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Application For Seniors Temporary Farm Bus And Camp Bus License Plates BMV 4816 - Ohio
| Application For Seniors Temporary Farm Bus And Camp Bus License Plates Form. This is a Ohio form and can be used in Vehicle Registration Bureau Of Motor Vehicles Statewide . |
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OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES APPLICATION FOR SENIOR, TEMPORARY FARM AND CAMP BUS LICENSE PLATES You MUST CHECK THE TYPE of new plate requested or your application cannot be processed. SENIORS BUS TEMPORARY FARM BUS CAMP BUS TYPE OR PRINT OHIO LICENSE PLATE # INSTRUCTIONS ON BACK EXPIRATION DATE REGISTRATION INFORMATION FOUND ON OHIO REGISTRATION CARD VEHICLE INFORMATION FROM OHIO CERTIFICATE/MEMORANDUM TITLE DATE VEHICLE PURCHASED VEH YEAR MAKE TYPE VEHICLE SERIAL # CERTIFICATE OF TITLE # OWNER INFORMATION OWNER NAME OHIO ADDRESS VEHICLE OWNERSHIP SINGLE JOINT LEASED OWNER BUSINESS ADDRESS DAYTIME PHONE # DATE OF BIRTH SSN/TIN/OH DL/OH ID STATE ZIP CODE ( ) CITY OH JOINT OWNER/LESSEE NAME COMPANY CITY STATE ZIP CODE SSN OR TAX ID # OHIO COUNTY OF RESIDENCE Is your license plate registration under suspension or revocation under Ohio Financial Responsibility Law? YES: NO IF PLATES ARE TO BE MAILED TO A DIFFERENT ADDRESS FROM THAT SHOWN ABOVE, FILL IN THE FOLLOWING ADDRESS CITY STATE ZIP CODE PROOF OF FINANCIAL RESPONSIBILITY YOU WILL LOSE YOUR DRIVER LICENSE FOR AT LEAST 90 DAYS IF YOU DRIVE WITHOUT INSURANCE OR OTHER FR PROOF In Ohio, it is illegal to drive any motor vehicle without insurance or other financial responsibility (FR) coverage. It is also illegal for any motor vehicle owner to allow anyone else to drive the owner's vehicle without FR coverage. PROOF OF COVERAGE IS REQUIRED: Whenever a police officer issues a traffic ticket random checks by the Registrar of Motor Vehicles. At all vehicle inspection stops Upon traffic court appearances and Upon ANY DRIVER OR OWNER WHO FAILS TO SHOW PROOF OF INSURANCE OR OTHER COVERAGE WILL: Lose his or her driver license for 90 DAYS on first offense, ONE YEAR on second offense and TWO YEARS on additional offenses Lose his or her license plates and vehicle registration Pay reinstatement fees of $100.00 for first offense, $300.00 for second offense, $600.00 for third and subsequent offenses Pay a $50.00 penalty for any failure to surrender his or her driver license, license plates, or registration AND Be required to maintain special FR coverage ("High-risk" insurance or equivalent) on file with the Bureau of Motor Vehicles (BMV) for THREE or FIVE YEARS. ONCE THIS SUSPENSION IS IN EFFECT: Any driver or owner who violates the suspension will have his or her vehicle immobilized and his or her license plates confiscated for at least 30 DAYS first offense and 60 DAYS second offense. For third or subsequent offenses, the vehicle will be forfeited and sold and the person will not be permitted to register any motor vehicle in Ohio for FIVE YEARS. IF YOU ARE INVOLVED IN AN ACCIDENT WITHOUT INSURANCE OR OTHER FR COVERAGE: In addition to all the penalties listed above, you may have SECURITY SUSPENSION for TWO YEARS or more and A JUDGMENT SUSPENSION INDEFINITELY (until all damages have been satisfied). THESE PENALTIES ARE IN ADDITION TO ANY FINES OR PENALTIES IMPOSED BY A COURT OF LAW. WARNING: THESE LAWS DO NOT PREVENT THE POSSIBILITY THAT YOU MAY BE INVOLVED IN AN ACCIDENT WITH A PERSON WHO HAS NO INSURANCE OR OTHER FR COVERAGE. WHEN REQUIRED, PROOF OF COVERAGE MAY BE SHOWN BY ANY OF THE FOLLOWING: AN INSURANCE POLICY showing automobile liability insurance of at least $12,500 bodily injury per person, $25,000 injury two or more persons, and $7,500 property damage AN INSURANCE IDENTIFICATION CARD (same coverage) A SURETY BOND OF $30,000 issued by any authorized surety company or insurance company A BMV BOND SECURED BY REAL ESTATE having equity of at least $60,000: A BMV CERTIFICATE FOR MONEY OR GOVERNMENT BONDS in the amount of $30,000 on deposit with the Ohio Treasurer of State A BMV CERTIFICATE OF SELF-INSURANCE, available only to companies or persons who own at least twenty-six motor vehicles. A I affirm that the owners (or lessees of leased vehicle) now have insurance or other proof of financial responsibility (FR Proof) covering this vehicle and will not operate or permit the operation of this vehicle without FR Proof; and will not be used as a commercial vehicle unless so registered. APPLICANT SIGNATURE DATE X WARNING: Applicant giving false information is subject to prosecution Ohio Revised Code (R.C.) 2913.42 Application must be signed by the owner(s) as named on Certificate of Title CERTIFICATE OF TITLE AND/OR EPA INSPECTED BY: DEPUTY REGISTRAR NAME/NUMBER Your application will be processed and new plates mailed within four weeks. Failure to follow instructions will delay the issuance of your license plates. OHIO BUREAU OF MOTOR VEHICLES, ATTN: REGISTRATION SECTION P.O. Box 16521, Columbus, Ohio 43216-6521 (614) 752-7800 or 1-800-589-2847 NOTE: YOU MUST HAVE YOUR VEHICLE INSPECTED ANNUALLY BY THE HIGHWAY PATROL IF YOUR VEHICLE IS MANUFACTURED TO TRANSPORT MORE THAN FIFTEEN (15) PASSENGERS, INCLUDING THE DRIVER, OR HAS A GROSS VEHICLE WEIGHT THAT EXCEEDS TEN THOUSAND POUNDS. BMV 4816 3/12 Page 1 of 2 PUBLIC American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS SENIOR BUS (R.C. 4503.04) Below affidavit must be completed. The owner of a bus used principally for the transportation of persons sixty-five years of age or older may obtain Seniors license plates. To qualify for Seniors bus license plates, the bus must seat 10 or more. TEMPORARY FARM BUS (R.C. 4503.04) Below affidavit must be completed. Temporary farm bus vehicle license plates can be issued for a period of ninety days. An additional set of plates can be purchased, if necessary, for another ninety day period. Such plates may not be issued for more than two (2) ninety-day periods in any licensing year. The bus will be used solely for the transportation of agricultural employees, and used only in transportation of such employees as are needed in the operation of the farm. Statement must be completed and signed by the owner(s) or lessee(s). CAMP BUS (R.C. 4503.17) Below statement and affidavit must be completed. The owner of a school bus under contract with a board of education may use such bus during summer vacation periods to transport children and their authorized supervisors to and from any camping function sponsored by a nonprofit, taxexempt, charitable, or philanthropic organization. Certificate for school bus from State Highway Patrol required. Required fee ADD Permissive Tax Deputy Registrar Fee Postage Total Amount Due $ $ $ $ $ STATEMENT MAILING INSTRUCTIONS ON REVERSE SIDE OWNER OF BUS OR NAME OF SCHOOL BOARD MAKE OF BUS YEAR STREET ADDRES
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