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Fillable Printable Application For A Veterans Of Foreign Wars License Plate

Fillable Printable Application For A Veterans Of Foreign Wars License Plate

Application For A Veterans Of Foreign Wars License Plate

Application For A Veterans Of Foreign Wars License Plate

MVR-27VF
(Revised 9/17)
North Ca
rolina Division of Motor Vehicles
3155 Mail Service Center
Raleigh, NC 27697-3155
APPLICATION FOR A VETERANS OF FOREIGN WARS LICENS E P LAT E
Remit a $10.00/$40.00 check or money order with this application.
I HEREBY C
ERTIFY THAT I AM A MEMBER OR SUPPO RTER OF THE VETERANS OF FOREIGN W ARS. I
WOULD LIKE TO MAKE APPLICATION FOR ONE OF THE SPECI AL LICENSE PLATES BEARING THE
EMBLEM OF THIS ORGANIZATION.
Signed________________________________________________
First in Flight Background
First in Freedom Background
Regular Veterans of Foreign Wars $10.00
Personalized Veterans of Foreign Wars $40.00
NOTE: You are allowed four (4) spaces for a personalized message.
___ ___ ___ ___
When applying for a Personalized Veterans of Foreign Wars license plate, the suffix FW will be the last letters on the plate. This leaves
only four (4) spaces for a Personalized message. The four spaces may be a combination of letters and numbers, but cannot be numbers
only. Choice cannot conflict wit h another class of license plates.
The $10.00/$40.00 special fee is an (ANNUAL) fee due in addition to the regular license fee.
Home
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AR EA CO DE-T ELEP HONE NUM BER
Office
______________________
AR EA CO DE-T ELEP HONE NUM BER
NAME (To agree with certificate of title)
______
__________________________________________________________
FIRST MIDDLE LAST
________________________________________________________________
ADDRESS
________________________________________________________________
CITY STATE ZIP CODE
Current North Carolina
__________________
Plate Number
_________________
Driver License #
_________________________________________
Vehicle Identifica tion Number
______
___________________________________
Year Model Make Body Style
Owner’s Certification of Liability Insurance
I CERTIFY FOR THE M OTOR VEHICLE DESC RIBED ABOVE THAT I HAVE F INANCIAL RESPONSIBI L ITY AS REQUIRED BY LAW.
___
__________________________________________________________________________________________________________________________________
PRINT OR TYPE FULL NAME OF INSURANCE COMPANY AUTHOR IZED IN N.C. NOT AGENCY OR GROUP
___
___________________________________________________________________________________________________________________________________
POLICY NUMBER IF POLICY NOT ISSUED, NAME OF AGENCY BINDING COVERAGE
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______________________ ___________________________ _____________________________________________
SIGNATURE OF OWNER DATE OF CERTIFICATION
F
W
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