OHIO DEPARTMENT OF PUBLIC SAFETY
BUREAU OF MOTOR VEHICLES
APPLICATION FOR REGISTRATION
OF A MOTOR VEHICLE
WITH RESTRICTED PLATES
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TYPE OR PRINT |
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REGISTRATION INFORMATION FOUND ON VALID OHIO/OUT-OF-STATE |
BMV VALIDATION BLOCK |
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REGISTRATION CARD |
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VEHICLE INFORMATION FROM OHIO CERTIFICATE/MEMORANDUM TITLE
CERTIFICATE OF TITLE NO. (OHIO ONLY)
OWNER INFORMATION
OWNER NAME |
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OHIO DRIVER LICENSE, OHIO ID, SOCIAL |
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SECURITY NO. OR TAX ID NO. |
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RESIDENCE ADDRESS |
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CITY |
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STATE |
ZIP CODE |
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JOINT OWNER NAME |
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COUNTY OF RESIDENCE |
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OWNER MAILING ADDRESS |
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CITY |
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STATE |
ZIP CODE |
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FILL IN CITY NAME ONLY IF |
INCORPORATED CITY |
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FILL IN TOWNSHIP ONLY IF |
TOWNSHIP |
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YOU LIVE INSIDE |
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YOU LIVE OUTSIDE |
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CORPORATION LIMITS |
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CORPORATION LIMITS |
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Y/N |
Is Your License Plate |
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Y/N |
Has the Motor Vehicle Being |
Y/N |
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If Operated by the Owner on Public |
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Registration Under Suspension |
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Registered been Operated by the |
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Roads or Highways Prior to this |
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or Revocation Under the Ohio |
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Owner on Public Roads or Highways |
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Date, have Required Registration or |
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Financial Responsibility Law? |
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Prior to Date of This Application? |
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transfer Fees Been Paid? |
OWNER SIGNATURE |
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DATE |
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X |
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COURT NOTIFICATION
MUST BE COMPLETED BY TRIAL COURT
AN APPLICATION FOR RESTRICTED PLATES HAS BEEN SUBMITTED BY THE FOLLOWING NAMED INDIVIDUAL:
DEFENDANT
INDICATE BELOW THE ACTION TO BE TAKEN: |
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Application |
APPROVED |
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DISAPPROVED by Authorized Official |
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as submitted by |
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COURT |
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in the County of |
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, State of Ohio. |
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Date Suspended or Revocation Expires |
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DO NOT WRITE BELOW THIS LINE FOR BMV USE ONLY |
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ENTERED ON RECORDS |
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LICENSE NUMBER |
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YEAR |
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TYPE |
DATE |
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FEE |
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BY |
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BMV 4808 4/15 [760-1512] Page 1 of 2
COURT NOTIFICATION AND APPLICATION
FOR OHIO RESTRICTED LICENSE PLATES
When the license of any person is suspended or revoked, the trial judge may impound the Ohio registration and Ohio license plates of any motor vehicle the individual owns.
Whenever an Ohio registration and license plates have been impounded in accordance with Ohio Revised Code Section 4507.02, the vehicle owner, with court approval, may apply for restricted license plates. (Ohio Revised Code Sections 4507.164, 4503.231, 4507.02).
To obtain restricted license plates the following items MUST BE PRESENTED:
1.Payment due: Plate, $8.25 and Deputy Fee.
2.Completed and signed APPLICATION on REVERSE SIDE.
3.Trial Court must complete and sign COURT NOTIFICATION ON REVERSE SIDE.
4.OHIO Certificate of Title/Memorandum Title or current Registration Card is required. (COPIES NOT ACCEPTABLE).
5.This completed form must be taken to your local Deputy Registrar.
IMPORTANT: Restricted license plates can only be issued to a vehicle with a current registration. For new Ohio license plates the original Certificate of Title/Memorandum Title is required.
BMV 4808 4/15 [760-1512] Page 2 of 2
