State Vanity & Personalized License Plates Request Form Vehicle Owner’s Name Address City A B C D E F 1 2nd choice Important Facts • No refund or adjustment will be made for a change of choice or spacing after a plate has been ordered or if the request form is incorrectly completed. • The Secretary of State’s office is authorized to recall a plate determined to be obscene or offensive. • All request forms should indicate whether you want the Secretary of State to assign one of your choices with the next available number if your exact request is unavailable. • If you wish to submit more than three requests, attach additional selections to the request form. • Numbers are required to precede letters on personalized B-truck, RV and RT plates. • If you want a space between letters, please indicate with a slash mark. An automatic space is required between letters and numbers. Spacing varies with the type of plates requested. Proper completion of the form is the customer’s responsibility. VANITY & PERSONALIZED LICENSE PLATES DO NOT • • • • Intermix letters and numbers Use a space between numbers Use lowercase letters Use characters, symbols, foreign words or symbols of punctuation, such as dashes or periods • Select obscene or offensive combinations First-Time Registrations ZIP OFFICE USE ONLY 3rd choice Personalized Plates 1, 2, 3, 4, 5 letters plus 1-99 or 6 letters plus 1-9 Expiration Date Type of plate: ❏ Passenger ❏ B-Truck ❏ RV ❏ RT ❏ Motorcycle ❏ Specialty Daytime Telephone Number (8 a.m.-4:30 p.m.) Current License Plate # ❏ Vanity Plates ❏ Personalized Plates 1st choice examples Vanity Plates Up to 3 numbers or 1 to 7 letters only If your exact 1st, 2nd and 3rd choices are not available, would you like the next plate number available in that series? ❏ Yes ❏ No If you want a space between letters, please indicate with a slash mark. An automatic space is required between letters and numbers. I B U Y U S A Note: Spacing will vary with the type of plate requested. Proper completion of this form is the customer’s responsibility. Vanity/Personalized Plates • Money must accompany request forms on all first-time registrations. • If your request is not available, random-number plates will be issued. Additional fees are required to replace your random-number plates with vanity or personalized plates. • The dealership where you purchase your vehicle may apply for vanity or personalized plates on your behalf for a first-time registration. • A leased vehicle is eligible for vanity or personalized plates. Jesse White Secretary of State ♻ Printed on recycled paper. Printed by authority of the State of Illinois. January 2013 — 10M — VSD 414.19 Registration and Fee Information As Secretary of State, I am pleased to offer you the opportunity to express yourself through vanity or personalized license plates. These plates allow you to be creative, say something special or help support an important cause. Vanity and personalized plates are multi-year and may be displayed on passenger vehicles, B-trucks weighing 8,000 pounds or less, motorcycles, recreational vehicles and recreational trailers. To request standard vanity or personalized plates, please submit the Vanity & Personalized License Plates Request Form on the back of this brochure. Availability of plate combinations cannot be given over the phone. If your plate request is available, you will receive an application to be completed and returned along with the appropriate fees within 45 days. DO NOT send money unless you are applying for title and first-time registration. Most specialty plates require special fees in addition to the vanity or personalized fee. For more information on specialty and military plates available in vanity and personalized, please visit Pick-a-Plate at www.cyberdriveillinois.com. Vanity and personalize messages are available on standard passenger, B-truck, motorcycle, RV and RT plates as well as on a variety of specialty plates. The sale of vanity and personalized plates helps support highway maintenance as well as preserve our state parks, raise money for violence prevention, promote Vanity License Plates Personalized License Plates Vanity plates contain up to 3 numbers or 1 to 7 letters only. Personalized plates contain both letters and numbers. Passenger, B-truck, RV Passenger, B-truck, RV • Newly-acquired vehicle/first-time issuance • Newly-acquired vehicle/first-time issuance ($95 title fee, $101 registration fee or RV registration fee, $94 vanity fee) organ/tissue donor awareness and support a variety of other • Currently titled vehicle/first-time issuance benevolent causes through the purchase of specialty plates. • Current plates expire within 90 days I encourage you to join the thousands of Illinois drivers who have • Current plates do not expire within 90 days expressed their individuality by purchasing vanity and • Annual renewal ($101 registration fee or RV registration fee, $94 vanity fee) ($101 registration fee or RV registration fee, $94 vanity fee, $29 replacement fee) personalized license plates. Jesse White Secretary of State ($94 vanity fee, $29 replacement fee) ($101 registration fee or RV registration fee, $13 vanity fee) ($95 title fee, $101 registration fee or RV registration fee, $47 personalized fee) • Currently titled vehicle/first-time issuance ($101 registration fee or RV registration fee, $47 personalized fee) • Current plates expire within 90 days ($101 registration fee or RV registration fee, $47 personalized fee, $29 replacement fee) • Current plates do not expire within 90 days ($47 personalized fee, $29 replacement fee) • Annual renewal ($101 registration fee or RV registration fee, $7 personalized fee) Motorcycle, RT Motorcycle, RT • Newly-acquired vehicle/first-time issuance • Newly-acquired vehicle/first-time issuance ($95 title fee, $41 motorcycle or RT registration fee, $50 vanity fee) • Currently titled vehicle/first-time issuance ($41 motorcycle or RT registration fee, $50 vanity fee) • Current plates expire within 90 days ($41 motorcycle or RT registration fee, $50 vanity fee, $26 replacement fee) • Current plates do not expire within 90 days ($50 vanity fee, $26 replacement fee) • Annual renewal ($41 motorcycle or RT registration fee, $13 vanity fee) ____________ *Registration fees vary based on plate type. *RT and RV registration may vary based upon registration date and weight. Send request for Vanity/Personalized License Plates to: Secretary of State Vehicle Services Department• Personalized Plates Section 501 S. Second St., Rm. 532 • Springfield, IL 62756 ($95 title fee, $41 motorcycle or RT registration fee, $25 personalized fee) • Currently titled vehicle/first-time issuance ($41 motorcycle or RT registration fee, $25 personalized fee) • Current plates expire within 90 days ($41 motorcycle or RT registration fee, $25 personalized fee, $26 replacement fee) • Current plates do not expire within 90 days ($25 personalized fee, $26 replacement fee) • Annual renewal ($41 motorcycle or RT registration fee, $7 personalized fee) Note: Numbers precede letters on personalized B-truck, RV and RT plates. Vanity and personalized plates also may be requested through Pick-a-Plate at www.cyberdriveillinois.com. For more information, call 217-785-0005, or visit
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