Transcription of Voluntary License Plate Surrender - AUTO REGISTRATION
1 STATE OF FLORIDADEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLESDIVISION OF MOTOR VEHICLESNeil kirkman building - tallahassee , FL 32399-0620 Voluntary License Plate SURRENDER_____ _____ NAMEDL NUMBER ASSOCIATED WITH License Plate AND REGISTRATION_____ _____ NAMEDL NUMBER_____ _____ ADDRESSCITYSTATEZIP CODEThis will acknowledge receipt of your: MOTOR VEHICLE License Plate # _____ DECAL # _____ MOTOR VEHICLE REGISTRATION (S) CANCELLED AND RETURNED, surrendered as a result of termination orcancellation of mandatory insurance above item or items will be reissued upon your compliance with the Registrant s Copy_____2. Bureau s Copy BFR BFODATE SIGNATURE REGISTRANT_____HSMV 82200 (8/00) S SIGNATURE - TITLE - OFFICE
