Application for Armed Forces, Coast Guard Auxiliary ...

1 Application for Armed Forces, CoastGuard Auxiliary , Merchant Marine &Civil Air Patrol LicensePlatesFirst NameAddressMiddle NameLast NameCitySuffixCountyStateZIPE mailPhoneVehicle Identification NumberCurrent TX Plate(if any)YearMakeBody StyleEmpty Weight(lbs.) PassengerCar(up to 18,000 lbs.) Truck (up to 18,000 lbs.) Motorcycle/Moped TrailerVehicle Identification NumberCurrent TX Plate(if any)YearMakeBody StyleEmpty Weight(lbs.) PassengerCar(up to 18,000 lbs.) Truck (up to 18,000 lbs.) Motorcycle/Moped TrailerDateFor County Use OnlyLicense No _____Mo/Yr of ExpDate IssuedInstructionsSubmit the completed Application and payment if requiredin the form of a personal check, money order, or cashier s check with proofof eligibility to your local county tax assessor-collector s not mail cash.

2 There is no specialty plate fee; however, the annualregistration and other applicable fees must be license plates may be personalized for anadditional $40 fee; make your choice on page 2. Your annual registration fee must bepaidto your local county tax assessor-collector when your plates are issued. NOTE: When the specialty plate is issued, additional fees may be collected to establish a single expiration date for both the new specialty plate and the vehicle havea thevehicle isnottitledinyourname, attacha statementstatingyouhavelegalrightofposse ssionandcontrolofthevehicle. If yourecently submittedanapplication fortitle, attacha copyofthe title Application receipt (VTR-500-RTS). If the vehicle is leased, attach a copy of the lease agreement.

3 If you order by mail, please contact your county tax assessor-collector s office in three weeks to verify your plates are ready or if you have any Information Vehicle 1 Vehicle TypeVehicle 2 Vehicle TypePlate TypeCircle your specialty plate choice below or enter your choice here : Armed Forces Reserve Merchant Marine Air force Honorably Discharged Air force Retired Air force Army Honorably Discharged Army Retired Army Coast Guard Honorably Discharged Coast Guard Retired Coast Guard Coast Guard Auxiliary Honorably Discharged Marines Corps Retired Marine Corps Marines Corps Honorably Discharged Navy Retired Navy Navy Certification State law makes falsifying information a third-degree felony.

4 I meet the eligibility requirements as listed on page 2 of this Application and am providing proof to that effect. Signature Form VTR-424 Rev. 8/2019 Form available online at Page 1 of 2 Application for Armed Forces, Coast Guard Auxiliary , MerchantMarine & Civil Air Patrol License PlatesEligibility Requirements Armed Forces: Proof you areeitheran activemember of the Armed Forcesor a former member of the Armed Forceswith an honorable discharge. Armed Forces Honorably Discharged: Proof you are a formermember of the Armed Forces with anhonorable discharge. Armed Forces Retired: Proofyou are a retired member of the Armed will accepta letter from the Departments of Defense or Homeland Security stating the member has 20 or more years of satisfactory federal serviceor an ID card fromone of those agencies indicatingthat the member is retired with an honorable discharge.

5 Armed ForcesReserve: Proofyou are an active or former member with honorable discharge from the Armed Forces Reserve. Merchant Marine: Proof you are a member or former member of the Merchant Marine with an honorable discharge. Texas Wing Civil Air Patrol: Proof you are a member of the Air force Auxiliary , Civil Air Patrol. Guard Auxiliary : Proofyou are a member of the Coast Guard Your Plate If you would like to personalize your specialty plate, there will be a $40 fee per year in addition to the annual registration fee. Show personalizationsexactly as youwantthem to appear on your license plate(s). You may list more than one option in theevent the personalization you have chosen has beenissued. A personalizationthat has been issued, is deemed offensive,orconflicts with the regular license plate numbering system cannotbe approved.

6 Enter your desired personalized letters, numbers, and/or symbolsin the blocks below. The available symbols include: aperiod,a dash,a blank space, a Texas silhouette(use an asterisk * to indicate), a heart (use an at @ to indicate), and a star (use anampersand & to indicate). Passenger car, truck, and trailerplatesare limited to six (6) characters total, including punctuation characters. Motorcycle/mopedplates are limited to four (4) characters total, including punctuation characters. The International Symbol of Access counts as two(2)charactersand will be located at the beginning of the plate number. Ifyouare disabled and applying for personalized specialty plates,use a percent % to indicate the International Symbol of feewill not be refunded oncetheapplication is 11stChoice2ndChoice3rdChoiceVehicle 2 International Symbol of AccessTo display the International Symbol of Access on your license plate, attach a signedApplication for Persons with Disabilities Parking Placard and/or License Plate(Form VTR-214)to thisapplicationto show your eligibility.

7 Contactyour county tax assessor-c ollector s officeif you have VTR-424 Rev. 8/2019 Form available online 2 of 2