ALABAMA DEPARTMENT OF REVENUE
MOTOR VEHICLE DIVISION
P.O. Box 327630 • Montgomery, AL 36132-7630 • (334) 242-9006
www.revenue.alabama.gov
Temporary Tag Application
SEE INSTRUCTIONS ON BACK
A dealer who is a designated agent may issue temporary tags. A manufacturer or dealer of mobile homes, trailer coaches, travel trailers or house trailers may also issue temporary tags.
Temporary tags are valid for 20 days from the date of issuance and can only be issued to the owner of a motor vehicle which is to be permanently licensed in another state. Only county licensing officials may issue temporary tags for more than 20 days.
Dealers and manufacturers who issue temporary tags must maintain a record of all temporary tags issued for a period of one year. The Department of Revenue may examine these records upon request. Failure of a dealer or manufacturer to faithfully perform the duties associated with the issuance of temporary tags may result in the revocation of this authority.
DEALER NAME |
DA NUMBER |
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MAILING ADDRESS |
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STREET ADDRESS |
COUNTY |
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CONTACT PERSON |
TELEPHONE NUMBER |
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FAX NUMBER |
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EMAIL ADDRESS |
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Temporary Tag Fee:
Enter the total number of temporary tags requested . . . . . . . . . .
Price per temporary tag |
$2.25 |
Total amount due (line 1 times line 2) . . . . . . . . . . . . . . . . . . . . . .
Attach payment payable to the Alabama Department of Revenue. Please mail the completed form and payment to the above address.
Name: ________________________________________________ |
Title: ________________________________________________ |
Signature: ____________________________________________ |
Date: ________________________________________________ |
It shall be unlawful for any owner to make any false statement in making application for issuance of a temporary license tag or temporary registration certificate, or for any designated agent or manufacturer or dealer to issue a temporary license tag or temporary registration receipt with knowledge of such false statement. Anyone violating the provisions of this section shall be guilty of a misdemeanor and shall be punished, upon conviction, by a fine of not more than $500.00 or by imprisonment for not more than six months, or by both.
Instructions
Dealer Name: Enter the name of the licensed vehicle dealer.
Designated Agent Number: Enter the dealer’s designated agent number. Note: manufacturers are not required to be designated agents.
Mailing Address: Enter the complete mailing address of the dealer.
Street Address: Enter the complete street address of the dealer if different from the mailing address. Note: temporary tags will be shipped to the street address.
County: Enter the county which corresponds to the dealer’s street address.
Contact Person: Enter the name of the person to contact regarding temporary tags.
Telephone Number: Enter the telephone number, including the area code and extension, of the contact person.
Fax Number: Enter the fax number, including the area code, of the contact person.
Email Address: Enter the email address of the contact person.
Temporary Tags Fee: Multiply the number of temporary tags requested by the temporary tag issuance fee of $2.25.
Name: Enter the name of the person completing this application. This person should be authorized by the dealer or manufacturer to perform these duties.
Title: Enter the title of the person completing this application.
Signature: The signature of the person completing this application.
Date: Enter the date the application was completed.
Please mail application and remittance to:
Alabama Department of Revenue
Motor Vehicle Division
P.O. Box 327630
Montgomery, AL 36132-7630
