Ofce Validation
Pursuant to 301.420 RSMo, any false statement in this application is a violation of the law and may be punished by ne, imprisonment, or both.
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Vehicle Information
Year Make Vehicle Identication Number
Title Number Body Style Kind of Vehicle - If Truck or Bus License Number Tab Number New Tab Number
(Zone, Gr.Wt., Seat)
Expiration Month Expiration Year Replacement Permit Number Total Fees
Notary Information
Subscribed and sworn before me, this
day of year
State County (or City of St. Louis) My Commission Expires (MM/DD/YYYY)
Notary Public Signature
Notary Public Name (Typed or Printed)
Embosser or black ink rubber stamp seal
__ __ /__ __ /__ __ __ __
Signature Title
Printed Name Date (MM/DD/YYYY)
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.
__ __ /__ __ /__ __ __ __
Office Use Only
Applicant last renewed this registration on __ __ /__ __ /__ __ __ __ at the _____________________________________________ ofce.
Applicant presented documented proof that the above vehicle is currently registered and the registration is current for this period as
witnessed by ___________________________________________________________________________________________________.
Agent’s Signature Date (MM/DD/YYYY)
__ __ /__ __ /__ __ __ __
Owner’s Name (Last, First, Middle) Telephone Number
Street, Rural Route, or P.O. Box City State Zip Code County
(__ __ __) __ __ __ - __ __ __ __
Form 1576 (Revised 12-2020)
Replacement Plate
Do not use this form if plates are being issued from stock. Use an Application for License (Form 184) instead.
Number of Plates Needed r One r Two r Tabs Only r Bronze Star Placard r Change of Address
Reason Required r Lost r Stolen r Mutilated r Destroyed
r Never Received r Seized by Law Enforcement
r Second Plate Only (see reverse)
No notarization required
Application for Replacement
Plate(s) and Tab(s)
In addition to lling out this form, if your plate(s) or tab(s) were lost or stolen, it is important
that you notify local law enforcement authorities or the Missouri State Highway Patrol.
Reset Form
Print Form
When application is made for replacement plate(s), you will be issued one Replacement Plate Permit. This permit serves as proof of valid
registration until you receive the replacement plate(s). The permit is to be displayed on the back windshield of your motor vehicle unless it
is an autocycle, motorcycle, motortricycle, or trailer. Please carry the validated application receipt with you as proof of valid registration until
you receive your replacement plate(s) or tab(s).
If only one plate is replaced, it must be attached to the rear of the vehicle. A replacement plate for a CMV must be attached to the front of
the vehicle.
Per Tab or Set Per Plate Per Set Per Plate Per Set
Replacement $8.50 $8.50 $17.00 $8.50 $17.00 $8.50
Processing $6.00 $6.00 $6.00 $6.00 $6.00 $6.00
Any person replacing stolen license plates or tabs may receive up to two sets of license plates or tabs per year at no cost,
a processing fee will still apply.
Second Plate Only - Any owner of a commercial motor vehicle whose vehicle is licensed as farm, local or beyond local in excess of 12,000
lbs., or an owner of a commercial bus may be issued a second license plate. The second license plate will bear the same conguration as
the initial license plate and contain a number “2” sticker in the upper right hand corner. The rst plate must be attached to the front of the
vehicle and the second plate, with the “2” sticker, must be placed on the rear of the vehicle. No notarization is required for optional second
plate CMV.
Second Plate $8.50 $8.50 $8.50
Processing $6.00 $6.00 $6.00
Note: License Ofce notary service - $2.00
All payments by check must:
1. Be payable to Missouri Department of Revenue.
2. Be pre-printed with the check writer’s name, address, bank code, and account number.
3. Include the check writer’s driver license or nondriver license number, date of birth, and daytime telephone number.
Note: The Missouri Department of Revenue may electronically resubmit checks returned for insufcient or uncollected funds. Other
restrictions may apply.
Vehicle owners can obtain replacement plate(s) or tab(s) in instances when the original has been lost, stolen, mutilated, destroyed, or
never received.
Refer to warning at the top of form. (301.420 RSMo)
Ensure replacement plate(s) or tab(s) are necessary. Refunds will not be granted after the manufacture of replacement plates.
If the original is found after application is made, the original becomes null and void and must be surrendered immediately to the Missouri
Department of Revenue.
1. Your name must match the name as it appears on your certicate of title or registration receipt or this application will be rejected.
2. Enter your current address and telephone number where you may be reached during normal business hours.
3. Complete all vehicle information blocks.
4. For truck or bus plates, enter zone and weight or seating capacity.
5. Enter current license plate(s) or tab(s) number and expiration month and year.
6. If applying for replacement plates or tabs, indicate the number of plate(s) you need to replace. If replacing tabs only, mark the
“Tabs Only” block.
7. Indicate the reason required.
8. The application must be signed in the presence of a Notary Public. NOTE: A notary is not required if applying for an optional second
plate Commercial Motor Vehicle (CMV).
Form 1576 (Revised 12-2020)
Mail to: Motor Vehicle Bureau Phone: (573) 526-3669
P.O. Box 100 E-mail: mvbmail@dor.mo.gov
Jefferson City, MO 65105-0100
Visit http://dor.mo.gov/motorv/
for additional information.
Applicant Instructions - Please Read CarefullyReplacement Plate(s) and Tab(s) - Special Instructions