Get Hsmv 83091

Flhsmv.gov/offices/ APPLICATION FOR TEMPORARY LICENSE PLATE TEMPORARY LICENSE PLATE NUMBER THIS IS TO CERTIFY THAT Name s Applicant/Co-Applicant Street Address Post Office Box/Drawer If Applicable City State Applicant s Driver License Number Zip Co-Applicant s Driver License Number HAS MADE APPLICATION FOR AND HAS BEEN ISSUED A TEMPORARY LICENSE PLATE ON NOT VALID AFTER Month/Day/Year FOR THE FOLLOWING MOTOR VEHICLE Make of Vehicle BY Type Color Identification Number Name of Issuing Agency/Dealer Dealer s License Number If Applicable AUTHORIZED ISSUING AGENCY USE ONLY This temporary license plate will be issued solely for demonstration purposes. STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTORIST SERVICES SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE www. personalized license plate. Signature of Applicant s INSTRUCTIONS The original accurately completed of this form must be given to the APPLICANT. This form is issued to the applicant as a temporary permit and must be carried in his/her possession at all times while the vehicle is being operated with the temporary license plate until expiration. THE TEMPORARY LICENSE PLATE MUST BE DESTROYED WHEN 1. The regular license plate is received by the applicant. 2. The temporary license plate expires. A copy of this form must be retained by the authorized issuing agency for a least one 1 year. WARNING Any person unlawfully using any such temporary license plate or violating any rule or regulation issued by the Division of Motor Vehicles pursuant to this act shall be guilty of a misdemeanor of the second degree. Check your local phone book government pages or visit the following website for current mailing addresses http //www. personalized license plate. Signature of Applicant s INSTRUCTIONS The original accurately completed of this form must be given to the APPLICANT. This form is issued to the applicant as a temporary permit and must be carried in his/her possession at all times while the vehicle is being operated with the temporary license plate until expiration. This form is issued to the applicant as a temporary permit and must be carried in his/her possession at all times while the vehicle is being operated with the temporary license plate until expiration. THE TEMPORARY LICENSE PLATE MUST BE DESTROYED WHEN 1. The regular license plate is received by the applicant. THE TEMPORARY LICENSE PLATE MUST BE DESTROYED WHEN 1. The regular license plate is received by the applicant. 2. The temporary license plate expires. A copy of this form must be retained by the authorized issuing agency for a least one 1 year. 2. The temporary license plate expires. A copy of this form must be retained by the authorized issuing agency for a least one 1 year. WARNING Any person unlawfully using any such temporary license plate or violating any rule or regulation issued by the Division of Motor Vehicles pursuant to this act shall be guilty of a misdemeanor of the second degree. WARNING Any person unlawfully using any such temporary license plate or violating any rule or regulation issued by the Division of Motor Vehicles pursuant to this act shall be guilty of a misdemeanor of the second degree. Check your local phone book government pages or visit the following website for current mailing addresses http //www.