Pay Property TaxFormswwwIowaTaxAndTagsorgPay Vehicle Registration Renewal Tag FormswwwIowaTaxAndTagsorgSpecially Equipped Vehicle Owners CertificationI hereby certify that the following described ve ID: 886950
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1 Learn more about the Polk County Treasur
Learn more about the Polk County Treasurer’s office: Pay Property Tax / Forms: www.IowaTaxAndTags. org Pay Vehicle Registration Renewal (Tag) / Forms: www.IowaTaxAndTags. org Specially Equipped Vehicle Owner’s Certification I hereby certify that the following described vehicle: Year _______ Make ________ VIN _________________________________ has permanently installed equipment manufactured for and necessary to assist a disabled person, as defined in Iowa Code 321L, who is either the owner or a member of the owner’s household, in the entry or exiting of the vehicle; or , uses a wheelchair as the ir only means of mobility permanently not temporarily. ____________ ___________________________________________ Date Owner or Member Signature This statement is required to be completed when the vehicle is first registered at the reduced registra tion fee and also annually upon renewal of the license plates. The $60 fee applies to a vehicle that the registration fee is calculated by weight and list price. It does not apply to a weighted motor truck, motor home, ambulance, hearse, motorcycle, moto rized bicycle, or a 1992 or older model year of a multipurpose vehicle. Revised 2009 - 02 Polk - kp