Free Application for Additional or Replacement Plates - Form AR0036 - Michigan

AR-0036 (9/2002) By Authority of Public Act 300 of 1949

FOR DEPARTMENT USE ONLY
REGULAR THRU CYCLE THRU DATE ISSUED

Clear Form

MICHIGAN DEPARTMENT OF STATE Bureau Regulatory Services Lansing, Michigan 48918 1-888-SOS-MICH (1-888-767-6424) (517) 335-2810 FAX

APPLICATION FOR ADDITIONAL OR REPLACEMENT DEALER PLATES
DEALER NAME ADDRESS (STREET)

DEALER NUMBER

(CITY)

(ZIP CODE)

DEALER PLATE POLICY
The number of dealer plates which may be issued to a dealership is determined as follows: one dealer plate for each five vehicles carried in highest inventory up to and including 400 vehicles; one dealer plate for each seven vehicles in excess of 400 vehicles carried in highest inventory. ONE HUNDRED DEALER PLATES IS THE MAXIMUM NUMBER ALLOWED. The Department of State may restrict the number of plates issued to dealers.

REASON FOR REQUESTING ADDITIONAL OR REPLACEMENT PLATES:

LIST THE PLATE NUMBERS OF ANY LOST DEALER PLATES THAT HAVE NOT BEEN REPORTED TO US:

LIST THE PLATE NUMBERS OF ANY STOLEN DEALER PLATES THAT HAVE NOT BEEN REPORTED TO US:

FOR STOLEN DEALER PLATES, YOU MUST ATTACH A POLICE REPORT OR MAKE A STATEMENT REGARDING THE CIRCUMSTANCES SURROUNDING THE THEFT OF THE PLATE(S):

FEES for additional dealer plates: $10.00 each. Number Requested: ADDITIONAL PLATES: REGULAR MOTORCYCLE

FEES for replacement of lost or stolen dealer plates: $5.00 each. Number Requested: REPLACEMENT PLATES: REGULAR MOTORCYCLE

MAKE CHECK OR MONEY ORDER PAYABLE TO "STATE OF MICHIGAN." TOTAL AMOUNT ENCLOSED:
DATE SIGNATURE AND TITLE OF OWNER, PARTNER, OR OFFICER

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