Fill - Free fillable PERSONALIZED LICENSE PLATE APPLICATION (State of Nevada, Department of Information Technology) PDF form

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. 2021-09)

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 ___________________________________________________________________________________________________

Please pri

nt 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

Zip Code

Mailing Address

Address

City

State

Zip Code

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 :

click to sign

signature

click to edit

• 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

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

License Plate

Maximum

Characters

Personalized

Fee

Listed below is a breakdown of the fee amount that

makes up the Personalized Fee for each license plate.

NOTE: License plate fees are in

addition to all other registration

fees and taxes.

Large

Plate

Small

Plate

Submit this

amount with

original

application

Portion of fee to

sponsoring

agency

Personalized

Fee

Portion of fee to

sponsoring

agency

Original

Renewal

Home Means Nevada (Std. Issue)

$42

N/A

$20

N/A

Agriculture (FFA)

$96

$25

$50

$20

Animal Appreciation

$96

$25

$50

$20

Breast Cancer Awareness

$96

$25

$50

$20

Childhood Cancer

$96

$25

$50

$20

Children in the Arts

$86

$15

$40

$10

Citizen Project

$96

$25

$50

$20

Conserve Wildlife

$96

$25

$50

$20

Desert Conservation

$96

$25

$50

$20

Electric Vehicle

(Full Electric Vehicles Only)

$126

$55

$20

$46

Forever Strong

$96

$25

$50

$20

Friends of Las Vegas Metro Police

$96

$25

$50

$20

Gift of Autism

$96

$25

$50

$20

Golden Rule

$96

$25

$50

$20

Henderson Historical Society

$96

$25

$50

$20

Hoover Dam

$96

$25

$50

$20

Hot August Nights

$96

$25

$50

$20

Lake Tahoe

$96

$25

$50

$20

Las Vegas Commemorative

$96

$25

$50

$20

Mining and Metallurgy

$96

$25

$50

$20

Missing and Exploited Children

$86

$15

$40

$10

Mount Charleston

$96

$25

$50

$20

Nevada Bighorn Unlimited

$96

$25

$50

$20

Nevada Test Site

$96

$25

$50

$20

Opportunity Village

$96

$25

$50

$20

Organ Donor

$96

$25

$50

$20

Preserve Pyramid Lake

$96

$25

$50

$20

Public Education Foundation

$96

$25

$50

$20

Raiders

$96

$25

$50

$20

Red Rock Canyon

$96

$25

$50

$20

Reno Air Races

$96

$25

$50

$20

Rodeo

$96

$25

$50

$20

STEM

$96

$25

$50

$20

Support Wildlife

$96

$25

$50

$20

United We Stand

$96

$25

$50

$20

UNLV

$96

$25

$50

$20

UNR

$96

$25

$50

$20

V&T Railroad

$96

$25

$50

$20

Vegas Golden Knights

$81 $10

$50

$10

Virginia Range Mustangs

$96

$25

$50

$20

Women’s Suffrage

$96

$25

$50

$20

SP66A (Rev. 2021-10)

Reno/Sparks/Carson City (775) 684-4DM

V (4368)

Las Vegas area (702) 486-4DMV (4368)

555 Wright Way

Carson City, NV 89711-0700

dmvnv.com

Fax: (775) 684-4797

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. 2021-09)

By signing this form, you give us permission to debit your account for the amount

indicated on or after the indicated date.

I authori

ze 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 (State of Nevada, Department of Information Technology)

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