Get AL MV 40-12-250A 2013-2024

MV 40-12-250A 1/13 ALABAMA DEPARTMENT OF REVENUE MOTOR VEHICLE DIVISION P. O. Box 327630 Montgomery AL 36132-7630 334 242-9006 www. revenue. alabama.gov/motorvehicle/forms. html Application For Replacement License Plates and Registration Receipts For Government License Plates INSTRUCTIONS ON REVERSE SIDE REGISTRANT INFORMATION DEPARTMENT OR AGENCY NAME TELEPHONE NUMBER Include Area Code STREET ADDRESS FAX STATE CITY ZIP EMAIL VEHICLE INFORMATION REPLACEMENT REQUESTED CHECK ONE PLATE NUMBER VEHICLE IDENTIFICATION NUMBER LICENSE PLATE 2. MV 40-12-250A 1/13 ALABAMA DEPARTMENT OF REVENUE MOTOR VEHICLE DIVISION P. O. Box 327630 Montgomery AL 36132-7630 334 242-9006 www. revenue. alabama*gov/motorvehicle/forms. html Application For Replacement License Plates and Registration Receipts For Government License Plates INSTRUCTIONS ON REVERSE SIDE REGISTRANT INFORMATION DEPARTMENT OR AGENCY NAME TELEPHONE NUMBER Include Area Code STREET ADDRESS FAX STATE CITY ZIP EMAIL VEHICLE INFORMATION REPLACEMENT REQUESTED CHECK ONE PLATE NUMBER VEHICLE IDENTIFICATION NUMBER LICENSE PLATE 2. 00 EA. RECEIPT NO FEE OFFICE USE ONLY REASON FOR REPLACEMENT Stolen Lost Mutilated Incorrect Never Received I certify that the information above is true to the best of my knowledge and belief* Signed by Title Date All VINs for 1981 and subsequent year model vehicles that conform to federal anti-theft standards are required to have 17 digits/characters. 1. This form should be used to request a replacement government or volunteer fire department license plate and/or a replacement registration receipt. physical address of the department. receipts are requested* a* A replacement license plate will not be issued when the vehicle is stolen* b. It is the responsibility of the department to notify the appropriate law enforcement agency regarding lost or stolen license plates. c* Mutilated government or volunteer fire department license plates must be surrendered to the Motor Vehicle Division or a notarized statement as to the certification of the destruction of the license plate may be submitted* d. A copy of the original registration receipt reflecting the incorrect information should be submitted with this form* notarized statement certifying that the license plate was never received must be submitted with this form* 6. Checks should be made payable to the Alabama Department of Revenue and mailed to the address below. State agencies may submit forms via fax or email* Alabama Department of Revenue Motor Vehicle Division Montgomery AL 36132-7630 Telephone 334 242-9006 Fax 334 353-2221 Email tags revenue. revenue. alabama*gov/motorvehicle/forms. html Application For Replacement License Plates and Registration Receipts For Government License Plates INSTRUCTIONS ON REVERSE SIDE REGISTRANT INFORMATION DEPARTMENT OR AGENCY NAME TELEPHONE NUMBER Include Area Code STREET ADDRESS FAX STATE CITY ZIP EMAIL VEHICLE INFORMATION REPLACEMENT REQUESTED CHECK ONE PLATE NUMBER VEHICLE IDENTIFICATION NUMBER LICENSE PLATE 2. 00 EA. RECEIPT NO FEE OFFICE USE ONLY REASON FOR REPLACEMENT Stolen Lost Mutilated Incorrect Never Received I certify that the information above is true to the best of my knowledge and belief* Signed by Title Date All VINs for 1981 and subsequent year model vehicles that conform to federal anti-theft standards are required to have 17 digits/characters. .