Form Mvc-0015 - Application For Replacement Or Additional Dealer Plates

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MOTOR VEHICLE BUREAU
PO BOX 43
FORM
MVC-0015
JEFFERSON CITY MO 65102-0043
(REV. 5-2008)
APPLICATION FOR REPLACEMENT
SEE FEES ON
OR ADDITIONAL DEALER PLATES
REVERSE SIDE.
*ANY FALSE STATEMENT ON THIS APPLICATION IS A VIOLATION OF THE LAW AND MAY BE
PUNISHED BY FINE, IMPRISONMENT, OR BOTH.* (301.420 RSMo.)
VALIDATION AREA
DEALERSHIP NAME
DEALER NUMBER
STREET ADDRESS
COUNTY
TELEPHONE NUMBER
CITY
STATE
ZIP CODE
TYPE
PLATE SIZE
REPLACEMENT PLATES ($12.00 PER PLATE)
MV
CYCLE
ADDITIONAL PLATES (QUANTITY) ___________ (SEE FEES BELOW)
BOAT
BOAT TRAILER
RECORD PLATE TO BE REPLACED
CHECK REASON FOR REPLACEMENT
12 MONTHS
January . . . . . . . . . . .$10.50
11 MONTHS
February . . . . . . . . . . .$9.63
PLATE NUMBER
LOST STOLEN MUTILATED DESTROYED
10 MONTHS
March . . . . . . . . . . . . .$8.75
9 MONTHS
April . . . . . . . . . . . . . .$7.88
8 MONTHS
May . . . . . . . . . . . . . . .$7.00
7 MONTHS
June . . . . . . . . . . . . . .$6.13
6 MONTHS
July . . . . . . . . . . . . . . .$5.25
5 MONTHS
August . . . . . . . . . . . .$4.38
4 MONTHS
September . . . . . . . . .$3.50
3 MONTHS
October . . . . . . . . . . .$2.63
2 MONTHS
November . . . . . . . . . .$1.75
1 MONTH
December . . . . . . . . . .$.88
I HEREBY CERTIFY THAT THE FACTS HEREIN ARE TRUE TO THE BEST OF MY KNOWLEDGE.
SIGNATURE OF OWNER
STATE OF MISSOURI
NOTARY PUBLIC
EMBOSSER SEAL
SUBSCRIBED AND SWORN BEFORE ME THIS
DAY OF
YEAR
NOTARY PUBLIC SIGNATURE
MY COMMISSION EXPIRES
NOTARY PUBLIC NAME (TYPED OR PRINTED)
COUNTY (OR CITY OF ST. LOUIS)
FOR OFFICE USE ONLY
ADDITIONAL PLATES ISSUED:
ADDITIONAL PLATE START
KEYED
BY
DATE
RECEIVED DVSB
REMARKS
MO 860-2765 (5-2008)
MVC-0015 (5-2008)

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