Fillable ADDITIONAL OR REPLACEMENT PLATES APPLICATION (Dealers) (Wisconsin)

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ADDITIONAL OR REPLACEMENT PLATES APPLICATION (Dealers) (Wisconsin)

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Page 1 of 2
ADDITIONAL OR REPLACEMENT PLATES APPLICATION (Dealers)
Wisconsin Department of Transportation
MV2176 10/2019
A dealer license and dealer bond must be valid to obtain new additional plates.
Legal Business Name (NO DBA’s)
Dealer ID Number
Legal Business Address
(Area Code) Telephone Number
Business City, State, ZIP Code
Dealer Plates
(Auto, motorcycle, wholesale, recreational, distributor and instate manufacturer)
Number of additional plates x $10 $
Number of replacement plates x $4 $
Annual Plates
(Transporter, financial and trailer)
Number of additional plates x $5 $
*Number of replacement plates x $2 $
Demonstrator Plates
(Trailers, trucks, and tractor/truck)
Number of additional plates x (use chart on page 2) $
*Number of replacement plates x $4 $
Total $
List plate #’s here that need
to be replaced:
*Replacement plates for Annual and Demonstrator will be issued the next available plate number
Make Check Payable to:
Registration Fee Trust
Submit completed form and check to:
Wisconsin Department of Transportation
Dealer and Agent Section
P.O. Box 7909
4822 Madison Yards Way
Madison, WI 53705
Authorized Agent Title
(Date – m/d/yyyy)
Wisconsin Department of Transportation | Dealer and Agent Section
(608) 266-1425
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signature
click to edit
Page 2 of 2
ADDITIONAL OR REPLACEMENT PLATES APPLICATION (Dealers) (continued)
Wisconsin Department of Transportation MV2176
TRUCK
WEIGHT
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
8,000
$21.20
$19.43
$17.67
$15.90
$14.13
$12.37
$10.60
$8.83
$7.07
$5.30
$3.53
$1.77
10,000
31.00
28.42
25.83
23.25
20.67
18.08
15.50
12.92
10.33
7.75
5.17
2.58
12,000
41.80
38.32
34.83
31.35
27.87
24.38
20.90
17.42
13.93
10.45
6.97
3.48
16,000
56.60
51.88
47.17
42.45
37.73
33.02
28.30
23.58
18.87
14.15
9.43
4.72
20,000
71.20
65.27
59.33
53.40
47.47
41.53
35.60
29.67
23.73
17.80
11.87
5.93
26,000
95.00
87.08
79.17
71.25
63.33
55.42
47.50
39.58
31.67
23.75
15.83
7.92
32,000
121.80
111.65
101.50
91.35
81.20
71.05
60.90
50.75
40.60
30.45
20.30
10.15
38,000
154.40
141.53
128.67
115.80
102.93
90.07
77.20
64.33
51.47
38.560
25.73
12.87
44,000
184.20
168.85
153.50
138.15
122.80
107.45
92.10
76.75
61.40
46.05
30.70
15.35
50,000
212.60
194.88
177.17
159.45
141.73
124.02
106.30
88.58
70.87
53.15
35.43
17.72
54,000
227.00
208.08
189.17
170.25
151.33
132.42
113.50
94.58
75.67
56.75
37.83
18.92
56,000
241.80
221.65
201.50
181.35
161.20
141.05
120.90
100.75
80.60
60.45
40.30
20.15
62,000
273.40
250.62
227.83
205.05
182.27
159.48
136.70
113.92
91.13
68.35
45.57
22.78
68,000
308.60
282.88
257.17
231.45
205.73
180.02
154.30
128.58
102.87
77.15
51.43
25.72
73,000
351.00
312.75
292.50
263.25
234.00
204.75
175.50
146.25
117.00
57.75
58.50
29.25
76,000
416.20
381.52
346.83
312.15
277.47
242.78
208.10
173.42
138.73
104.05
69.37
34.68
80,000
512.00
469.33
426.67
384.00
341.33
298.67
256.00
213.33
170.67
128.00
85.33
42.67
TRUCK/TRACTOR – $18.00 Surcharge Included
WEIGHT
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
8,000
$24.80
$27.73
$20.67
$18.60
$16.53
$14.47
$12.40
$10.33
$8.27
$6.20
$4.13
$2.07
10,000
34.60
31.72
28.83
25.95
23.07
20.18
17.30
14.42
11.53
8.65
5.77
2.88
12,000
45.40
41.62
37.83
34.05
30.27
26.48
22.70
18.92
15.13
11.35
7.57
3.78
16,000
60.20
55.18
50.17
45.15
40.13
35.12
30.10
25.08
20.07
15.05
10.03
5.02
20,000
74.80
68.57
62.33
56.10
49.87
43.63
37.40
31.17
24.93
18.70
12.47
6.23
26,000
98.60
90.38
82.17
73.95
65.73
57.52
49.30
41.08
32.87
24.65
16.43
8.22
32,000
125.40
114.95
104.50
94.05
83.60
73.15
62.70
52.25
41.80
31.35
20.90
10.45
38,000
158.00
144.83
131.67
118.50
105.33
92.17
79.00
65.83
52.67
39.50
26.33
13.17
44,000
187.80
172.15
156.50
140.85
125.20
109.55
93.90
78.25
62.60
46.95
31.30
15.65
50,000
216.20
198.18
180.17
162.15
144.13
126.12
108.10
90.08
72.07
54.05
36.03
18.02
54,000
230.60
211.38
192.17
172.95
153.73
134.52
115.30
96.08
76.87
57.65
38.43
19.22
56,000
245.40
224.95
204.50
184.05
163.60
143.15
122.70
102.25
81.80
61.35
40.90
20.45
62,000
277.00
253.92
230.83
207.75
184.67
161.58
138.50
115.42
92.33
69.25
46.17
23.08
68,000
312.20
286.18
260.17
234.15
208.13
182.12
156.10
130.08
104.07
78.05
52.03
26.02
73,000
354.60
325.05
295.50
265.95
236.40
206.85
177.30
147.75
118.20
88.65
59.10
29.55
76,000
419.80
384.82
349.83
314.85
279.87
244.88
209.90
174.92
139.93
104.95
69.97
34.98
80,000
515.60
472.63
429.67
386.70
343.73
300.77
257.80
214.83
171.87
128.90
85.93
42.97
TRAILER or SEMI-TRAILER
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
$24.80
$27.73
$20.67
$18.60
$16.53
$14.47
$12.40
$10.33
$8.27
$6.20
$4.13
$2.07
Dealers are asked to make up their own receipt forms using the guide below. You may fill this out and make a photo copy for your
records and give one to the prospective purchaser. Do not detach.
Demonstrator Plate Number
Date (m/d/yyyy)
Hour
a.m.
p.m.
Prospective Purchaser Name
USDOT Number
LC Number
MC Number
Street Address, City, State, ZIP Code
Vehicle Make
Vehicle Model
Vehicle Identification Number (VIN)
Location at Which Vehicle Turned Over to Prospective Purchaser
Dealer Name
By
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ADDITIONAL OR REPLACEMENT PLATES APPLICATION (Dealers) (Wisconsin)

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Completed 12 August 2020

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