First Name Middle Name Last Name Suffix County Address City State ZIP Email Phone Empty Weight (lbs.) Vehicle Identification Number Current TX Plate (if any) Year Make Body Style Passenger Car Truck (up to 18,000 lbs.) Motorcycle/Moped Trailer Empty Weight (lbs.) Vehicle Identification Number Current TX Plate (if any) Year Make Body Style Date Retired U.S. Air Force Retired U.S. Army Retired U.S. Coast Guard Retired U . S. Mar i n es Retired U.S. Navy Application for Armed Forces, Coast Guard Auxiliary, Merchant Marine & Civil Air Patrol License Plates For County Use Only License No Mo/Yr of Exp Date Issued Instructions Submit the completed application and payment if required in the form of a personal check, money order, or cashier222s check with proof of eligibility to your local county tax assessor-collector222s office. Do not mail cash. There is no specialty plate fee; however, the annual registration and other applicable fees must be paid. The license plates may be personalized for an additional $40 fee; make your choice on page 2. Your annual registration fee must be paid to your local county tax assessor-collector when your plates are issued. NOTE: When the specialty plate is issued, additional fees may be collected to establish a single expiration date for both the new specialty plate and the vehicle registration. The vehicle must h ave a title and registration in your name. If the vehicle is not titled in your name, attach a statement stating you have legal right of possession and control of the vehicle. If you recently submitted an application for title, attach a copy of the title application receipt (VTR-500-RTS). If the vehicle is leased, attach a copy of the lease agreement. If you order by mail, please contact your county tax assessor-collector222s office in three weeks to verify your plates are ready, or if you have any questions. Applicant Information Vehicle 1 Vehicle Type Passenger Car Truck (up to 18,000 lbs.) Motorcycle/Moped Trailer Vehicle 2 Vehicle Type Plate Type U.S. Air Force U.S. Army U.S. Coast Guard U.S. Marines U.S. Navy Honorably Discharged U.S. Air Force Honorably Discharged U.S. Army Honorably Discharged U.S. Coast Guard Honorably Discharged U.S. Marines Honorably Discharged U.S. Navy Armed Forces Reserve Merchant Marine Texas Wing Civil Air Patrol U.S. Coast Guard Auxiliary Certification 226 State law makes falsifying information a third degree felony. I meet the eligibility requirements as listed on page 2 of this application and am providing proof to that effect. Signature Form VTR-424 Rev. 8/2018 Form available online at www.TxDMV.gov Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Application for Armed Forces, Coast Guard Auxiliary, Merchant Marine & Civil Air Patrol License Plates Eligibility Requirements Armed Forces: Proof you are either an active member of the U.S. Armed Forces or a former member of the U.S. Armed Forces with an honorable discharge. Armed Forces Honorably Discharged: Proof you are a former member of the U.S. Armed Forces with an honorable discharge. Armed Forces Retired: Proof you are a retired member of the U.S. Armed Forces. The TxDMV will accept a letter from the Departments of Defense or Homeland Security stating the member has 20 or more years of satisfactory federal service or an ID card from one of those agencies indicating that the member is retired with an honorable discharge. Armed Forces Reserve: Proof you are an active or former member with honorable discharge from the Armed Forces Reserve. Merchant Marine: Proof you are a member or former member of the U.S. Merchant Marine with an honorable discharge. Texas Wing Civil Air Patrol: Proof you are a member of the U.S. Air Force Auxiliary, Civil Air Patrol. U.S. Coast Guard Auxiliary: Proof you are a member of the U.S. Coast Guard Auxiliary. Personalize Your Plate 226 If you would like to personalize your specialty plate, there will be a $40 fee per year in addition to the annual registration fee. Show personalizations exactly as you want them to appear on your license plate(s). You may list more than one option in the event the personalization you have chosen has been issued. A personalization that has been issued, is deemed offensive, or conflicts with the regular license plate numbering system cannot be approved. Enter your desired pe rsonalized letters, numbers, and/or symbols in the blocks below. The available symbols include: a period, a dash, a blank space, a Texas silhouette (use an asterisk 223*224 to indicate), a heart (use an at 223@224 to indicate), and a star (use an ampersand 223&224 to indicate). Passenger car, truck, and trailer plates are limited to six (6) characters total, including punctuation characters. Motorcycle/moped plates are limited to four (4) characters total, including punctuation characters. The International Symbol of Access 223 223 counts as two (2) characters and will be located at the beginning of the plate number. If you are disabled and a pplying for personalized specialty plates, use a percent 223%224 to indicate the International Symbol of Access. Personalization fee will not be refunded once the application is submitted. 1st Choice 2nd Choice 3rd Choice Vehicle 1 1st Choice 2nd Choice 3rd Choice Vehicle 2 International Symbol of Access To display the International Symbol of Access on your license plate, attach a signed Application for Persons with Disabilities Parking Placard and/or License Plate (Form VTR-214) to this application to show your eligibility. Contact your county tax assessor-collector222s office if you have questions. Form VTR-424 Rev. 8/2018 Form available online at www.TxDMV.gov Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com