Form Dmv-54-Hba - Preliminary Interest Application For Special Plate (Page 2 of 2) in pdf

Form Dmv-54-Hba - Preliminary Interest Application For Special Plate Page 2

INSTRUCTIONS

Preliminary Interest Application

Your organization must obtain at least 250 preliminary interest applications before the Division of Motor

Vehicles may begin the design and production of the license plate. This is why you are being asked to

complete this application.

1. Please complete Part 1 of the application. The vehicle on which the plate will be placed must be a

Class A (passenger car or truck-10000 lbs. or less). The vehicle must be currently titled in West Virginia.

Leased vehicles are eligible for this plate.

2. There are no restrictions on the number of special license plates you may obtain.

3. Attach a check for $70 made payable to HBAWV.

4. The $70 check will cover the cost of the license plate for the first year or portion of the first year.

These plates will expire July 1 of each year. This is a flat fee for all applicants and is not prorated. This

initial application process is only to determine whether or not your organization has the minimum level of

interest to pursue the design and manufacturing of the new license plate. Please continue to renew your

present license plate during this process.

5. DMV will mail you a renewal notice, and your renewal will be processed by DMV. Your organization

is not involved in the renewal process. The renewal fee will be $45 per year.

6. Your organization must submit the minimum number of 250 applications along with the fees to DMV

by June 8, 2016. If your organization fails to submit at least 250 applications by that date, the legislative

authorization to issue the special license plate expires and your organization must refund your fee to you.

7. Please mail your application and check to your organization as soon as possible. The sooner your

organization meets the minimum number of applications, the sooner DMV can begin the design and

production of your new license plate.

8. Please call your organization at 304-342-5176 or visit their website at

if you have

any questions.

9. Mail your application and your check to:

HBAWV

2220 WASHINGTON ST. EAST SUITE 1

CHARLESTON, WV 25311

DO NOT MAKE YOUR CHECK PAYABLE TO DMV

DO NOT MAIL OR BRING YOUR APPLICATION TO THE DIVISION OF MOTOR VEHICLES

Form Dmv-54-Hba - Preliminary Interest Application For Special Plate Page 2