 |
FOR DEPARTMENT USE ONLY
License Plate Number ________ Month and Year Expiration _______ Date Issued
----------------------------------------------------------------------------------------------------------------------
PLEASE READ INSTRUCTIONS AT THE BOTTOM BEFORE COMPLETING THIS FORM
APPLICANT MUST COMPLETE THIS INFORMATION
Name of Owner ____________________________________________________________________
(MUST APPEAR AS
SHOWN ON CURRENT REGISTRATION RECEIPT)
Mailing Address_______________________________________City__________________________________
State________ Zip Code____________Texas County of Residence_________________________
Social Security
Number*_____________________ Daytime Phone ( )______________
Year of Vehicle ___________ Make
of Vehicle ____________ Body Style______________
Vehicle ID#________________________ Current Texas
License Plate________________
___ TEXAS ANIMAL FRIENDLY PLATES APPLICATION FEE: $25.00 PER YEAR
___
PERSONALIZED TEXAS ANIMAL FRIENDLY PLATES APPLICATION FEE: $65.00 PER YEAR
PLEASE READ THE INSTRUCTIONS
AT BOTTOM BEFORE COMPLETING YOUR CHOICES.
1st __ __ __ __ __ 2nd __ __ __ __ __
3rd __ __ __ __ __
SIGNATURE OF APPLICANT: _______________________________________________________
THE MAILING OF CASH IS DISCOURAGED.
Please remit payment in the form of CASHIER'S CHECK, MONEY
ORDER OR CHECK, payable to the TEXAS DEPARTMENT OF TRANSPORTATION.
Forward application, fee and required
documentation to:
TEXAS DEPARTMENT OF TRANSPORTATION
VEHICLE TITLES AND REGISTRATION DIVISION
AUSTIN, TX 78779-0001
WARNING: V.A.T.S., ARTICLE 6675a-1, PROVIDES THAT FALSIFYING INFORMATION
ON ANY REQUIRED STATEMENT OR APPLICATION IS A THIRD-DEGREE FELONY.
*You are not required by law to
disclose your Social Security number. However, primarily because of duplication of individuals' names,
this information is requested for our records maintenance program to assist in identifying the true owner
of a vehicle.
INSTRUCTIONS FOR TEXAS ANIMAL FRIENDLY LICENSE PLATES
The license plate fee is $25.00
in addition to the regular registration fee prescribed by law. The personalized license plate fee is
$65.00 ($25.00 plus $40.00 personalized plate fee) in addition t( the regular registration fee prescribed
by law.
SELECTION INSTRUCTIONS
Selections which contain alterations will NOT be considered.
YOUR
SELECTION MAY CONSIST OF:
o No more than five (5) characters, symbols or spaces OR three (3) characters,
symbols or spaces and one (1) silhouette of Texas.
o Limit of two (2) spaces for punctuation symbols
OR one silhouette of Texas. Each square of the selection block may be used to represent one (1) alpha
or numeric character, punctuation symbol or space. The silhouette of Texas requires two (2) selection
blocks.
Punctuation symbols which may be used are periods, dashes or blank spaces. Selections must
be shown exactly as you wish them to appear on the license plate. A license number which has already
been issued will not be approved.
UPON COMPLETION OF THIS APPLICATION it should be submitted to the
Texas Department of Transportation, Vehicle Titles and Registration Division (PLP), Austin, Texas 78779-0001,
with the appropriate special license plate fee. If approved, the special license plates will be manufactured
and mailed to your County Tax Assessor-Collector, and you will be notified accordingly.
TO OBTAIN
THE SPECIAL LICENSE PLATES, you must surrender your current license plates to the County Tax Assessor-Collector.
The regular registration fee must be paid to the County Tax Assessor-Collector for the period for which
the special license plates are valid. If your vehicle is currently registered when the license plates
are issued, the vehicle registration expiration date may need to be adjusted to correspond with the expiration
of the special license plates. If necessary, additional fees will be collected or credit will be issued
to make this adjustment.
TEXAS ANIMAL FRIENDLY license plates may be transferred to another vehicle
registered in the applicant's name. To transfer a plate to another vehicle, a corrected vehicle registration
must be obtained through the county tax office. The license plates may not be transferred to another
owner.
PLEASE ALLOW SIX TO EIGHT WEEKS FOR NOTIFICATION OF APPROVAL.
|
 |
|
