Form 1576 - Application for Replacement Plate(s) and Tab(s)

Form

1576

Application for Replacement Plate(s) and Tab(s)

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Office Validation

ATTENTION:

In addition to filling out this form, if your plate(s) or tab(s) were lost or stolen, it is important that you notify local law enforcement authorities or the Missouri State Highway Patrol.

Pursuant to 301.420 RSMo, any false statement in this application is a violation of the law and may be punished by fine, imprisonment, or both.

Owner's Name (Last, First, Middle)

Street, Rural Route, or P.O. Box

City

State

Telephone Number

(______) ______ - ____ ____

Zip Code

County

Owner Information

Vehicle Information

Year

Make

Vehicle Identification Number

Title Number Body Style

| | | | | | | | | | | | | | | |

Kind of Vehicle - If Truck or Bus License Number (Zone, Gr.Wt., Seat)

Tab Number

New Tab Number

Expiration Month

Expiration Year Replacement Permit Number

Total Fees

Replacement Plate Information

Signature

Do not use this form if plates are being issued from stock. Use an Application for License (Form 184) instead.

Number of Plates Needed r One r Two

r Tabs Only r Bronze Star Placard r Change of Address

Reason Required r Lost r Stolen r Mutilated r Destroyed

r Never Received

r Seized by Law Enforcement

r Second Plate Only (see reverse)

No notarization required

Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.

Signature

Title

Printed Name

Date (MM/DD/YYYY)

____/__ __/____ ____

Embosser or black ink rubber stamp seal Subscribed and sworn before me, this

day of

year

State

County (or City of St. Louis)

My Commission Expires (MM/DD/YYYY)

Notary Public Signature

____/__ __/____ ____

Notary Public Name (Typed or Printed)

Notary Information

Applicant last renewed this registration on ____/__ __/____ ____ at the _____________________________________________ office.

Applicant presented documented proof that the above vehicle is currently registered and the registration is current for this period as witnessed by ___________________________________________________________________________________________________.

Agent's Signature

Date (MM/DD/YYYY)

____/__ __/____ ____

Remarks

Office Use Only

Form 1576 (Revised 07-2020)

Applicant Instructions - Please Read Carefully

Vehicle owners can obtain replacement plate(s) or tab(s) in instances when the original has been lost, stolen, mutilated, destroyed, or never received.

Refer to warning at the top of form. (301.420 RSMo) ?Ensure replacement plate(s) or tab(s) are necessary. Refunds will not be granted after the manufacture of replacement plates.

? If the original is found after application is made, the original becomes null and void and must be surrendered immediately to the Missouri Department of Revenue.

1. Your name must match the name as it appears on your certificate of title or registration receipt or this application will be rejected. 2. Enter your current address and telephone number where you may be reached during normal business hours. 3. Complete all vehicle information blocks. 4. For truck or bus plates, enter zone and weight or seating capacity. 5. Enter current license plate(s) or tab(s) number and expiration month and year. 6. If applying for replacement plates or tabs, indicate the number of plate(s) you need to replace. If replacing tabs only, mark the "Tabs Only" block. 7. Indicate the reason required. 8. The application must be signed in the presence of a Notary Public. NOTE: A notary is not required if applying for an optional second plate Commercial Motor Vehicle (CMV).

When application is made for replacement plate(s), you will be issued one Replacement Plate Permit. This permit serves as proof of valid registration until you receive the replacement plate(s). The permit is to be displayed on the back windshield of your motor vehicle unless it is an autocycle, motorcycle, motortricycle, or trailer. Please carry the validated application receipt with you as proof of valid registration until you receive your replacement plate(s) or tab(s).

If only one plate is replaced, it must be attached to the rear of the vehicle. A replacement plate for a CMV must be attached to the front of the vehicle.

FEE TYPES

TABS Per Tab or Set

EMBOSSED PLATES

Per Plate

Per Set

FLAT PLATES

Per Plate

Per Set

SPECIALTY PERSONALIZED and STOCK PLATES

Replacement

$8.50

$8.50

$17.00

$8.50

$17.00

$8.50

Processing

$6.00

$6.00

$6.00

$6.00

$6.00

$6.00

Reissuance

N/A

$1.68

$3.36

$3.77

$7.54

$0 (EXEMPT)

Any person replacing stolen license plates or tabs may receive up to two sets of license plates or tabs per year at no cost, a processing fee will still apply.

Second Plate Only - Any owner of a commercial motor vehicle whose vehicle is licensed as farm, local or beyond local in excess of 12,000 lbs., or an owner of a commercial bus may be issued a second license plate. The second license plate will bear the same configuration as the initial license plate and contain a number "2" sticker in the upper right hand corner. The first plate must be attached to the front of the vehicle and the second plate, with the "2" sticker, must be placed on the rear of the vehicle. No notarization is required for optional second plate CMV.

FEE TYPES

Second Plate Processing Reissuance

EMBOSSED PLATES

$8.50 $6.00 $1.68

FLAT PLATES

$8.50 $6.00 $3.36

SPECIALTY PERSONALIZED and STOCK PLATES

$8.50 $6.00 $0 (EXEMPT)

Note: License Office notary service - $2.00

All payments by check must:

1. Be payable to Missouri Department of Revenue. 2. Be pre-printed with the check writer's name, address, bank code, and account number. 3. Include the check writer's driver license or nondriver license number, date of birth, and daytime telephone number.

Note: The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds. Other restrictions may apply.

Replacement Plate(s) and Tab(s) - Special Instructions

Mail to:

Motor Vehicle Bureau P.O. Box 100 Jefferson City, MO 65105-0100

Phone: (573) 526-3669 E-mail: mvbmail@dor.

Form 1576 (Revised 07-2020)

Visit for additional information.

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