Form Mv-414 - I Love Ny Adventure Custom Plates
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1
2I LOVE NY ADVENTURE CUSTOM PLATES
The I LOVE NY Adventure Custom Plates are reserved for current holders of NYS Department of Environmental Conservation (DEC) sporting
licenses and/or NYS Office of Parks and Historical Preservation (Parks) Empire Passport. To obtain the plates, you must provide a copy of your
NYS driver license or ID card, a copy of your DEC sporting license or Parks Empire Passport, and this application form, completed and signed.If
you are requesting Adventure Custom Plates for additional vehicles, please complete a separate application for each vehicle. The name on the
DEC sporting license or Parks Empire Passport must match the name on the vehicle registration the Adventure Plates are being requested for.
Return this completed form, the required proof and any payment to:
Department of Motor Vehicles, Custom Plates Unit, PO Box 2775, Albany NY 12220.
SELECT THE I LOVE NY ADVENTURE PLATE REQUESTED
1
NYS DEC Adventure License Holders
Empire Passport Holders
o
o
o
o
o
Parks- Beach Scene
Parks - Bridge Scene
Hunting - Deer
Hunting - Duck
Hunting - Turkey
o
o
o
o
Parks - Niagara Falls
Fishing - Striped Bass
Fishing - Trout
Fishing - Walleye
o
o
o
o
o
Hunting - Deer
Hunting - Duck
Hunting - Turkey
Parks- Beach Scene
Parks - Bridge Scene
o
o
o
o
Fishing - Striped Bass
Fishing - Trout
Fishing - Walleye
Parks - Niagara Falls
2
SELECT THE TYPE OF PLATE NUMBER:
o
o
o
Standard Plates:
Personalized Plate:
International Symbol of Access Requested
the next available number will be assigned
(you must qualify)
complete step 2A below
PERSONALIZATION
These plates can be personalized, using as many as 6 spaces (4 for motorcycle plates). Write 3 plate number choices below.
If you want to leave a space on the plate, put a period(.) on the line where the space should be.
If the International Symbol of Access
is required, only 5 spaces (3 for motorcycle plates) are allowed.
__ __ __ __ __ __
__ __ __ __ __ __
__ __ __ __ __ __
Choice 1
Choice 2
Choice 3
SELECT THE TYPE OF DEC SPORTING LICENSE OR PARKS EMPIRE PASSPORT YOU HOLD AND DETERMINE YOUR FEE:
At the time of renewal, I LOVE NY Adventure Custom Plates are subject to a $15.00 annual ($30 total for 2 year registration) custom plate
fee that is used by the NYS Department of Economic Development to promote tourism in NYS.
For those that purchased a LIFETIME DEC sporting license or LIFETIME Parks Empire Passport in 2014, you are entitled to one (and only
one) set of Adventure Custom Plates at no charge for each LIFETIME license/passport purchased in 2014. If you have already received
your set of Adventure Custom Plates at no fee, you may order additional adventure plates at full cost. Eligibility to order Adventure Custom
Plates and eligibility to obtain the plates at no fee, if applicable, will be verified.
4
For initial plates
(personalized
If you hold a:
you pay:
plate fee)
Passenger/Commercial registrations
$ 0.00
($ 31.25)
o
LIFETIME DEC sporting license or LIFETIME Parks Empire Passport
purchased in 2014 - first set of adventure plates
Motorcycle registration
$ 0.00
($ 18.75)
Passenger/Commercial registrations
$ 43.75
($ 75.00)
o
LIFETIME DEC sporting license or LIFETIME Parks Empire Passport
purchased in 2014 - additional set of adventure plates
Motorcycle registration
$ 31.25
($ 50.00)
o
Passenger/Commercial registrations
$ 43.75
($ 75.00)
All other valid PARKS Empire Passport or valid DEC sporting
license holders
Motorcycle registration
$ 31.25
($ 50.00)
Ô
Page 1
Complete application on page 2
MV-414 (3/15)
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