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APPLICATION FOR REPLACEMENT LICENSE PLATE, …

STATE OF FLORIDA. DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES MOTORIST SERVICES. SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE. APPLICATION FOR REPLACEMENT LICENSE plate , VALIDATION DECAL. OR PARKING PERMIT. (Instructions on Reverse Side). 1 REPLACEMENT TYPE REPLACEMENT REASON. Check applicable box below: Check applicable box below: LICENSE plate Damaged Surrendered/Seized Decal Defaced Stolen LICENSE plate and Decal Lost Disabled Person Long-Term Parking Permit Lost-in-transit (applied for and never received). Disabled Person Temporary Parking Permit Voluntary (specific reason for REPLACEMENT ) _____. HOV (High Occupancy Vehicle) Decal _____. Please contact your Local County Tax Collector's Office or LICENSE plate Agency for fee information.

PROCEDURES AND INSTRUCTIONS . Provision of Law: Section 320.0607, Florida Statutes, provides for the replacement of license plates and validation decals when the

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