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OREGON Definitions - BIPAC

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DMV<br />

DEPARTMENT OF TRANSPORTATION<br />

DRIVER AND MOTOR VEHICLE SERVICES<br />

1905 LANA AVE NE, SALEM <strong>OREGON</strong> 97314<br />

ANTIQUE / SPECIAL INTEREST VEHICLE<br />

DECLARATION FOR REGISTRATION<br />

Submit this declaration with your application for registration of an antique or special interest<br />

vehicle.<br />

YEAR MAKE BODY STYLE VEHICLE IDENTIFICATION NUMBER<br />

Check the box that applies:<br />

SECTION 1 (Completed by Owner)<br />

A. This vehicle is an ANTIQUE VEHICLE. It is a vehicle older than half the number of years between the<br />

current year and 1900. (To determine the year model eligible for registration as an Antique Vehicle,<br />

subtract 1900 from the current year. Divide the number by two. The vehicle must be this year model or<br />

older); or<br />

B.<br />

C.<br />

This vehicle is a SPECIAL INTEREST VEHICLE. It is a vehicle with a year model at least 25 years old<br />

as dated from the current year; or<br />

This vehicle is a SPECIAL INTEREST VEHICLE. It is a vehicle that has been sanctioned by an<br />

established organization as a vehicle of special interest. The representative of the established<br />

organization must complete the section at the bottom; or<br />

D.<br />

E.<br />

I declare the vehicle described above is to be maintained as a collector’s item used for exhibitions, parades, club activities<br />

and similar functions. I further understand that operation of this vehicle outside of the limitations of the registration<br />

provisions as specified in ORS 805.030 is a Class D traffic infraction and may result in this registration being canceled.<br />

I understand that, if I discontinue antique/special interest registration on this vehicle, I may not use the antique/special<br />

interest plates (whether issued by DMV or provided by me) as registration plates on this vehicle.<br />

I understand it is a crime under ORS 803.385 to certify the truth of a statement when I know it is not true. Such a crime is<br />

a Class A misdemeanor and is punishable by a jail sentence of up to 1 year, a fine of up to $6,250 or both.<br />

SIGNATURE OF OWNER<br />

X<br />

This vehicle is a SPECIAL INTEREST VEHICLE. It is a vehicle that was manufactured prior to 1949 or<br />

was manufactured to resemble a motor vehicle manufactured prior to 1949 and meets the definition of<br />

STREET ROD in ORS Chapter 801. It is not a motorcycle or an assembled vehicle; or<br />

This vehicle is a SPECIAL INTEREST VEHICLE. It is a vehicle that meets the definition of a racing<br />

activity vehicle as defined by ORS Chapter 801.<br />

CERTIFICATION BY ESTABLISHED ORGANIZATION<br />

If Box C above is checked, an authorized representative of the established organization must complete this certification.<br />

I certify that the organization I represent: a) Is currently designated as an “established organization” by DMV for the<br />

purpose of approving special interest vehicles; and, b) Has provided DMV with my name as a person authorized to verify<br />

that particular vehicles meet the organization’s standards and are approved as special interest vehicles.<br />

I further certify I have viewed the vehicle described above and have verified that the vehicle qualifies as a special interest<br />

vehicle based on the standards set by the organization I represent, for the upkeep and preservation of this type of vehicle.<br />

I make this certification in support of the vehicle owner’s application for registration of the vehicle as a special interest<br />

vehicle and certify that the information I am attesting to is true and correct.<br />

ORGANIZATION NAME AND ADDRESS (STREET, CITY, STATE, ZIP CODE)<br />

DATE<br />

SECTION 2 (Completed by Established Organization)<br />

NAME OF AUTHORIZED REPRESENTATIVE<br />

SIGNATURE OF AUTHORIZED REPRESENTATIVE<br />

X<br />

735-6577 (1-10)<br />

PHONE NUMBER<br />

( )<br />

DATE<br />

STK# 300308

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