
APPLICATION FOR CLASSIC
LICENSE PLATES
***FOR DEPARTMENT USE ONLY***
Applicant’s Approved “Old” Dept. Issued Dept. Issued
Texas Plate Number_______________________ Tab Sticker________________________ Plate Number____________________
Fee $___________________________________ Approved by Dept:___________________________________________________
Office Name Date
APPLICANT INFORMATION
Name of Owner ___________________________________________________ Daytime Phone (_______)_____________________
(as shown on current registration receipt) Area Code
Mailing Address _____________________________________________________________________________________________
City ___________________________________________________________State _______ Zip Code ________________________
Texas County of Residence ____________________________________________________________________________________
Year Of Vehicle__________Make Of Vehicle__________Vehicle Identification Number_____________________________________
Body Style__________Current Texas License Plate_____________Mfg. Rated Carrying Capacity (1 Ton or Less Truck)___________
Classic Auto ............................................................................................... Fee: $15.00
Classic Auto (Personalized) ....................................................................... Fee: $55.00 ($15.00 plus $40.00 personalized plate fee)
Classic Truck.............................................................................................. Fee: $15.00
Classic Truck (Personalized)...................................................................... Fee: $55.00 ($15.00 plus $40.00 personalized plate fee)
Classic Motorcycle ..................................................................................... Fee: $15.00
Classic Motorcycle (Personalized) ............................................................. Fee: $55.00 ($15.00 plus $40.00 personalized plate fee)
CLASSIC AUTO PERSONALIZED CLASSIC AUTO
CLASSIC TRUCK PERSONALIZED CLASSIC TRUCK
CLASSIC MOTORCYCLE PERSONALIZED CLASSIC MOTORCYCLE
I, the undersigned, state that I am the owner of the above described vehicle which is 25 or more years old, and it is a
passenger or light commercial motor vehicle having a manufacturer’s rated carrying capacity of one ton or less. I further
state that if the vehicle described ceases to be my property or is junked, destroyed, or ceases to exist during the
registration year, the registration receipt and plates will be returned to this department for cancellation.
CLASSIC AUTO, CLASSIC MOTORCYCLE, OR CLASSIC TRUCK PERSONALIZED LICENSE PLATE SELECTION –
Limit six (6) alpha or numeric characters or less per choice. Please refer to the reverse side for additional instructions on
punctuation symbols, a silhouette of Texas, or blank spaces.
**A license number that has already been issued or is deemed to be offensive or inappropriate will not be approved.**
1st 2nd 3rd
SIGNATURE OF APPLICANT:___________________________________________DATE:_______________________
THE MAILING OF CASH IS DISCOURAGED. Please remit payment in the form of CASHIER’S CHECK, MONEY ORDER,
or CHECK payable to the Texas Department of Transportation.
FORWARD APPLICATION AND FEE TO: TEXAS DEPARTMENT OF TRANSPORTATION
VEHICLE TITLES AND REGISTRATION DIVISION (SPB)
AUSTIN TX 78779-0001
Questions regarding your application should be directed to the Special Plates Branch at (512) 374-5010.
(Over)
VTR-850
(Rev. 3/2003)
DHT #158495