Registration Penalty Fee Waiver, Non-Use

48-9402 R03/11

REGISTRATION PENALTY FEE WAIVER, NON-USE

Non-Use Certificate

The purpose of this form is to request waiver of penalty fees when renewing your vehicle registration after its expiration date.

Vehicle Identification Number

Year Make

Plate Number

Owner/Lessee Name (first, middle, last, suffix)

Registration Expiration Date Renewal Application Date

I certify that I am the registered owner or lessee of the above described vehicle and that the vehicle was not operated on any public roadway in Arizona from the expiration date of the vehicle registration until the date of application for the registration renewal.

Owner/Lessee Signature

Acknowledged before me this date.

Date

County

Notary or MVD Agent Signature State Commission Expires

Note: If you wish to provide notice (to comply with mandatory insurance requirements) that you are maintaining the current registration on a vehicle that is temporarily not being used, do not use this form, but instead complete a De-Insured Certificate, form # 46-0602, or submit online at .

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