Fillable Printable Vtr 999 Application For Specialty License Plates

Vtr 999 Application For Specialty License Plates

Form VTR-999 Rev. 11/2017

Form available online at www.TxDMV.gov

Page 1 of 2

Application for

Specialty License Plate

Instructions

Submit completed application; payment in the form of a personal check, money order, or cashier's check; and any required attachments to your

local county tax assessor-collector's office. Do not mail cash. The specialty plate fee is $30 or $40 per year, as indicated below, in addition to the

annual registration fee. License plates may be personalized for an additional $40 fee; make your choice on page 2.

The specialty plate fee will not be refunded once the application is submitted. When the specialty plate is issued, additional fees may be

collected to match the expiration date for both the specialty plate and the vehicle registration. If you place your order online or by mail, contact

your county tax assessor-collector's office in three weeks to verify your plate is ready.

The vehicle must be for personal use only and have a Texas title and registration in your name. If the vehicle is not titled in your name, attach a

statement stating that you have legal right of possession and control of this vehicle at all times. If you recently filed an application for title, attach

a copy of the title application (VTR-500 RTS) receipt. If the vehicle is leased, attach a copy of the lease agreement. Submit a separate application

for each vehicle. Contact your county tax assessor-collector if you have any questions.

Applicant Information

First Name

Middle Name

Last Name

Suffix (if any)

County

Address

City

State

ZIP

Phone Number

Vehicle Type: Passenger car Truck (up to 18,000 lbs.) Motorcycle/Moped Trailer

Circle your specialty plate choice below or enter your choice here:

Specialty Plate Choices

Note: All plates are available for passenger cars and trucks up to 18,000 lbs. Plates available for

motorcycles/mopeds are indicated by (M). Plates available for trailers are indicated by (T).

• 4-H

• A Fine Cause for Unknown Cancer (M) (T)

• Adopt a Beach (M) (T)

• Air Force Association

• Alamo (M) (T)

• Animal Friendly

• American Quarter Horse (T)

• Be A Blood Donor

• Big Bend National Park (M)

• Big Brothers Big Sisters

• Boy Scouts of America

• Buffalo Soldiers (M) (T)

• CASA-Court Appointed Special Advocate

(Lone Star Proud for Kids)

• Childhood Cancer Awareness (M) (T)

• Choose Life (M)

• Coastal Conservation - Redfish (M) (T)

• College for All Texans (M) (T)

• Conserve Water (M) (T)

• Cotton Boll

• Daughters of the American Revolution (M) (T)

• Ducks Unlimited (Blue Heron) (M) (T)

• Ducks Unlimited (Classic) (M) (T)

• Ducks Unlimited (Three Dogs) (M) (T)

• Eastern Star (M) (T)

• El Paso Mission Valley

• Fight Terrorism (M)

• Girl Scouts

• God Bless America (M) (T) - $40 fee

• God Bless Texas (M) - $40 fee

• Houston Livestock Show and Rodeo

• I Love Texas (Deaf and Hard of Hearing)

• In God We Trust (M) (T)

• Insure Texas Kids (M) (T)

• Juneteenth (M) (T)

• K9S4COPS (M) (T)

• Keep Texas Beautiful

(Don't Mess With Texas) (M) (T)

• Knights of Columbus

• March of Dimes

• Marine Mammal Recovery

• Mothers Against Drunk Driving (M)

• Native Texan

(Daughters of the Republic of Texas) (M)

• Organ Donor

• Read To Succeed

• Red Grapefruit (Texas Citrus Industry)

• Rotary International (M) (T)

• San Jacinto Texas Historic District (M) (T)

• Save Texas Ocelots (M) (T)

• Share The Road Y'all (Bicycle) (M) (T)

• Smile Texas Style

• Space Shuttle Columbia

• Special Olympics

• State Capitol

• State of the Arts

(Texas Commission on the Arts) (M) (T)

• Stop Child Abuse (M) (T)

• Take Care of Texas (M) (T)

• Texans Conquer Cancer

• Texas Aerospace Commission

• Texas Lions Camp

• Texas Masons (M) (T)

• Texas Master Gardener (M) (T)

• Texas Medical Center (M) (T)

• Texas Music (M) (T)

• Texas Reads

• Texas State Rifle Association

• Texas Trails (M) (T)

• Texas Wildflowers (M) (T)

• Texas Young Lawyers (And Justice For All)

• Texas. It’s Like A Whole Other Country

(Texas Department of Economic

Development)

• United States Olympic Committee

(Olympic Spirit)

• University of Texas at Dallas

• United We Stand

• Urban Forestry

• YMCA

Texas Parks and Wildlife – Conservation

• Bluebonnet (“Parks and Wildlife”) (M) (T)

• Camping (M) (T)

• Horned Lizard (“Keep Texas Wild”) (M) (T)

• Hummingbird (M) (T)

• Largemouth Bass (“Fish Texas”) (M) (T)

• Rattlesnake (M) (T)

• Texas Rivers (M) (T)

• White-tailed Deer (“Hunt Texas”) (M) (T)

Professional Sports Teams

• Dallas Cowboys

• Houston Astros

• Houston Rockets

• Houston Texans

• Texas Rangers

Form VTR-999 Rev. 11/2017

Form available online at www.TxDMV.gov

Page 2 of 2

Application for Specialty License Plate

Personalize Your Plate

- If you would like to personalize your specialty plate, there will be a $40 fee per year in addition to the annual

registration fee.

• Show personalizations exactly as you want them to appear on your license plate(s). You may list more than one option in the

event the personalization you have chosen is already issued.

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

approved.

• Enter your desired personalized letters, numbers, and/or symbols in the blocks below. The available symbols include: a period, a

dash, a blank space, a Texas silhouette (use an asterisk "*" to indicate), a heart (use an at "@" to indicate), and a star (use an

ampersand "&" to indicate).

• Passenger car, truck, and trailer plates are limited to five (5) characters total, including punctuation characters. The Alamo,

Houston Livestock Show and Rodeo, and Keep Texas Beautiful plates may be personalized with up to six (6) characters due to the

plate design.

• Motorcycle and moped plates are limited to four (4) characters total, including punctuation characters. The Alamo plate may be

personalized with up to five (5) characters due to the plate design.

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

• The International Symbol of Access " " counts as two (2) characters and will be located at the beginning of the plate number.

If you are disabled and applying for personalized specialty plates, the plate may consist of only three (3) characters (or two (2)

if it is a motorcycle/moped). Use a percent "%" to indicate the International Symbol of Access.

Choice 2

Choice 3

Choice

International Symbol of Access

To display the International Symbol of Access on your license plate, attach a signed Application for Persons with Disabilities Parking

Placard and/or License Plate (Form VTR-214) to this application to show your eligibility. Contact your county tax assessor-collector's

office for more information.