Form Rdmv 120 - Application For Initial Plates Page 2
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2CHOICES: Please list in order of preference. Additional choices may be listed in the space at the bottom of this form. The
DMV Clerk or authorized Municipal Agent will initial the form next to the plate that is issued.
1. _____________________________ ________________________________________
____________
Plate Choice
Intended Meaning of Plate Choice
Clerk Initials
2. _____________________________ ________________________________________
____________
Plate Choice
Intended Meaning of Plate Choice
Clerk Initials
3. _____________________________ ________________________________________
____________
Plate Choice
Intended Meaning of Plate Choice
Clerk Initials
4. _____________________________ ________________________________________
____________
Plate Choice
Intended Meaning of Plate Choice
Clerk Initials
5. _____________________________ ________________________________________
____________
Plate Choice
Intended Meaning of Plate Choice
Clerk Initials
6. _____________________________ ________________________________________
____________
Plate Choice
Intended Meaning of Plate Choice
Clerk Initials
7. _____________________________ ________________________________________
____________
Plate Choice
Intended Meaning of Plate Choice
Clerk Initials
8. _____________________________ ________________________________________
____________
Plate Choice
Intended Meaning of Plate Choice
Clerk Initials
If your choices are not available, do you want to renew last year’s plate?
Yes __________ No __________
In the event that all your Initial Plate choices are not available, a regular plate will be issued, or you will be renewed to the plate
currently assigned to you. In this instance, a refund of the Initial Plate fee will be processed for you.
___________________________________________________________
____________________________
Signature of Primary Registrant
Date
Mail applications, supporting documents and fees to:
NH Department of Safety
Division of Motor Vehicles
Bureau of Registration- Initial Plates
23 Hazen Drive
Concord, NH 03305
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