Fillable Printable Vtr 35 Application For Dealer Personalized License Plates

Vtr 35 Application For Dealer Personalized License Plates

Appli cation for Dealer

Person alized License P lates

VTR-35 Rev 02/15

Online form at www.TxDMV.gov

Instructions

Submit the completed application, payment in the form of a personal check, money order or cashier's check, and a copy of the current

General Distinguishing Number certificate to your local County Tax Assessor-Collector's office. Do not mail cash. The personalized

plate fee is $85 per year.

NOTE: If you place your order by mail, please contact your County Tax Assessor-Collector's office in two weeks to verify your plate is

ready for issuance.

Specialty personalized plate fees will not be refunded once application is submitted. Contact your County Tax Assessor-C ollector if

you have questions.

Applicant Information -

Type or print only

Dealership Name

County

Mailing Address

City

State

Zip Code

E-mail

Phone

Alternate Phone

Personalize Your Plate

• Please be sure you like all of your personalized plate selections as refunds will not be issued.

• Show selections exactly as you wish them to appear on your license plate. You may list more than one option in the event the

personalization you have chosen is already issued.

• A selection that has already been issued, is deemed offensive, or conflicts with the regular license plate numbering system cannot

be approved.

• In the blocks below, describe each of your selected personalized letters, numbers, and/or symbols. The available symbols include:

a period, a dash, a blank space, a Texas silhouette (use an asterisk (*)), a heart (use an “at” mark (@)) and a star (use an

ampersand (&)).

• Passenger car and truck plates are limited to six (6) letters and numbers (you may select up to 8 characters total, including

punctuat ion, sp eci al char acter s and spaces).

• Motorcycle and moped plates are limited to four (4) letters and numbers (you may select up to 6 characters total, including

punctuat ion, sp eci al char acter s and spaces).

• You are not required to use all the spaces provided.

• The International Symbol of Access counts as two characters. If you are disabled and applying for personalized license plates,

the plate may consist of only six characters (or four, if for a moped). Use a percent sign (%) to indicate the International Symbol of

Access.

Please be sure you like all of your personalized plate selections as refunds will not be issued.

Vehicle Type: Passenger car or truck (up to 18,000 lbs.), motorcycle or moped.

Passenger Car/Truck Motorcycle/Moped

1st Selection 2nd Selection 3rd Selection

International Symbol of Access

To display the International Symbol of Access on your license plate, attach a signed Form VTR-214 to this form to show your eligibility.

Contact your County Tax Assessor-Collector if you have questions.

Examples

For County Use Only

License Number

Mo/Yr of Exp

Date Issued