armed forces of the United States. If you are in the Army or Air National Guard, or are a reservist, submit a copy of your orders showing that you have been called to active duty in the armed forces of the United States within the registration period for which you are applying for a fee waiver. If you have been HONORABLY DISCHARGED or SEPARATED FROM SERVICE WITH A QUALIFYING CONDITION, as defined in Section 27-103 of the Connecticut General Statutes, submit a photocopy of your separation papers, and specify the DATE OF SEPARATION below. (SIGNATURE OF COMMISSIONED OFFICER IN CHARGE is not required)

NAME OF APPLICANT (First Name, Middle Initial, Last Name)

RANK

REGISTRATION NUMBER

MOTOR MARINE VEHICLE VESSEL

MAILING ADDRESS (No., Street, Town, State)

CT OPERATOR LICENSE NO.

IF NOT LICENSED IN CT,

 

SPECIFY STATE ISSUING

 

OPERATOR LICENSE

CONNECTICUT RESIDENT ADDRESS (No., Street, Town - If same as above, write "SAME")

 

CHECK ONE FOR ACTIVE DUTY STATUS

ARMY

NAVY

AIR FORCE

MARINES

COAST GUARD

ARMY or AIR NATIONAL GUARD

REASON FOR WAIVER

FULL NAME AND MAILING ADDRESS OF ARMED FORCES UNIT (No Abbreviations)

 

 

Check all that apply

 

 

 

 

 

 

 

 

PRESENT ACTIVE SERVICE

 

 

 

 

 

 

 

 

I certify that the above-named applicant has provided evidence of military ID and is in the active service of the Armed Forces of the U.S.

IN U.S. ARMED FORCES

I further certify that the applicant was a legal resident of Connecticut at the time of induction.

 

 

 

 

 

HONORABLY SEPARATED

 

 

 

 

 

 

 

 

PRINTED NAME & RANK OF COMMISSIONED OFFICER

 

 

SIGNATURE OF COMMISSIONED OFFICER

FROM ACTIVE SERVICE

 

 

 

 

 

 

 

 

SEPARATED WITH A

 

 

 

 

 

X

 

 

QUALIFYING CONDITION

DATE OF SEPARATION

 

Complete DATE OF SEPARATION at left, and submit separation papers to

AS DEFINED IN C.G.S.

 

 

 

DMV for verification. You are exempt from the payment of registration fees

SECTION 27-103

 

 

 

 

 

 

only within two (2) years following the date of honorable discharge or

(Not Eligible with bad conduct

 

 

 

 

 

 

separation from service with a qualifying condition.

or dishonorable discharge)

 

 

 

 

 

 

 

 

 

 

 

 

I certify under penalty of false statement that I was a legal resident of Connecticut at the

 

SIGNATURE OF APPLICANT

 

DATE OF APPLICATION

time of induction, that I am on active duty, or was honorably separated from service, or

 

 

 

 

 

separated from service with a qualifying condition, within the last two years, and that the

 

 

 

information given on this application (and in any attachments) is true and accurate.

 

X

 

 

 

 

NOTARIZATION (Not valid unless notarized below)

 

 

 

 

 

 

 

 

 

SUBSCRIBED AND

 

PLACE SWORN

 

 

 

DATE SIGNED

 

 

 

 

 

 

 

 

SWORN TO BEFORE ME:

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF DULY AUTHORIZED PERSON (C. G. S. §1-24)

 

 

 

DATE COMMISSION EXPIRES OR JURIS NO.

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sec. 12-81. Exemptions. The following-described property shall be exempt from taxation:

(53)Motor vehicle of member of armed forces. (a) One motor vehicle belonging to, leased to or held in trust for, any member of the United States armed forces, if such motor vehicle is garaged inside or outside the state;

(b)Any person claiming the exemption provided under this subdivision for any assessment year shall, not later than the thirty-first day of December next following the date on which property tax is due in such assessment year, file with the assessor or board of assessors, in the town in which such motor vehicle is registered, written application claiming such exemption on a form approved for such purpose by such assessor or board. Notwithstanding the provisions of this chapter, any person claiming the exemption under this subdivision for a leased motor vehicle shall be entitled to a refund of the tax paid with respect to such vehicle, whether such tax was paid by the lessee or by the lessor pursuant to the terms of the lease. Upon approving such person's exemption claim, the assessor shall certify the amount of refund to which the applicant is entitled and shall notify the tax collector of such amount. The tax collector shall refer such certification to the board of selectmen in a town or to the corresponding authority in any other municipality. Upon receipt of such certification, the selectmen or such other authority shall draw an order on the Treasurer in favor of such person for the amount of refund so certified. Failure to file such application as prescribed herein with respect to any assessment year shall constitute a waiver of the right to such exemption for such assessment year;

Document Specifications

Fact Name Details
Purpose The B-276 form allows active service members to apply for a waiver of registration fees for vehicles in Connecticut.
Eligibility Applicants must have been Connecticut residents at the time of their induction into the armed forces.
Active Duty Proof Evidence of active duty must be submitted, such as military orders or a military ID.
Separation Papers Honorably discharged applicants must provide separation papers along with the application.
Qualifying Conditions Specific conditions for separation are defined in Section 27-103 of the Connecticut General Statutes.
Time Limit The fee waiver is valid only within two years following an honorable discharge or separation with a qualifying condition.
Signature Requirement A commissioned officer's signature is not required on the application.
Notarization The application must be notarized to be considered valid.
Exemption Reference The waiver is supported by Connecticut General Statutes §12-81, which outlines tax exemptions for military members.
Application Submission Completed applications should be submitted to the Connecticut Department of Motor Vehicles for processing.
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