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Get MO 4601 2020-2024

I also acknowledge that if the requested configuration is already issued for a vehicle I own I must surrender those plates when I pick up the new plates bearing that configuration. Signature of Owner or Applicant X Form 4601 Revised 08-2018 Applications must be completed signed and submitted with the fee noted on the front of the application. The annual fee indicated on the application is in addition to the regular registration fee set by law and is payable upon renewal. Depending on the type of license plates requested additional documentation may be required as noted below. Form Reset Form Missouri Department of Revenue Application for Missouri Military Personalized License Plates Any false statement in this application is a violation of the law and may be punished by fine or imprisonment or both. Name must appear as shown on vehicle title Step 1 Owner s Name Street RR or P. O. Box Number City State ZIP Code Please select which category of license plate you need r Passenger r Beyond Local 6 Truck r Motorcycle r Recreational Vehicle motor home r Local 6 Truck limited to a 50 mile radius r Autocycle r Select here to add this symbol Daytime Phone Number Current Plate Number - Print Form to your plate. Physician s Statement for Disabled Person s License Plates Form 1776 is required* See back for more information* Type of license plate to be issued some license plates require proof of eligibility - see reverse Step 2 For all plates listed as Stock the Missouri Department of Revenue will select your license plate configuration* Submit fee shown below with this application* r Air Force 15 r Air Medal 15 r Armed Forces Expeditionary Medal Stock - 15 r Army 15 r Bronze Star Stock - 15 Valor r Yes r No r Bronze Star 15 r Civil Air Patrol 15 r Coast Guard 15 r Combat Action Badge 15 r Combat Infantryman Stock - 15 r Combat Medic Stock - 15 r Congressional Medal of Honor No Fee r Disabled Veteran r Stock r Personalized r Initial Set No Fee r Additional Set 15 r Distinguished Flying Cross Stock - 15 r Former POW Stock - No Fee r Former POW No Fee r Gulf War - Desert Storm or Shield r Korea Defense Service Medal 15 r Korean War Stock - 15 r Korean War 15 r Legion of Merit Medal Stock - 15 r Marine Corps 15 r Merchant Marine 15 r Military Award Placard No Fee See info. on reverse side. r National Guard 15 r Navy 15 r Navy Cross 15 r Operation Enduring Freedom 15 r Operation Iraqi Freedom 15 r Operation Noble Eagle 15 r Pearl Harbor Survivor Stock - 15 r Purple Heart Stock - No Personalization Fee r Retired Military No Personalization Fee Branch of Service r Silver Star Stock - 15 r Silver Star 15 r Some Gave All Gold Star - 15 r U*S* Veteran 15 r Veteran of Foreign Wars VFW 15 r Vietnam Veteran Stock - 15 r Wartime Disabled 15 r We Shall Not Forget Gold Star No Personalization Fee r Woman Veteran 15 r World War II Stock - 15 r World War II 15 Personalized plate choices complete only if applying for personalized plates. Please include more than one choice. Total number of characters allowed* A dash space or an apostrophe counts as one character.

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