Fillable PERSONALIZED LICENSE PLATE APPLICATION (Department of Motor Vehicles )

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PERSONALIZED LICENSE PLATE APPLICATION (Department of Motor Vehicles )

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Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
555 WRIGHT WAY
CARSON CITY, NV 89711-0700
dmvnv.com
Fax: (775) 684-4797
SP66 (Rev. 2020-07)
PERSONALIZED LICENSE PLATE APPLICATION
NRS 482.3667
Personalized License Plates are issued for passenger and light commercial vehicles, trailers, or motorcycles.
This application is not required for specialty license plates unless they are personalized.
Personalized license plates ordered via mail or facsimile will be available for pickup at the DMV location of your choice, specified
on the application below; you will be notified by mail when the plates are available to be picked up. You must bring your current
registration, evidence of Nevada insurance and license plates. Substitute plate fees may apply.
If the vehicle is currently registered, you have the option to maintain the current vehicle registration expiration date or to renew
for a full 12-month period from the date of transaction. Credit for any unused portion of the current registration is transferable
to the personalized license plate registration. Evidence of a passing emissions inspection dated within the last 90 days (where
applicable) will be required if you choose to renew your registration.
NOTE: The Department reserves the right to refuse any combination of letters and/or numbers that are deemed to be derogatory, profane,
vulgar, or in conflict with any license plate series that has been issued. (NRS 482.3667 and NAC 482.320). All personalized plates are
subject to an approval process; you will be notified if the plates you have requested are denied. The DMV may prohibit the transfer of
personalized license plates from one vehicle or trailer to another if such transfer would result in an inappropriate use of letters or combination
of letters and numbers.
Complete a SEPARATE application for each personalized license plate request.
Combinations MAY NOT exceed the number of positions, including spaces, designated for each Specialty License Plate. Symbols and
punctuation marks MAY NOT be used. Refer to PERSONALIZED LICENSE PLATE INFORMATION SHEET (form SP-66A) for the maximum
characters for each license plate style and associated fees.
License Plate Size
Vehicle/Large Trailer (Large Plates) Motorcycle / Small Trailer (Small Plate)
Requested Plate Style (i.e., V&T, Rodeo, Home Means Nevada) ______________________________________________________________
If you currently have a registered personalized license plate and want to transfer to another license plate style, the original license plate
fee must be submitted with the application.
First Choice Second Choice
Third Choice Current License Plate Number _______________________
You must
explain the meaning of your requested personalized license plate. Write out how the license plate would read if it were spelled
out in complete words. The application will be rejected if this field is left blank or incomplete.
Explanation ___________________________________________________________________________________________________
Pleas
e print or type
Full Legal Name
Last Name
First Name
Middle Name
Nevada Driver’s License Number, Identification Card Number, or FEIN (for businesses)
Physical Nevada Address
Address
City
State
Mailing Address
Address
City
State
Telephone Number
E-Mail Address
Name of person to whom the license plate will be registered (if other than the applicant): _______________________________________
If ordered by mail, the location of the DMV office or County Assessor’s office where you will pick up your license plates
__________________________________. Please allow 4 to 6 weeks from the date of order for the license plates to be delivered.
Signature of Applicant: _____________________________________ Date: ___________________________
For DMV Use Only
Super Trans. Number:
Date of Plate Order :
• Personalized or sequentially numbered license plates for motorcycles and trailers are available with the specialty backgrounds. Total fees include
a prison industry fee of 50 cents per plate. Home Means Nevada plates include a plate production fee of $3.00 per plate. When ordering a
motorcycle or trailer plate, deduct $3.50 for a Home Means Nevada plate; deduct 50 cents for all other plates.
• You may view license plates and get additional information on the web at: http://www.dmvnv.com/platesmain.htm
• There is a Technology fee associated to each transaction.
Contact the NV DMV if you have any questions concerning license plate fees, plate availability, or the correct amount of fees to remit.
PERSONALIZED LICENSE PLATE INFORMATION SHEET
Listed below is a breakdown of the fee
amount that makes up the Personalized
Fee for each license plate.
Portion of fee
to sponsoring
agency
Personalized
Fee
Portion of fee
to sponsoring
agency
Original
Renewal
Renewal
N/A
$20
N/A
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$15
$40
$10
$25
$50
$20
$25
$50
$20
$25
$50
$20
$55
$20
$46
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$15
$40
$10
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
$25
$50
$20
N/A
$50
N/A
$25
$50
$20
$25
$50
$20
SP66A (Rev. 2020-07)
License Plate
Maximum
Characters
Personalized
Fee
NOTE: License plate fees are in
addition to all other registration
fees and taxes.
Large
Plate
Small
Plate
Submit this
amount with
original
application
Home Means Nevada (Std. Issue)
7
6
$43
Agriculture (FFA)
5
4
$97
Animal Appreciation
5
4
$97
Breast Cancer Awareness
5
4
$97
Childhood Cancer
5
4
$97
Children in the Arts
5
4
$87
Citizen Project
5
4
$97
Conserve Wildlife
5
4
$97
Desert Conservation
5
4
$97
Electric Vehicle
(Full Electric Vehicles Only)
5
4
$127
Forever Strong
5
4
$97
Gift of Autism
5
4
$97
Golden Rule
5
4
$97
Henderson Historical Society
5
4
$97
Hoover Dam
5
4
$97
Hot August Nights
5
4
$97
Lake Tahoe
7
6
$97
Las Vegas Commemorative
5
4
$97
Missing and Exploited Children
5
4
$87
Mount Charleston
5
4
$97
Nevada Bighorn Unlimited
5
4
$97
Nevada Test Site
5
4
$97
Organ Donor
5
4
$97
Preserve Pyramid Lake
5
4
$97
Raiders
5
4
$97
Red Rock Canyon
5
4
$97
Reno Air Races
5
4
$97
Rodeo
5
4
$97
STEM
5
4
$97
Support Wildlife
5
4
$97
United We Stand
5
4
$97
UNLV
5
4
$97
UNR
5
4
$97
V&T Railroad
5
4
$97
Vegas Golden Knights
5
4
$72
Virginia Range Mustangs
5
4
$97
Women’s Suffrage
5
4
$97
555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas area (702) 486-4DMV (4368)
dmvnv.com
PAYMENT AUTHORIZATION FORM
DO NOT EMAIL FORM
Debit or Credit Card Number
(one number per box)
-
-
-
Expiration Date
Payment Type:
Master Card
Visa
Discover Card
/
Month
Year
-----------------------------------------------------------------------------------------------------------------------
Cardholder Information
Printed Name
Payment
Cardholder Billing Address
Print your name as it appears on your card
Pursuant to NRS 353.1467, credit card
payments of $10,000 or more are not permitted
and cannot be split between multiple payments
and/or card types.
Street / P.O. Box
City
State
Zip Code
Plate/Driver Lic./Bus. Lic./Records/MC
Number of the transaction being processed.
Telephone
Authorized Signature
Date
ADM-205 (Rev. 6/2019)
By signing this form, you give us permission to debit your account for the amount
indicated on or after the indicated date.
I au
thorize the DMV to charge the credit/debit card indicated in this authorization form
according to the terms outlined above. This payment authorization is for the amount
indicated above only and is valid for one-time use only. I certify that I am an authorized
user of this credit/debit card and that I will not dispute the payment with my credit/debit
card company so long as the transaction corresponds to the terms indicated in the form.
Do not email this authorization form. E-mail is NOT a secure form of transmittal to protect
your card information.
“
Office Use Only
Super Tran ID
Last four of Card Number
Technician Number
Comments:
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PERSONALIZED LICENSE PLATE APPLICATION (Department of Motor Vehicles )

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Completed 24 December 2020

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