Form Vtr-999 - Application For A Specialty License Plate
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1
2***FOR DEPARTMENT USE ONLY***
License Number_______________
APPLICATION FOR A
SPECIALTY LICENSE PLATE
Mo/Yr of Exp__________________
VTR-999
(8/2003)
Date Issued_______________
DHT# 160962
OWNER INFORMATION
Name of Owner __________________________________________________Daytime Phone (_____)_________________________
(as shown on current registration receipt)
Mailing Address _____________________________________________________________________________________________
City ______________________________State _______ Zip Code ________________Texas County of Residence_______________
PLEASE SELECT ONE – Available for passenger cars or light trucks (1 ton or less)
$30
THE FOLLOWING PLATES HAVE A
APPLICATION
Texas State Rifle Association
FEE:
Texas Young Lawyers (And Justice For All)
4-H
Texas.It’s Like A Whole Other Country (Texas Department
Air Force Association
of Economic Development)
Animal Friendly
United States Olympic Committee (Olympic Spirit)
Be A Blood Donor
United We Stand
Boy Scouts Of America
YMCA
Coastal Conservation Association (Redfish)
TEXAS PARKS & WILDLIFE-CONSERVATION
Cotton Boll
Bluebonnet
Ducks Unlimited (Waterfowl and Wetland Conservation)
Horned Lizard
Fight Terrorism
Largemouth Bass
Girl Scouts
White-tailed Deer
I Love Texas (Deaf And Hard Of Hearing)
Keep Texas Beautiful (Don’t Mess With Texas)
PROFESSIONAL SPORTS TEAM
Knights of Columbus
Dallas Cowboys
Lone Star Proud For Kids (Volunteer Advocate)
Dallas Stars
March of Dimes
Houston Texans
Native Texan (Daughters of the Republic of Texas)
$40
THE FOLLOWING PLATES HAVE A
APPLICATION
Organ Donor
FEE:
Read To Succeed
Red Grapefruit (Texas Citrus Industry)
God Bless America
Share The Road
God Bless Texas
Smile Texas Style
A separate application is required for the following plates:
Space Shuttle Columbia
Big Bend National Park–VTR-336
Special Olympics
Collegiate–VTR-228
State Capitol
Houston Livestock Show And Rodeo-VTR-367
State of the Arts (Texas Commission on the Arts)
Professional Fire Fighter-VTR-310
Texans Conquer Cancer
Go Texan (Texas Agricultural Products)-VTR-810
Texas Aerospace Commission
Texas Music – VTR-911
Texas Lions Club
Texas Master Gardener
Texas Reads
NO
YES –
DO YOU WANT YOUR PLATE TO DISPLAY THE DISABLED PERSON EMBLEM?
Attach completed Form VTR-214.
NO
YES –
DO YOU WANT YOUR PLATE PERSONALIZED?
Additional fee of $40. Complete other
side.
THE SPECIALTY PLATE FEE MUST BE PAID ANNUALLY IN ADDITION TO VEHICLE REGISTRATION FEES.
DO NOT MAIL CASH. Please remit payment in the form of PERSONAL CHECK, MONEY ORDER, OR CASHIER’S
CHECK, payable to the Texas Department of Transportation.
FORWARD APPLICATION AND FEE TO:
TEXAS DEPARTMENT OF TRANSPORTATION
VEHICLE TITLES AND REGISTRATION DIVISION (SPB)
AUSTIN, TX 78779-0001
Check our website for a complete listing of specialty plates that are available. Questions regarding your
application should be directed to the Special Plates Branch at 512/374-5010.
SEE REVERSE SIDE FOR ADDITIONAL INFORMATION
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