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State of Florida - Florida Department of Highway Safety ...

Florida Department OF Highway Safety AND MOTOR VEHICLES Application for Registration of a Street Rod, Custom Vehicle, Horseless Carriage or Antique ( permanent ) IN STRUCTI ONS: COMPLETE APPLICATION AND CHECK APPLICABLE BOX 1 APPLICANT INFORMATI ON Name of Applic ant Applicant s Email A ddress Street Address City _ State Zip Telephone number _ Sex Date of Birth Florida Driver License number or FEID number 2 VEHICLE INFORMATI ON YEAR MAKE BODY TYPE WEIGHT OF VEHICLE COLOR ENGINE OR ID# TITLE# _ PREVIOUS LICENSE PLATE# _ 3 CERTIFICATI ON (Check A pplicable Box) The vehicle described in section 2 is a Street Rod which is a modified motor vehic le m anufactured prior to 1949. The vehic le m eets State equipment and Safety requirements t hat were in effect in this State a s a c onditi on of sale in th e year listed as the model y ear on the certifica te of titl e.

Horseless Carriage or Antique (Permanent) INSTRUCTIONS: COMPLETE APPLICATION AND CHECK APPLICABLE BOX. 1 APPLICANT INFORMATION. Name of Applicant. Applicant’s Email Address. Street Address. City _ State. Zip. Telephone Number _ Sex. Date of Birth . Florida Driver License Number or FEID Number . 2 VEHICLE INFORMATION YEAR . MAKE. BODY …

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