Fillable License Plates Request Form printable pdf download

License Plates Request Form

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Secretary of State

Illinois-Michigan anal

License Plates Request Form

Secretary of State

Vehicle Services Department

License plates registration application forms may be

Special Plates Division, Rm. 520

obtained in person at most Secretary of State facilities,

501 S. Second St.

by mail, by visiting or by

Springfield, IL 62756-5100

calling 800-252-8980.

217-785-5215

By purchasing a set of Illinois-Michigan Canal License Plates you will help support the Illinois and Michigan Canal Fund,

which helps preserve and maintain the canal and contributes to the daily operations of the 61.5-mile hiking, bicycling and

snowmobile trail that runs from Rockdale to LaSalle-Peru.

Illinois-Michigan Canal License Plates are multi-year and may be displayed on passenger vehicles, B-trucks and vans

weighing 8,000 pounds or less.

To purchase Illinois-Michigan Canal 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 Illinois Michigan Canal License Plates

• Newly-acquired vehicle, first-time issuance — $236 ($95 title fee, $101 registration fee, $40 Illinois-Michigan Canal

plate fee)

• Currently titled vehicle, first-time issuance — $141 ($101 registration fee, $40 Illinois-Michigan Canal plate fee)

• Current plates expire within 90 days — $170 ($101 registration fee, $40 Illinois-Michigan Canal plate fee, $29

replacement fee)

• Current plates do not expire within 90 days — $69 ($40 Illinois-Michigan Canal plate fee, $29 replacement fee)

• Annual renewal — $128 ($101 registration fee, $27 Illinois-Michigan Canal plate fee)

Not available in vanity or personalized.

Not eligible for the Circuit Breaker Program.

Random-Number Illinois-Michigan Canal License Plates Request Form

Name _____________________________________________________________________________________________

Address ___________________________________________________________________________________________

City/State/ZIP_______________________________________________________________________________________

Telephone Number___________________________________________________________________________________

License Plate Number________________________________________Expiration Date ____________________________

Type of Plate

Passenger

B-Truck

Illinois-Michigan Canal plates also may be requested through Pick-a-Plate at .

Printed by authority of the State of Illinois. March 2013 —1— VSD-821.1

License Plates Request Form

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