Application for Replacement License Plate(s), and/or Vehicle

Transcription

Application for Replacement License Plate(s), and/or Vehicle
Application for Replacement License Plate(s),
and/or Vehicle Registration Sticker
Tax assessor-collector use only
Expiration of Plate(s) and/or Sticker Issued: Month
Year
New Plate Number
Old Plate Number
General Requirements
Submit this application for replacement license plate(s) and/or vehicle registration sticker to your local county tax
assessor-collector's office. Replacement fee is $6.00, plus $1.00 automation fee. Do not mail cash.
Contact your local county tax assessor-collector's office if you have any questions.
The following item(s) are lost, stolen or mutilated. Check all that apply:
Current license plate(s)
Current plate registration sticker
Current windshield registration sticker
Applicant Information Type or print only
First Name
Middle Initial
Last Name
Mailing Address
Suffix
City
State
Email
Vehicle Information
Vehicle Identification Number
County
Phone
Year
Make
Zip Code
Alternate Phone
Body Style
State law makes falsifying information on this application a third-degree felony.
I certify that the license plates(s) and/or registration sticker for the above vehicle are lost, stolen or mutilated, and that
any current license plate and/or registration sticker in my possession that is being replaced have been returned to the
County Tax Assessor-Collector's office.
I also state that the replacement plate(s) and/or sticker being issued will not be used or displayed on any vehicle other
than the above described vehicle, and that if the license plate(s) and/or sticker being replaced are recovered, they will
not be used or displayed on any vehicle.
Owner/Agent Signature
VTR-60 Rev 01/16
Date
Online form at www.TxDMV.gov