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Application For Collectors License Plates BMV 4803 - Ohio
| Application For Collectors 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 COLLECTOR'S LICENSE PLATES TYPE OR PRINT OHIO LICENSE PLATE # CURRENTLY DISPLAYED EXPIRATION DATE LICENSE PLATE # OF PRINCIPAL MEANS OF TRANSPORTATION EXPIRATION DATE DEPUTY REGISTRAR NAME AND NUMBER CERTIFICATION OF TITLE INSPECTED BY DATE PURCHASED VEH YEAR VEH MAKE VEH TYPE VEH SERIAL # CERTIFICATE OF TITLE # ODOMETER OWNER NAME OHIO ADDRESS DAYTIME PHONE # CITY DATE OF BIRTH STATE SSN/TIN/OH DL/OH ID ZIP CODE OHIO VEHICLE OWNERSHIP SINGLE JOINT LEASED COMPANY SS# OR TAX ID# CITY STATE JOINT OWNER/LESSEE NAME OWNER BUSINESS ADDRESS OHIO COUNTY OF RESIDENCE ZIP CODE INDICATE CITY ONLY IF YOU INCORPORATED CITY INDICATE TOWNSHIP ONLY IF YOU TOWNSHIP LIVE INSIDE CORPORATION LIVE OUTSIDE CORPORATION LIMITS LIMITS IS YOUR LICENSE PLATE REGISTRATION UNDER SUSPENSION OR REVOCATION UNDER OHIO FINANCIAL RESPONSIBILITY LAW? YES NO MAILING ADDRESS IF DIFFERENT FROM THAT SHOWN ABOVE STREET 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 else to drive the owner's vehicle without FR coverage. 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 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 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 coverage) covering this vehicle and will not operate or permit the operation of this vehicle without FR coverage; and will not be used as a commercial vehicle unless so registered. 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. SIGNATURE DATE X STATEMENT REQUIRED BY OHIO REVISED CODES 4503.01 AND 4503.45 This vehicle is not the only motor vehicle registered in my name and is vehicle is of special interest, being of special make, model, or style, and is or investment. If requested, I can supply paperwork from a car club, auto special interest. This application is made in good faith and not to evade 3704.14, which requires vehicle emission testing in some Ohio counties. SIGNATURE not my principal means of transportation. This maintained as a collector's item, leisure pursuit, collector, or other proof that this is a vehicle of any law, including Ohio Revised Code section DATE X You are now permitted to donate $1.00 to the children's Save Our Sight Program by checking the appropriate box below and adding an additional $1.00 to your total fees due. For more information on the children's Save Our Sight Program, please call 1-800-755-GROW (4769). Yes, I would like to donate to the children's Save Our Sight Program. I have added $1.00 to the total fees due. INSTRUCTIONS ON BACK BMV 4803 1/11 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com QUALIFICATIONS FOR COLLECTOR'S PLATES AND APPLICATION "Collector's Vehicle" means any motor vehicle or agricultural tractor or traction engine of special interest having a fair market value of one hundred dollars or more, whether operable or not, that is owned, operated, collected, preserved, restored, maintained or used essentially as a collector's item, leisure pursuit or investment, but not as the owner's principal means of transportation. Due to passage of supplementary legislation, additional criteria is required for the issuance of collector's license plates. To ensure that all vehicles registered as collector vehicles are truly collectible, we now reference the National Automobile Dealers Association Classic, Collectible and Special Interest Car Appraisal Guide. If the vehicle is not listed in this guide, we do have other comparable publications that are similarly authoritative and include the 4th Edition Standard Catalog of American Cars 1946-1975 (Krause Publications) or The New Complete Book of Collectible Cars 1930-1990 (Consumer Guide). Vehicle mod
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