Department of
the Secretary of State
Bureau of Motor Vehicles
Patty A. Morneault
Deputy Secretary of State
Matthew Dunlap
David W. Guilmette
Secretary of State
Director, Office of Investigation
& Dealer Licensing
Application for Extension or
Replacement of Temporary Plate
*This application can only be submitted by a Maine Licensed Dealer*
PLEASE DO NOT ISSUE AN ADDITONAL 14 DAY TEMPORARY PLATE UNTIL YOU HAVE RECEIVED THE
PERMISSION GRANTED LETTER BACK FROM BMV – THANK YOU
This application is to request an extension or replacement of “Temporary” dealer plate to the customer listed below:
**PLEASE PRINT CLEARLY**
Legal Business Name: ________________________________________________ Dealer License/Plate Number: __________
DBA (if applicable): _______________________________________________________________________________________
Phone Number: ___________________________________
Fax Number: __________________________________________
Dealer Contact Person: _____________________________________________________________________________________
This request MUST be accompanied by the following documents:
1. MVD-15 (Notice of Sale)
2. Bill of Sale/Purchase Order or Invoice
3. Reason for the request
Customer’s Name: __________________________________________________________________________________
Customer’s Mailing Address: _________________________________________________________________________
(Street/PO Box)
(City/Town)
(Zip)
Vehicle (year, make, and model): ______________________________________________________________________
Vehicle Identification Number (VIN): ___________________________________________________________________
Original Temporary Plate Number: _____________________________________________________________________
Original Effective Date: ______________________________Original End Date: ________________________________
NEW TEMPORARY PLATE #: _______________________________________________________________________
Reason for Request: _________________________________________________________________________________
_________________________________________________________________________________
FAX ALL DOCUMENTS TO DEALER LICENSING AT (207) 624-9126
If you have any questions, please contact Dealer Licensing at (207) 624-9000 Ext. 52143
MVD-358 Rev 04/19/2016
101 Hospital Street, #29 State House Station, Augusta, Me 04333-0029 Tel. (207) 624-9000 Ext. 52143 Fax: (207) 624-9126 TTY Users call Maine relay 711