Form Mv-303 - Application For Replacement Of License Plates/validation Stickers Or Title (Lost In Mail)
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1SD EForm - 1823
V4
HELP
Complete and use the button at the end to print for mailing.
VALIDATION AND
State of South Dakota
OFFICE USE ONLY
Division of Motor Vehicles
Title____________________
445 E. Capitol Avenue
Pierre, SD 57501
Date
Issued___________________
F: 605-773-2550 | P: 605-773-3541 |
Application for Replacement of License Plates, Validation Stickers or
Lost Title Document (Lost in Mail)
Office locations and mailing addresses for county treasurers can be found at .
Date _____________
A
Applicant(s) Name(s) ___________________________________________________________________
Applicant
and Vehicle
Mailing Address _______________________________________________________________________
Information
*Required
Daytime Phone __________________ E-mail Address ________________________________________
Information
Vehicle Title Number____________________________________
Vehicle Identification Number (VIN)_________________________________________
I, __________________________ , certify that I am the current registered owner of the above described
vehicle; that plates/stickers were issued on________________, to the same address (listed above), on file at the
B
DMV and it is within 90 days of the issue date and that the license plates/validation stickers, for which I have
Replacement of
License Plates/
previously paid the required fee, have not been received by me.
Validation
Stickers
Replacing Validation Sticker(s) Number_______________________________________________________
Replacing License Plate(s) Number___________________________________________________________
Originally Purchased On_________________in the County of_________________ or Online/SST
I hereby request that the county treasurer or DMV issue replacement license plates/validation stickers at no
additional cost to me. I swear, under penalty of perjury, that I will not use the replacement license plates or
validation stickers on any vehicle other than the one identified above. I further swear, should the original set
of plates or stickers eventually be delivered to me, that I will not use them, nor allow them to be used, on any
vehicle, but will immediately return them to the county treasurer office or DMV as described in box below.
Signature of Affiant________________________________
If license plate/validation stickers were purchased from county treasurer, please submit this form to your treasurer's office. If license
plate/validation stickers were purchased online or at a self-service terminal location, please submit to DMV at address above.
I,___________________________, certify that I am the current registered owner of the following described
C
vehicle; that the vehicle title was originally printed on ________________________, to the same address
Replacement
(listed above) on file at the DMV and it is within 90 days of the issue date, that the title application fees
of Lost Title
have been paid and that such title has not been received by me.
Document
________________________________________________________
Vehicle Make/Model/Year
I hereby request that the Division of Motor Vehicles issue a replacement title at no additional cost to me.
I affirm that if the original title is eventually received, I will immediately return it to the Division of
Motor Vehicles at the address above.
Signature of Affiant___________________________________________
Date_____________________
03/2016
PRINT FOR MAILING
CLEAR FORM
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