Document 6432885

State
Expiration Date
2nd choice
ZIP
Antique Vehicle/Motorcycle Vanity & Personalized Plates Request Form
Vehicle Owner’s Name
Address
City
Daytime Telephone Number (8 a.m. - 4:30 p.m.)
Current License Plate #
1st choice
Vanity Antique Vehicle Plates
Numbers 1-999 or
1, 2, 3, 4, 5, 6 or 7 letters
• No refund or adjustment will be made for a change of choice or
spacing after a plate has been ordered or if the request form is
incorrectly completed.
• The Secretary of State’s office is authorized to recall a plate
determined to be obscene or offensive.
• All request forms should indicate whether or not you want the
Secretary of State to assign one of your choices with the next
available number if your exact request is unavailable.
antique
• If you wish to submit more than three requests, attach additional
selections to the request form.
vehicle
• Numbers are required to precede letters on Antique Vehicle and
Antique Motorcycle plates.
LICENSE PLATES
DO NOT
• Intermix letters and numbers
• Use a space between numbers
• Use lowercase letters
• Use characters, symbols, foreign words or symbols of punctuation,
such as dashes or periods
• Select obscene or offensive combinations
First-Time Registrations
• Money must accompany request forms on all first-time registrations.
• A leased vehicle is eligible for vanity or personalized plates.
o Yes
Personalized Antique
Vehicle Plates
Numbers 1-999 plus 1, 2 or 3 letters
Numbers 1-99 plus 4 letters
Numbers 1-9 plus 5 letters
If your exact 1st, 2nd and 3rd choices are not available, would you like the next plate number available in that series?
Note: 7-letter Antique Vehicle plates cannot have a
space. Spacing will vary with the type of plate
requested. Proper completion of this form is the
customer’s responsibility.
OFFICE USE ONLY
3rd choice
o No
Vanity Antique Motorcycle Plates
Numbers 1-999 or
1, 2, 3, 4 or 5 letters
Personalized Antique Motorcycle Plates
Numbers 1-99 plus 3 letters
Numbers 1-9 plus 4 letters
If you want a space between letters, please indicate with a slash mark. An automatic space is required between letters and numbers.
I B U Y U S A
examples
1 2 3 A B C
Vanity/Personalized Plates
Jesse White
Secretary of State
♻ Printed on recycled paper.
Printed by authority of the State of Illinois. January 2013 — 15M — VSD 355.15
Antique Vehicle/Motorcycle Plate
Random-Number Antique Motorcycle License Plates
• First-time issuance for 2010 — $30
Registration and Fee Information
($30 Antique Motorcycle plate fee)
• Antique Vehicle/Motorcycle License Plates are issued for a fiveyear registration period. Current Antique Vehicle/Motorcycle
plates expire Dec. 31, 2014.
Vehicle Registration Year
2010 2011 2012 2013 2014
Antique Vehicle/Motorcycle
License Plates Fees
Dec. 31, 2014 expiration
$30
$24
$18
$12
• Current non-Antique Motorcycle plates expire within 1 year — $56
($30 Antique Motorcycle plate fee, $26 replacement fee)
$6
• Annual renewal for 2010— $30
Random-Number Antique Vehicle/Motorcycle
License Plates Request Form
Name _________________________________
Phone Number ___________________________
($30 Antique Motorcycle plate fee)
• To qualify for Antique plates, motor vehicles and motorcycles
must be more than 25 years old. Firefighting vehicles must be
at least 20 years old.
• Vehicles displaying these plates may only be driven to and
from an antique auto show or exhibition, service station or
demonstration. The mechanical and physical condition of the
vehicle, including brakes, lights, glass and appearance, must
be the same or as safe as originally equipped.
To purchase Antique Vehicle/Motorcycle plates, please submit an
Application for Title/Registration, Antique Verification form and
current registration ID card or assigned title along with the
appropriate plates request form and the following applicable fees:
• Historical License Plates, representing the model year, may be
displayed on an antique vehicle; however, current Antique
Vehicle/Motorcycle plates and registration ID card must be kept
in the vehicle at all times.
Random-Number Antique Vehicle License Plates
• First-time issuance for 2010 — $30
($30 Antique Vehicle plate fee)
• Current non-Antique Vehicle plates expire within 1 year — $59
• Annual renewal for 2010 — $30
Vanity Antique Vehicle License Plates
• First-time issuance for 2010 — $124
($94 vanity fee, $30 Antique Vehicle plate fee)
• Current Antique Vehicle plates expire Dec. 31, 2009 — $153
($94 vanity fee, $30 Antique Vehicle plate fee, $29 replacement fee)
• Current Antique Vehicle plates valid until Dec. 31, 2014 — $123
($94 vanity fee, $29 replacement fee)
($94 vanity fee, $30 Antique Vehicle plate fee, $29 replacement fee)
• Annual renewal for 2010 — $43
• Current Antique Motorcycle plates expire Dec. 31, 2009 — $106
• Current Antique Motorcycle plates valid until Dec. 31, 2014 — $76
($47 personalized fee, $30 Antique Vehicle plate fee)
• Current Antique Vehicle plates expire Dec. 31, 2009 — $106
($47 personalized fee, $30 Antique Vehicle plate fee, $29 replacement fee)
• Current Antique Vehicle plates valid until Dec. 31, 2014 — $76
($47 personalized fee, $29 replacement fee)
License Plate #___________________________
o Passenger
o B-truck
o Motorcycle
($50 vanity fee, $26 replacement fee)
• Current non-Antique Motorcycle plates expire within 1 year — $106
Expiration Date ___________________________
($50 vanity fee, $30 Antique Motorcycle plate fee, $26 replacement fee)
• Annual renewal for 2010 — $43
($13 vanity fee, $30 Antique Motorcycle plate fee)
Personalized Antique Motorcycle License Plates
• First-time issuance for 2010 — $55
($25 personalized fee, $30 Antique Motorcycle plate fee)
• Current Antique Motorcycle plates expire Dec. 31, 2009 — $81
($25 personalized fee, $30 Antique Motorcycle plate fee, $26 replacement fee)
• Current Antique Motorcycle plates valid until Dec. 31, 2014 — $51
($25 personalized fee, $26 replacement fee)
• Current non-Antique Motorcycle plates expire within 1 year — $81
($25 personalized fee, $30 Antique Motorcycle plate fee, $26 replacement fee)
• Annual renewal for 2010 — $37
($7 personalized fee, $30 Antique Motorcycle plate fee)
($13 vanity fee, $30 Antique Vehicle plate fee)
Personalized Antique Vehicle License Plates
• First-time issuance for 2010 — $77
City/State/ZIP ____________________________
($50 vanity fee, $30 Antique Motorcycle plate fee)
($30 Antique Vehicle plate fee)
• Current non-Antique Vehicle plates expire within 1 year — $153
• Applications and Antique Verification forms are available at
your local Secretary of State facility or by contacting: Secretary
of State, Non-Standard Plates Section, 501 S. Second St., Rm.
541, Springfield, IL 62756.
Vanity Antique Motorcycle License Plates
• First-time issuance for 2010 — $80
($50 vanity fee, $30 Antique Motorcycle plate fee, $26 replacement fee)
($30 Antique Vehicle plate fee, $29 replacement fee)
• An antique vehicle may be a “bona fide replica” — an exact
copy of the original in design, frame and mechanical
operation. “Facsimiles” — close, but not exact, reproductions
of the original — do not qualify for Antique plates.
Address ________________________________
NOTE: Newly purchased vehicles will have a $95 title fee.
Send request for Random-Number
Antique Vehicle/Motorcycle License Plates to:
Secretary of State
Vehicle Services Department
Special Plates Division
501 S. Second St., Rm. 541
Springfield, IL 62756
Send request for Vanity/Personalized
Antique Vehicle/Motorcycle License Plates to:
Secretary of State
Vehicle Services Department
Personalized Plates Section
501 S. Second St., Rm. 532
Springfield, IL 62756
Illinois Antique Vehicle License Plates also
may be requested through Pick-a-Plate at
www.cyberdriveillinois.com.
• Current non-Antique Vehicle plates expire within 1 year — $106
($47 personalized fee, $30 Antique Vehicle plate fee, $29 replacement fee)
• Annual renewal for 2010 — $37
($7 personalized fee, $30 Antique Vehicle plate fee)
For more information,
call 217-785-0005, or visit