Form Hsmv 83045 - Application For Registration Of A Street Rod, Custom Vehicle, Horseless Carriage Or Antique (Permanent)
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1State of Florida
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES – DIVISION OF MOTORIST SERVICES
Application for Registration of a Street Rod, Custom Vehicle,
Horseless Carriage or Antique (Permanent)
INSTRUCTIONS: COMPLETE APPLICATION, CHECK APPLICABLE BOX, AND READ SECTION 4 ON THE MAILING INSTRUCTIONS
1
APPLICANT INFORMATION
________________________________
____________________________
Name of Applicant
Applicant’s Email Address
___________________________________________________________________________________
Street Address
_____________________________________________
_______________
_______________________
City
State
Zip
_____
__________Florida Driver License Number or FEID Number____________________________
Sex
Date of Birth
2
VEHICLE INFORMATION
___________
YEAR
MAKE____________TYPE______________WEIGHT OF VEHICLE_____________COLOR______________
ENGINE OR ID#___________________________________________________________________________________________
TITLE#_______________________________________ PREVIOUS LICENSE PLATE#__________________________________
3
CERTIFICATION
(Check Applicable Box)
The vehicle described above is a “Street Rod” which is a modified motor vehicle manufactured prior to 1949. The vehicle
meets state equipment and safety requirements that were in effect in this state as a condition of sale in the year listed as
the model year on the certificate of title. The vehicle will only be used for exhibition and not for general transportation.
The vehicle described above is a “Custom Vehicle” which is a modified motor vehicle manufactured after 1948 and is 25
years old or older and has been altered from the manufacturer’s original design or has a body constructed from non-
original materials. The vehicle meets state equipment and safety requirements that were in effect in this state as a
condition of sale in the year listed as the model year on the certificate of title. The vehicle will only be used for exhibition
and not for general transportation.
The vehicle described above is a “Horseless Carriage” which is an automobile, truck or motorcycle weighing 5,000 pounds
or less, for private use, manufactured in 1945 or earlier. The license plate is permanent and valid for use without renewal
as long as the vehicle is owned by the same owner/registrant.
The vehicle described above is a Firefighting apparatus, other historical motor vehicle or former military vehicle 30 years
old or older, used only in exhibitions, parades or public displays. I am requesting the following type of license plate:
Horseless Carriage
Antique (Permanent)
I certify the above information is true and correct. ___________________________________________
(Signature of Applicant)
4
ADDITIONAL INFORMATION & REQUIREMENTS
A Street Rod or Custom Vehicle License Plate should be processed through your local county Tax Collector's Office or License
Plate Agency. The customer has the option of submitting a completed application for a permanent antique (for a qualifying
Check your local phone book
firefighting vehicle only) to the license plate agency or directly to the department for processing.
government pages or visit the following website for current mailing
addresses:
A Horseless Carriage or Permanent Antique (except for a qualifying firefighting vehicle) License Plate MUST be issued by the
department. The completed and signed form must be submitted to the following address for processing:
Bureau of Issuance Oversight, Direct Mail & Title Correction Section, MS# 72, 2900 Apalachee Parkway, Neil Kirkman
Building, Tallahassee, FL. 32399, along with the following documentation:
Copy of the vehicle registration or a copy of the Florida certificate of title.
Proof of insurance.
Applicable Fee (listed below), payable to DMS, which includes a mailing fee:
Permanent Antique Motor Vehicle
Replacement for Permanent Antique Motor Vehicle
$58.75
$39.00
Horseless Carriage Motor Vehicle
Replacement for Horseless Carriage Motor Vehicle
$61.25
$40.50
Horseless Carriage Motorcycle
Replacement for Horseless Carriage Motorcycle
$67.00
$67.00
Permanent Antique Firefighting apparatus/military vehicle (30 years old or older) $59.75
Add an additional $10, if the GVW weight is 10,000 lbs. or more.
NOTE: The Initial Registration Fee is not required on vehicles that are 30 years old or older.
HSMV 83045 (REV. 06/11) S
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