Form Rdmv 120 - Application For Vanity Plates
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1
2STATE OF NEW HAMPSHIRE
DEPARTMENT OF SAFETY
DIVISION OF MOTOR VEHICLES
23 HAZEN DRIVE, CONCORD, NH 03305
(603) 227-4030
TDD Access: Relay NH 1-800-735-2964
.
RICHARD C. BAILEY, JR
JOHN J. BARTHELMES
DIRECTOR OF MOTOR VEHICLES
COMMISSIONER OF SAFETY
Application for Vanity Plates
Entire form must be completed - PLEASE PRINT LEGIBLY:
Name: __________________________________________ Telephone Number: _________________________________________
Mailing Address: __________________________________ City: ___________________ State: ___________ Zip: ____________
VIN: ____________________________________ Make: _________________________ Model: ___________________________
Plate Type Requested: ________________________________________ (See Vanity Plate Types below)
Fee: Registration fee plus $40.00 Vanity Plate fee, plus $4.00 reflectorized plate fee per plate ($8.00 for a set). There is an
additional charge of $30.00 for Conservation Plates and $85.00 for State Park Plates.
*Please Note: The vanity plate fee for new registrations other than twelve (12) months is now prorated.
1 Mo. 2 Mo.
3 Mo.
4 Mo.
5 Mo.
6 Mo.
7 Mo.
8 Mo.
9 Mo.
10 Mo. 11 Mo. 12 Mo. 13 Mo. 14 Mo. 15 Mo. 16 Mo.
$3.33 $6.66
$10.00 $13.33 $16.66 $20.00 $23.33 $26.66 $30.00 $33.33 $36.66 $40.00 $43.33 $46.66 $50.00 $53.33
Vanity Plate Type
Maximum Letters/Numbers
Passenger
Seven characters
Apportioned, Conservation, Commercial, Trailer, Veteran, State Park Plates
Six characters
Active Duty Military
Antique
Six characters (four with Old Man replica)
Walking Disability, Purple Heart, Street Rod, Conservation Park,
Four characters
Disabled Veteran Plates
National Guard
Five characters
Motorcycle
Five characters (ampersand (&) NOT available)
Veteran Motorcycle
Four characters (ampersand (&) NOT available)
Purple Heart Motorcycle
Three characters (two of which must be letters,
Walking Disability Motorcycle
(ampersand (&) NOT available)
The Division of Motor Vehicles reserves the right to recall or deny Vanity Plates if they are determined to not comply with
Administrative Rule Saf-C 514.61. (Please see reverse side)
CHOICES: Please list in order of preference. The DMV will notify you by mail. Availability of Vanity Plates will not be verified
over the telephone.
1. _____________________________ ________________________________________________________________
Plate Choice
Intended Meaning of Plate Choice
2. _____________________________ ________________________________________________________________
Plate Choice
Intended Meaning of Plate Choice
3. _____________________________ ________________________________________________________________
Plate Choice
Intended Meaning of Plate Choice
___________________________________________________________
____________________________
Signature of Primary Registrant
Date
Mail applications to:
NH Department of Safety
Division of Motor Vehicles
Bureau of Registration- Initial Plates
23 Hazen Drive
Concord, NH 03305
RDMV 120 (Rev 07/14)
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