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Get NE DMV Application For Purple Heart License Plate 2019-2024

Non-resident military must include a copy of their registration with this application. No Lessor Motor vehicles motorcycles trailers semitrailers and cabin trailers are eligible for a Purple Heart License Plate. For questions related to the application please contact this office at 402. 471. 3918. Printed on Recycled Paper Revised 7/2017. APPLICATION FOR PURPLE HEART LICENSE PLATE 60-3 125 Applicant Information Vehicle Information Name VIN Address Make City State NE Zip County of Registration Email Address Daytime Phone Year Co Title Number Yes Is vehicle leased IMPORTANT Applicant s name must appear on the Nebraska Certificate of Title or in the event the vehicle is leased or non-resident military the registration of the vehicle. Any person that does so may be subject to prosecution and cancellation of your certificate of registration. Once the application is approved the applicant will receive written notification that must be presented to the County Treasurer Motor Vehicle Office in the applicant s county of residence before the plate may be registered. All required registration fees and taxes due at the time of registration apply. I own or lease the above-named motor vehicle or trailer and my name does appear on the certificate of title and/or registration. Date Signature of Motor Vehicle Owner Filing of a false application violates the provisions of the Motor Vehicle Registration Act. Submit the completed application for approval to Nebraska Department of Motor Vehicles Driver and Vehicle Records Division P. Motorcycle Trailer/Semitrailer Cabin Trailer Indicate currently registered Purple Heart License Plate Number NOTE A separate application must be submitted for each Purple Heart License Plate requested. As the above-named applicant I am making application for a Purple Heart license plate. Check here if you currently have a Purple Heart License Plate registered to one or more vehicles and are requesting an additional plate. As part of this application process I am providing the following information check all boxes that apply to you and provide the required information I have received an award of a Purple Heart from the federal government. O. Box 94789 Lincoln NE 68509-4789 A Purple Heart Plate does not afford the registered owner of any special parking privileges.

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