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Duplicate Registration Card Transfer Replacement Plates Validation Sticker Application BMV 4809 - Ohio
| Duplicate Registration Card Transfer Replacement Plates Validation Sticker Application 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 DUPLICATE REGISTRATION CARD, TRANSFER, REPLACEMENT PLATES/VALIDATION STICKER APPLICATION TYPE OR PRINT REGISTRATION INFORMATION FOUND ON OHIO REGISTRATION CARD OHIO LICENSE PLATE # EXPIRATION DATE VEHICLE INFORMATION FROM OHIO CERTIFICATE/MEMORANDUM TITLE DATE VEH PURCHASED CERTIFICATE OF TITLE # VEH YEAR MAKE ODOMETER TYPE (VEH) VEH SERIAL # COLOR OWNER INFORMATION OWNER NAME OHIO ADDRESS VEHICLE OWNERSHIP SINGLE JOINT LEASED COMPANY DAYTIME PHONE # CITY JOINT OWNER/LESSEE NAME CITY SSN/DL/TAX ID# SSN/DL/TAX ID # STATE ZIP CODE OHIO OHIO COUNTY OF RESIDENCE STATE ZIP CODE OWNER BUSINESS ADDRESS IS YOUR LICENSE PLATE REGISTRATION UNDER SUSPENSION OR REVOCATION UNDER OHIO FINANCIAL RESPONSIBILITY LAW? YES NO REPLACEMENT WERE PLATE(S) STOLEN LOST DAMAGED IF REGISTRATION OR 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 ACCEPTABLE FINANCIAL RESPONSIBILITY COVERAGE 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 PROOF OF COVERAGE IS REQUIRED: Whenever a police officer issues a traffic ticket At all vehicle inspection stops Upon traffic court appearances and Upon random checks by the Registrar of Motor Vehicles. 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 (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 A 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. 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. SIGNATURE DATE X WARNING: Applicant giving false information is subject to prosecution ORC 2913.42 Application must be signed by the owner(s) as named on Certificate of Title BMV 4809 4/11 Page 1 of 2 OVER American LegalNet, Inc. www.FormsWorkFlow.com CHECK ONE FEE Transfer You must send your new Certificate of Title Memorandum Title (original document only, if applicable) Duplicate registration card Validation sticker only One license plate and validation sticker (motorcycle) One license plate and validation sticker (trailer, or travel trailer) $4.87 Two license plates, validation sticker, and county identification sticker Two license plates (historical) One historical license plate $14.37 $4.87 $4.87 $12.20 $12.52 $14.12 $12.27 and adding an additional $1.00 to your total fees due. please call 1-800-755-GROW (4769). g the appropriate box below ram, ight Program. I have added $1.00 to the fees due. Make check or money order payable to Ohio Treasurer Josh Mandel. OHIO BUREAU OF MOTOR VEHICLES DEALER LICENSING & SPECIALTY PLATE SERVICES P.O. BOX 16521 COLUMBUS, OH 43216-6521 BMV 4809 4/11Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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