NORTH CAROLINA DIVISION OF MOTOR VEHICLES
LICENSE AND THEFT BUREAU
3129 MAIL SERVICE CENTER
RALEIGH, N.C. 27699-3129
919-861-3182
http://www.ncdot.gov/dmv/forms/
30 DAY TEMPORARY TAG ORDER FORM
Dealer License Number ____________ Dealer Name _______________________________
Address _______________________________________________________________________
(Markers can only be shipped via UPS to the physical address on record with the Dealer Unit - unless picked up) (We do not accept prepaid shipping labels)
Phone Number (____) ________________________________________
Helpful tips:
*Temporary tags cannot be ordered by telephone or online. They must be ordered by mail at the
address above, or picked up in person at NC DMV, 1100 New Bern Avenue, Dealer Unit Room 109, Raleigh, NC 27697 Monday through Friday between 8am – 5pm.
* Forms of payment: Mail in orders - check, cashier’s check or o ey order. Walk in orders must use a dealership check. Walk in cash or credit/debit cards payments are accepted only by the dealer owner.
*You must submit completed ledger pages from the back of each book once completed to avoid order rejection due to excessive ACTIVE plates on record. Only three prior issue dates are permitted to be ACTIVE at one time. Only send the white original ledger sheets. You must retain the book at your dealership for at least one full year from the last tag issue date.
*Completed ledger sheets can be mailed with or without an additional order to NC DMV Dealer Unit, 3129 MSC, Raleigh, NC 27699. You may also fax the completed ledger sheets to 919-861-3805.
FEES: $25.00 PER SET OF 25 TEMPORARY TAG AND BOOK SET (checks to: NC DMV)
I would like to order_____set(s) of 25 |
Temp. tags for automobiles/trailers @ $25.00 each = $_________ |
I would like to order_____set(s) of 25 |
Temp. tags for motorcycles |
@ $25.00 each = $_________ |
Printed Name ________________________________ Title _____________________ Date __________
Signature ____________________________________
LT-430 (11/13)
