Form Vsd 763.3 - Pow/mia Illinois Remembers License Plates Request Form
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Secretary of State
POW/MI Illinois Remembers
License Plates Request Form
Secretary of State
Vehicle Services Department
## #
Special Plates Division
This request may only be processed
501 S. Second St., Rm. 541
in the Springfield office.
Springfield, IL 62756-5100
217-785-4175
# # # #
# # # #
POW/MIA Illinois Remembers License Plates honor Illinois residents who were prisoners of war or missing in action while
serving in the U.S. Armed Forces. No special military documentation is required.
POW/MIA Illinois Remembers plates are multi-year and may be displayed on passenger vehicles, trucks and vans weighing
8,000 pounds or less. To purchase POW/MIA Illinois Remembers License Plates, please submit the request form along with
your license plates registration or renewal application and the following applicable fees to the address above.
Random-Number POW/MIA Illinois Remembers License Plates
• Newly-acquired vehicle/first-time issuance — $211 ($95 title fee, $101 registration fee, $15 special plate fee)
• Currently titled vehicle/first-time issuance — $116 ($101 registration fee, $15 special plate fee)
• Current plates expire within 90 days — $145 ($101 registration fee, $15 special plate fee, $29 replacement fee)
• Current plates do not expire within 90 days — $44 ($15 special plate fee, $29 replacement fee)
• Annual renewal — $103 ($101 registration fee, $2 special plate fee)
Random-Number POW/MIA Illinois Remembers License Plates Request Form
Name _____________________________________________________________________________________________
Address ___________________________________________________________________________________________
City/State/ZIP_______________________________________________________________________________________
Telephone Number___________________________________________________________________________________
License Plate Number________________________________________Expiration Date ____________________________
Type of Plate
Passenger
B-Truck
Printed by authority of the State of Illinois. February 2013 — VSD 763.3
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