State of Arkansas Office of Motor Vehicle Signature Form for a License Plate Decal
Jeff Watts 0

State of Arkansas Office of Motor Vehicle Signature Form for a License Plate Decal

195 people have signed this petition. Add your name now!
Jeff Watts 0 Comments
195 people have signed. Add your voice!
65%
Maxine K. signed just now
Adam B. signed just now

Signatures included will be a part of our application to the Arkansas Dept of Motor Vehicles to offer a Sheep Dog Impact Assistance Special Interest License Decal. The special license plate decal will be placed on a standard issue Arkansas license plate across the bottom of the plate in lieu of the legend "The Natural State". 100% of the proceeds from the fund raising fee will go to helping the men and women of our military, law enforcement, fire & rescue and EMT communities. A group of people we call "Sheep Dogs". SDIA is recognized by the IRS as a 501c3 non-profit organization.

The application text reads:
I the undersigned verify the following:
- I am a resident of the state of Arkansas
- I am the owner of one (1) or more vehicles. Unless prevented from doing so because of circumstances beyond my control, I will register at least one (1) vehicle I own with the special license plate named above, if such plates are approved by the Arkansas Department of Finance and Adminstration.
- I am aware that, in addition in the regular annual registration fee for the vehicle and an adminstrative and handling fee of $10.00, there may be an additional fund raising fee not to exceed $25.00.
- I am aware that the Office of Motor Vehicles must receive a minimum of 300 signatures, $3,000, or a combination thereof, before the special plate can be ordered or issued; I am aware that, under A.C.A. 27-14-303, the penalty for making a false statement on a vehicle application, concealing a material fact, or otherwise committing a fraud in any motor vehicle application, upon conviction, is punishable by a fine of not more than one thousand dollars ($1,000) or by imprisonment for not more than one (1) year or both.

Our federal IEN number is 26-4521779, issued 6/22/2010.

For more information email jeffw@sheepdogia.org.

Share for Success
Start your own petition

Comment

195

Signatures

See More
contribute iPetitions
iPetitions is powered by everyday people — not corporations. With nearly 50 million signatures, we've helped spark change in local communities across the globe. We don't take corporate money. We rely on people like you.
Support iPetitions. Help keep us independent and make real change. Help us stay independent. Every dollar helps.
Processed by Paypal and Stripe.
Enter your details on the next page
iPetitions is powered by everyday people — not corporations. With nearly 50 million signatures, we've helped spark change in local communities across the globe. We don't take corporate money. We rely on people like you.