Document 6435454

State
Vanity & Personalized License Plates Request Form
Vehicle Owner’s Name
Address
City
A B C D E F 1
2nd choice
Important Facts
• 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 you want the Secretary of
State to assign one of your choices with the next available number if your
exact request is unavailable.
• If you wish to submit more than three requests, attach additional
selections to the request form.
• Numbers are required to precede letters on personalized B-truck, RV and
RT plates.
• If you want a space between letters, please indicate with a slash mark. An
automatic space is required between letters and numbers. Spacing
varies with the type of plates requested. Proper completion of the form is
the customer’s responsibility.
VANITY & PERSONALIZED
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
ZIP
OFFICE USE ONLY
3rd choice
Personalized Plates
1, 2, 3, 4, 5 letters plus 1-99
or
6 letters plus 1-9
Expiration Date
Type of plate: ❏ Passenger ❏ B-Truck ❏ RV ❏ RT ❏ Motorcycle ❏ Specialty
Daytime Telephone Number (8 a.m.-4:30 p.m.)
Current License Plate #
❏ Vanity Plates ❏ Personalized Plates
1st choice
examples
Vanity Plates
Up to 3 numbers
or
1 to 7 letters only
If your exact 1st, 2nd and 3rd choices are not available, would you like the next plate number available in that series? ❏ Yes ❏ No
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
Note: Spacing will vary with the type of plate requested. Proper completion of this form is the customer’s responsibility.
Vanity/Personalized Plates
• Money must accompany request forms on all first-time registrations.
• If your request is not available, random-number plates will be issued.
Additional fees are required to replace your random-number plates with
vanity or personalized plates.
• The dealership where you purchase your vehicle may apply for vanity or
personalized plates on your behalf for a first-time registration.
• A leased vehicle is eligible for vanity or personalized plates.
Jesse White
Secretary of State
♻ Printed on recycled paper.
Printed by authority of the State of Illinois.
January 2013 — 10M — VSD 414.19
Registration and Fee Information
As Secretary of State, I am pleased
to offer you the opportunity to
express yourself through vanity or
personalized license plates. These
plates allow you to be creative, say
something special or help support an
important cause.
Vanity and personalized plates are multi-year and may be displayed on passenger vehicles, B-trucks weighing 8,000 pounds or less, motorcycles,
recreational vehicles and recreational trailers.
To request standard vanity or personalized plates, please submit the Vanity & Personalized License Plates Request Form on the back of this brochure.
Availability of plate combinations cannot be given over the phone. If your plate request is available, you will receive an application to be completed
and returned along with the appropriate fees within 45 days. DO NOT send money unless you are applying for title and first-time registration.
Most specialty plates require special fees in addition to the vanity or personalized fee. For more information on specialty and
military plates available in vanity and personalized, please visit Pick-a-Plate at www.cyberdriveillinois.com.
Vanity and personalize messages are available on standard
passenger, B-truck, motorcycle, RV and RT plates as well as on a
variety of specialty plates. The sale of vanity and personalized
plates helps support highway maintenance as well as preserve our
state parks, raise money for violence prevention, promote
Vanity License Plates
Personalized License Plates
Vanity plates contain up to 3 numbers or 1 to 7 letters only.
Personalized plates contain both letters and numbers.
Passenger, B-truck, RV
Passenger, B-truck, RV
• Newly-acquired vehicle/first-time issuance
• Newly-acquired vehicle/first-time issuance
($95 title fee, $101 registration fee or RV registration fee, $94 vanity fee)
organ/tissue donor awareness and support a variety of other
• Currently titled vehicle/first-time issuance
benevolent causes through the purchase of specialty plates.
• Current plates expire within 90 days
I encourage you to join the thousands of Illinois drivers who have
• Current plates do not expire within 90 days
expressed their individuality by purchasing vanity and
• Annual renewal
($101 registration fee or RV registration fee, $94 vanity fee)
($101 registration fee or RV registration fee, $94 vanity fee, $29 replacement fee)
personalized license plates.
Jesse White
Secretary of State
($94 vanity fee, $29 replacement fee)
($101 registration fee or RV registration fee, $13 vanity fee)
($95 title fee, $101 registration fee or RV registration fee, $47 personalized fee)
• Currently titled vehicle/first-time issuance
($101 registration fee or RV registration fee, $47 personalized fee)
• Current plates expire within 90 days
($101 registration fee or RV registration fee, $47 personalized fee, $29 replacement fee)
• Current plates do not expire within 90 days
($47 personalized fee, $29 replacement fee)
• Annual renewal
($101 registration fee or RV registration fee, $7 personalized fee)
Motorcycle, RT
Motorcycle, RT
• Newly-acquired vehicle/first-time issuance
• Newly-acquired vehicle/first-time issuance
($95 title fee, $41 motorcycle or RT registration fee, $50 vanity fee)
• Currently titled vehicle/first-time issuance
($41 motorcycle or RT registration fee, $50 vanity fee)
• Current plates expire within 90 days
($41 motorcycle or RT registration fee, $50 vanity fee, $26 replacement fee)
• Current plates do not expire within 90 days
($50 vanity fee, $26 replacement fee)
• Annual renewal
($41 motorcycle or RT registration fee, $13 vanity fee)
____________
*Registration fees vary based on plate type.
*RT and RV registration may vary based upon registration date and weight.
Send request for Vanity/Personalized
License Plates to:
Secretary of State
Vehicle Services Department• Personalized Plates Section
501 S. Second St., Rm. 532 • Springfield, IL 62756
($95 title fee, $41 motorcycle or RT registration fee, $25 personalized fee)
• Currently titled vehicle/first-time issuance
($41 motorcycle or RT registration fee, $25 personalized fee)
• Current plates expire within 90 days
($41 motorcycle or RT registration fee, $25 personalized fee, $26 replacement fee)
• Current plates do not expire within 90 days
($25 personalized fee, $26 replacement fee)
• Annual renewal
($41 motorcycle or RT registration fee, $7 personalized fee)
Note: Numbers precede letters on personalized B-truck, RV and RT plates.
Vanity and personalized plates also may be requested through
Pick-a-Plate at www.cyberdriveillinois.com.
For more information, call 217-785-0005, or visit