Fillable Form 184 - Application For Motor Vehicle License (Page 2 of 2) in pdf

REQUIRED DOCUMENTS

Application for License completed and signed by the applicant.

Paid personal property tax receipt or a statement of non-

assessment from the county (or city of St. Louis) in which you

Appropriate registration/processing fees posted at

resided on January 1st of the previous year. The property tax

receipt or statement of non-assessment must be in the owner's

Proof of ownership (a copy of the registration receipt, title, or copy

name. One receipt must be presented for the previous year to

of title).

If no title number, record office number and title

renew a one-year registration and two receipts must be presented

application date in appropriate box.

for the last two years to renew a two-year registration.

Vehicle safety inspection (if required) not more than 60 days old.

Insurance card or other acceptable proof of financial responsibility.

New (not previously titled) motor vehicles.

NOTE: Vehicle safety inspection, vehicle emissions inspection, paid

Vehicle emissions inspection (if required) not more than 60

personal property tax receipt or statement of non-assessment, and

days old must be submitted by residents in the city of St. Louis and

insurance card are not required when applying for an ATV decal.

the following counties: Franklin, Jefferson, St. Charles, and St.

Louis. Applies only to certain passenger vehicles and trucks with

NOTE: See for vehicles that are exempt from

a manufacturer's gross weight rating of 8,500 pounds or less.

safety and/or emissions inspection.

PAYMENT METHODS

Checks or money orders may be accepted as payment. Make the check or money order payable to: Missouri Department of Revenue. The check must be

preprinted with the check writer's name and address, bank code, and account number. It must also include the following information regarding the check writer:

1. Driver license or non-driver license number;

2. Date of birth; and

3. Daytime phone number.

DO NOT SEND CASH WHEN APPLYING BY MAIL.

THE MISSOURI DEPARTMENT OF REVENUE MAY ELECTRONICALLY RESUBMIT CHECKS RETURNED FOR INSUFFICIENT OR UNCOLLECTED

FUNDS. Other restrictions may also apply.

COMPLETING THE LICENSE APPLICATION

Please follow the order of the instructions provided below, beginning with

8. EXPIRATION MONTH AND YEAR — Record the month and year that

TYPE OF REGISTRATION, when completing the application. If there is no

the current license plates expire.

instruction for a particular field, simply provide the information requested,

9 . LICENSE TRANSFER INFORMATION — YEAR, MAKE, VEHICLE

such as OWNER'S NAME AND ADDRESS. Please write legibly.

IDENTIFICATION

NUMBER,

TITLE

NUMBER,

TAXABLE

HORSEPOWER — Record the information from the previous vehicle

Instructions:

in the designated areas.

1. TYPE OF REGISTRATION — Check the appropriate block.

10. $1 BLIND FUND, $1 ORGAN FUND, AND $ 10 WWII MEMORIAL

FUND — Check appropriate block(s) if you wish to donate to the

2. YEAR, MAKE, VEHICLE IDENTIFICATION NUMBER, TITLE

fund(s).

NUMBER, AND BODY STYLE — Record in the designated areas. If

you hand write the application, record only one character in each

11. SIGNATURE — ONE OWNER MUST SIGN THE APPLICATION

block within the Vehicle Identification Number.

FOR LICENSE.

3. FUEL — Enter the appropriate code.

ALL INCORRECT OR INCOMPLETE APPLICATIONS WILL BE

REJECTED.

4. KIND OF VEHICLE (KOV), HORSEPOWER (H.P.), ZONE, AND

GROSS WEIGHT OR SEATING CAPACITY — Record the correct

Submit the required items and fees to your local contract office or mail

code. For passenger vehicles provide the taxable horsepower. For

to: Motor Vehicle Bureau, P.O. Box 2046, Jefferson City, MO 65105-2046.

trucks, enter the appropriate zone of operation and the truck's

licensed gross weight or seating capacity.

DIRECT INQUIRIES TO (573) 526-3669 OR VISIT OUR WEB SITE AT:

5. MILEAGE — Record the odometer reading from the vehicle

inspection, when applicable.

REMEMBER TO SIGN THE APPLICATION AND SUBMIT PROOF OF

OWNERSHIP, APPROPRIATE INSPECTION(S), PAID PERSONAL

6. PURCHASE DATE — Record the date vehicle was purchased.

PROPERTY

TAX

RECEIPT(S),

REGISTRATION

FEES,

AND

APPLICABLE PROCESSING FEES.

7. LICENSE PLATE NUMBER — Record current license plate on

vehicle, when applicable.

PENALTIES: A $5 penalty fee will be assessed for failing to renew a license plate within the month of expiration. (Does not apply to trailers and trucks

licensed in excess of 12,000 lbs.) An $8.50 penalty fee will be assessed for failing to transfer or renew multi-year license plates.

MO 860-0351 (08-2010)