TENNESSEE DEPARTMENT OF REVENUE    ZZZ  HQQHVVHHJRYUHYHQXH CERTIFICATION FOR ANTIQUE VEHICLE REGISTRATION NOTE TO APPLICANT READ INFORMATION ON THE BACK OF THIS FORM CAREFULLY TO DETERMINE YOUR ELIGI
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TENNESSEE DEPARTMENT OF REVENUE ZZZ HQQHVVHHJRYUHYHQXH CERTIFICATION FOR ANTIQUE VEHICLE REGISTRATION NOTE TO APPLICANT READ INFORMATION ON THE BACK OF THIS FORM CAREFULLY TO DETERMINE YOUR ELIGI

Code Ann 554111 still applies Requested Vintage Plate Number Year Plate Issued NOTE URP573475736457372573645736557347WR573475736457372573695736557359573477HQQHVVHH57347LVVXHG57347QHZ57347PHWDO57347SODWHV57347HDFK57347HDU5736157347573479HKLFOHV57347

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TENNESSEE DEPARTMENT OF REVENUE ZZZ HQQHVVHHJRYUHYHQXH CERTIFICATION FOR ANTIQUE VEHICLE REGISTRATION NOTE TO APPLICANT READ INFORMATION ON THE BACK OF THIS FORM CAREFULLY TO DETERMINE YOUR ELIGI




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Presentation on theme: "TENNESSEE DEPARTMENT OF REVENUE ZZZ HQQHVVHHJRYUHYHQXH CERTIFICATION FOR ANTIQUE VEHICLE REGISTRATION NOTE TO APPLICANT READ INFORMATION ON THE BACK OF THIS FORM CAREFULLY TO DETERMINE YOUR ELIGI"— Presentation transcript:


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TENNESSEE DEPARTMENT OF REVENUE 9(+,&/(6(59,&(6',9,6,21 9$17$*(:$<68,7( 1$6+9,//(71 ZZZ 7 HQQHVVHHJRYUHYHQXH CERTIFICATION FOR ANTIQUE VEHICLE REGISTRATION NOTE TO APPLICANT: READ INFORMATION ON THE BACK OF THIS FORM CAREFULLY TO DETERMINE YOUR ELIGIBILITY TO REGISTER YOUR VEHICLE Applicant’s Name: Applicant’s Address: Street City State County Zip Code Vehicle Make Vehicle Year and Model Complete VIN/Serial Number For use when registering with a Vintage Tennessee License

Plate (Tenn. Code Ann. § 55-4-111 still applies) Requested Vintage Plate Number Year Plate Issued: NOTE: )URPWR7HQQHVVHHLVVXHGQHZPHWDOSODWHVHDFK\HDU9HKLFOHVPDQXIDFWXUHGGXULQJWKHVH\HDUVZRXOG

XVHDVSHFLILFRIILFLDO7HQQHVVHHOLFHQVHSODWHLVVXHGLQWKDWSDUWLFXODUYHKLFOHV\HDURIPDQXIDFWXUH 9HKLFOHVZLWKPRGHO\HDUVIURPWRPD\UHJLVWHUWKHLUDQWLTXHPRWRUYHKLFOHXVLQJDFRUUHVSRQGLQJRIILFLDO7HQQHV

VHHOLFHQVHSODWHLVVXHGLQRU ,I\RXDUHXQVXUHZKLFKYLQWDJHSODWHLVSURSHUWRXVHSOHDVHFRQWDFW\RXUFRXQW\FOHUNRUWKH7HQQHVVHH'HSDUWPHQWRI 5HYHQXHGLUHFWO\DW Certification Statement

,FHUWLI\WKDW,DPWKHRZQHURIWKHDERYHGHVFULEHGYHKLFOHZKLFKLVRYHUWZHQW\ILYH\HDUVROGDQGLVRZQHGVROHO\DVD FROOHFWRUVLWHPDQGZLOOEHXVHGIRUSDUWLFLSDWLRQLQFOXEDFWLYLWLHVH[KLELWVWRXUVSDUDGHVDQGVLPLODUXVHVEXWLQQRHY

HQWIRU JHQHUDOWUDQVSRUWDWLRQXQOHVVRWKHUZLVHDXWKRUL]HGE\7HQQ&RGH$QQ6HFWLRQ,IXUWKHUFHUWLI\WKDWXSRQWKH

WUDQVIHURIP\LQWHUHVWLQWKHYHKLFOHLIWKHOLFHQVHSODWHZLWKZKLFKP\DQWLTXHYHKLFOHLVUHJLVWHUHGLVDYLQWDJHRIILFLDO 7HQQHVVHHSODWHDQGWKHUHIRUHP\SHUVRQDOSURSHUW\LWZLOOEHUHPRYHGRWKHUZLVHWKHDQWLTXHSODWHLVVXHGE\WKH6WDWHRI

7HQQHVVHHZLOOEHVXUUHQGHUHGWRP\FRXQW\FOHUN Certification Signature: Date: 59)5HY
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ANTIQUE MOTOR VEHICLE LAW Antique Motor Vehicles. 3HU7HQQHVVHH&RGH$QQDSHUVRQPD\UHJLVWHUDYHKLFOHDVDQDQWLTXHPRWRUYHKLFOH

SURYLGLQJWKDWFHUWDLQUHTXLUHPHQWVDUHVDWLVILHG7KHYHKLFOH 0XVWEHDPRWRUYHKLFOHRYHUWZHQW\ILYH\HDUVROGDQGKDYHDQRQPRGLILHGHQJLQHDQGERG\

&DQEHXVHGIRUSDUWLFLSDWLRQLQRUWUDQVSRUWDWLRQWRDQGIURPFOXEDFWLYLWLHVH[KLELWVWRXUVSDUDGHVDQGVLPLODU XVHVDVDFROOHFWRUVLWHP &DQRQO\EHXVHGIRU general transportation RQ6DWXUGD\DQG6XQGD\DQG

&DQEHXVHGRQDQ\GD\IRUWKHSXUSRVHRIVHOOLQJYHKLFOHWHVWLQJRUREWDLQLQJUHSDLUVWRRUGRLQJPDLQWHQDQFHRQWKH YHKLFOH Note: %RWKFDUVDQGPRWRUF\FOHVPD\EHFRQVLGHUHGDQWLTXHPRWRUYHKLFOHVLIDOOSURYLVLRQVDUHPHWDVVWDWHGDERYH No renewal required.

7KHUHJLVWUDWLRQLVD permanent registration DQGLVQRWUHTXLUHGWREHUHQHZHGDQQXDOO\2QFH DVVLJQHGWKHOLFHQVHSODWHFDQQRWEHUHDVVLJQHGWRDQRWKHUYHKLFOH Violations.

$Q\SHUVRQYLRODWLQJWKHSURYLVLRQVRI7HQQHVVHH&RGH$QQZLOOEHUHVWULFWHGIURPSDUWLFLSDWLQJLQ 7HQQHVVHH$QWLTXH0RWRU9HKLFOHSODWHSURJUDPIRUILYH\HDUVIURPWKHGDWHRIWKHYLRODWLRQZLOOEHDVNHGWRVXUUHQGHUWKH

OLFHQVHSODWHDQGZLOOEHUHTXLUHGWRSD\WKHIXOOYHKLFOHUHJLVWUDWLRQSULFHIRURSHUDWLQJWKHYHKLFOH$QH[DPSOHRIDYLROD WLRQ ZRXOGEHRSHUDWLQJWKHYHKLFOHIRUJHQHUDOWUDQVSRUWDWLRQSXUSRVHVRQDGD\RWKHUWKDQ6DWXUGD\RU6XQGD\ Display of the antique motor vehicle plate.

7KHDQWLTXHSODWHFDQEHPRXQWHGRQWKHUHDURIWKHYHKLFOHRUWKHRZQHUPD\ GLVSOD\RQWKHUHDURIWKHYHKLFOHDOLFHQVHSODWHIURPDQHUDZKHQWKHPDQXIDFWXUHURIVXFKYHKLFOHRFFXUUHGDVORQJDVWKH

DQWLTXHYHKLFOHOLFHQVHSODWHLVPDLQWDLQHGLQWKHYHKLFOHDQGLVUHDGLO\DFFHVVLEOHDQGSURGXFHGXSRQUHTXHVWRIDQ\ODZ HQIRUFHPHQWRIILFHU Vintage License Plates. ,QVWHDGRIUHJLVWHULQJDYHKLFOHZLWKWKHVWDQGDUGDQWLTXHPRWRUYHKLFOHSODWHDSHUVRQPD\FKRRVH

WRUHJLVWHUDQDQWLTXHPRWRUYHKLFOHZLWKDQRIILFLDOYLQWDJH7HQQHVVHHOLFHQVHSODWHRIWKHHUDZKHQWKHYHKLFOHZDVPDQXIDF WXUHGDQGPD\GLVSOD\WKDWOLFHQVHSODWHDVWKHLURIILFLDO7HQQHVVHHYHKLFOHUHJLVWUDWLRQRQWKHUHDURIWKHYHKLFOH3URYLVL RQVIRU

YLQWDJHSODWHVDOVRDSSO\WRPRWRUF\FOHV3OHDVHVHHWKHFKDUWEHORZWRGHWHUPLQHWKHSURSHUSODWHIRUWKHDQWLTXHYHKLFOH Model Year Plate Year 6DPHDVPRGHO\HDU3ODWHVSURGXFHGHDFK\HDU

$OORWKHUSURYLVLRQVRI7HQQHVVHH&RGH$QQPXVWEHIROORZHGWRDYRLGIRUIHLWXUHRIWKHUHJLVWUDQWVDQWLTXHOLFHQVHS ODWH SULYLOHJHV Cost of registration.

&ODVV&$QWLTXH9HKLFOHVUHJLVWUDWLRQIHHLVSOXVDQ\DSSOLFDEOHFRXQW\IHHV