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History Model Year Plate Information Form. This is a Ohio form and can be use in Bureau Of Motor Vehicles Statewide.
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Tags: History Model Year Plate Information, BMV 4853, Ohio Statewide, Bureau Of Motor Vehicles
OHIO DEPARTMENT OF PUBLIC SAFETY
BUREAU OF MOTOR VEHICLES
HISTORICAL “MODEL-YEAR” PLATE INFORMATION
Section 4503.181 of the Ohio Revised Code permits owners of vehicles bearing historical license plates to
display a model year plate for a fee. Only one model year plate is required to be displayed. This license plate
must be a legible and serviceable plate issued by the state of Ohio and inscribed with the date of the year
corresponding to the model year when the vehicle was manufactured. Section 4503.19 (ORC) requires that a
“distinctive number” be issued to a motor vehicle. Therefore, the distinctive historical plates and registration
card must be in the vehicle and available upon demand by a law enforcement officer.
To comply with the motor vehicle laws relating to registration and licensing of motor vehicles, the Bureau of
Motor Vehicles has adopted the following procedure.
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The vehicle must be registered with regular historical plates.
Those who desire to display a model-year plate will locate and obtain a suitable plate by their own
means. If the license plate is painted, the colors applied must be the original color combinations. To
qualify for a model year the license plates had to be manufactured no later than 1974.
Submit a copy of the model-year license plate and a copy of the historical license registration card.
Since registration is required for both the historical and model year plate, the fee for registration is
$4.50 if obtained at our office, plus the current cost of postage if the registration must be mailed.
Complete and have notarized the model-year affidavit on back.
The model-year plate may be displayed when you receive the registration card from the Ohio Bureau of
Motor Vehicles. Only one model-year plate is required to be displayed on the rear of the historical motor
vehicle at all times.
Model-year plate numbers for a military vehicle are the Ohio historical plate numbers issued to
the vehicle painted on the front and rear of the vehicle in accordance with size and style
specifications established for numerals and letters as stated in section 4303.22 ORC.
If your vehicle is not displaying regular historical license plates, the application/affidavit for a regular historical
registration and model year historical registration may be submitted at the same time and the model year
registration services will be provided at no charge. If you wish to be sent an application for a regular historical
license plate contact the number below or go to your local deputy to obtain registration. This application is also
available at your local Deputy Registrar’s office and can be obtained on the Web site:
http://www.state.oh.us/odps/division/bmv/frm_dnld.html
If we can be of further assistance, please contact:
OHIO BUREAU OF MOTOR VEHICLES
Attn: Registration Section
P.O. Box 16521
Columbus, Ohio 43216-6521
(Telephone: 614-752-7800)
BMV 4853 2/08 Page 1 of 2
Required fee
ADD Permissive Tax
Deputy Registrar Fee
Postage
Total Amount Due
$
$
$
$
$
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HISTORICAL “MODEL YEAR” LICENSE PLATE AFFIDAVIT
STATE OF OHIO
)
)
COUNTY OF ___________________________ )
NAME
DAYTIME PHONE #
(
ADDRESS
COUNTY
)
CITY
STATE
ZIP CODE
OHIO
I am the owner of the below listed historical vehicle which HAS BEEN or WILL BE (circle one) registered with state
of Ohio historical license plates. I am requesting that the below listed model-year license plate number be registered to
this historical vehicle. I understand that the original historical registration card and historical license plates must be
carried in the vehicle at all times and shown upon request from a law enforcement officer.
CURRENT HISTORICAL PLATE # (leave blank if plate is to be issued)
DATE VEHICLE PURCHASED
CERTIFICATE OF TITLE #
LICENSE PLATE # (MODEL-YEAR)
MODEL
SERIAL #
TWO OR FOUR DOOR
YEAR
MAKE
PLATE COLOR
LETTER/NUMBER COLOR
I certify that the model-year license plate listed above was originally issued by this state and is serviceable and legible. I
am aware that I may not display this plate until I receive the registration card for the model-year plate.
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,
Yes, I would like to donate to the children’s Save Our Sight Program. I have
please call 1-800-755-GROW (4769).
added $1.00 to the total fees due.
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
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In Ohio, it is illegal to drive any motor vehicle without insurance or other financial responsibility (FR) coverage.
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It is also illegal for any motor vehicle owner to allow anyone else to drive the owner’s vehicle without FR coverage.
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PROOF OF COVERAGE IS REQUIRED: iWhenever a police officer issues a traffic ticket iAt all vehicle inspection stops iUpon traffic court
appearances and iUpon random checks by the Registrar of Motor Vehicles.
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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 iLose his or her license plates and vehicle
registration iPay reinstatement fees of $75.00 first offense, $250.00 for second offense, and $500.00 any additional offense iPay a $50.00
penalty for any failure to surrender his or her driver license, license plates, or registration AND iBe 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.
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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.
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IF YOU ARE INVOLVED IN AN ACCIDENT WITHOUT INSURANCE OR OTHER FR COVERAGE: In addition to all the penalties listed above, you
may have iA SECURITY SUSPENSION for TWO YEARS or more and iA JUDGMENT SUSPENSION INDEFINITELY (until all damages have
been satisfied).
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THESE PENALTIES ARE IN ADDITION TO ANY FINES OR PENALTIES IMPOSED BY A COURT OF LAW.
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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.
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.
SOCIAL SECURITY NUMBER
SIGNATURE
X
Sworn to before me and signed in my presence this
day of
,
MY COMMISSION EXPIRES
,
NOTARY PUBLIC
SEAL
BMV 4853 2/08 Page 2 of 2
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