Dmv Form Vsa 10B PDF Details

Embarking on the journey of obtaining antique license plates in Virginia involves navigating the specifics laid out in the DMV VSA 10B form. This pivotal document serves as a conduit for owners of antique motor vehicles, including cars, trailers, motorcycles, and autocycles, to certify their compliance with the particular requirements set by the Code of Virginia. The form mandates a one-time $50 fee among other potential charges and outlines a thorough process that includes returning completed forms to a DMV customer service center or mailing them directly to the DMV's Special Plates division. Crucially, it addresses the need for applicants to demonstrate the ownership or regular use of another registered vehicle, a measure to ensure that the antique plates are not misused for day-to-day transportation. Alongside the basics of applicant information, the form delves into insurance certification requirements, reinforcing the legal necessity for either an active liability policy or the payment of an uninsured motor vehicle fee. Moreover, it specifies the acceptable uses of antique plates, such as for club activities, parades, and maintenance drives, while sternly warning against their improper use, which could result in severe penalties including the revocation of registration. Completing the VSA 10B is also an act of certifying that the antique vehicle can safely operate on Virginia's roads, a declaration made under the weight of perjury laws for any false statements. Through this comprehensive form, the DMV ensures that the tradition of celebrating antique vehicles is balanced with legal and safety considerations.

QuestionAnswer
Form NameDmv Form Vsa 10B
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesvsa 10b, vsa 17a sample, virginia vsa 10, DMV

Form Preview Example

VSA 10B (07/01/2014)

ANTIQUE LICENSE PLATE

APPLICANT CERTIFICATION

Purpose: Owners of antique motor vehicles, antique trailers, antique motorcycles and antique autocycles use this form to certify compliance with Code of Virginia requirements for use of antique plates.

Instructions: Return the completed VSA 10 B form (along with a VSA 10, VSA 14 or VSA 17A) with the one-time $50 fee and any other applicable fees to any DMV customer service center. You may also mail the forms and fees to DMV, Special Plates, P.O. Box 26668, Richmond, VA 23261-6668.

APPLICANT INFORMATION

OWNER FULL NAME (last, first, middile initial) (print)

OWNER TELEPHONE NUMBER

 

(

 

)

 

 

 

 

 

CO-OWNER FULL NAME (last, first, middile initial) (print)

CO-OWNER TELEPHONE NUMBER

 

(

 

)

 

 

 

 

 

 

STREET ADDRESS

CITY

STATE

 

ZIPCODE

 

 

 

 

 

USE OF ANOTHER VEHICLE, MOTORCYCLE OR AUTOCYCLE

Virginia Code, Section 46.2-730, requires evidence that the applicant named above owns or has regular use of another passenger car, motorcycle or autocycle. Antique license plates will not be issued without this evidence. The vehicle must have active registration. If the registration is inactive or the information is incorrect, the certification will not process.

I certify that I own at least one other properly registered vehicle, motorcycle or autocycle. (Describe below)

VEHICLE TITLE NUMBER

VEHICLE IDENTIFICATION NUMBER (VIN)

MAKE

MODEL

LICENSE PLATE NUMBER

I do not own another properly registered vehicle, motorcycle or autocycle; however, I certify that I have regular use of at least one other properly registered vehicle, motorcycle or autocycle as authorized by the owner/co-owner below.

VEHICLE TITLE NUMBER

STATE OF TITLE

VEHICLE IDENTIFICATION NUMBER (VIN)

MAKE

MODEL

LICENSE PLATE NUMBER

 

 

 

 

 

 

 

OWNER FULL NAME (last, first, middile initial) (print)

OWNER SIGNATURE

 

 

 

 

 

 

CO-OWNER FULL NAME (last, first, middile initial) (print)

CO-OWNER SIGNATURE

 

 

 

 

 

 

 

 

 

INSURANCE CERTIFICATION

I/We certify that (check one):

This vehicle is insured by a liability policy issued through an insurance company licensed to do business in Virginia and it will remain insured while registered, whether or not it is operated. Penalties are severe for violation of this requirement.

This vehicle is not insured; therefore, I am remitting the applicable uninsured motor vehicle fee. (This fee provides no insurance coverage.) A vehicle must be insured with liability coverage when it is registered, and it must remain insured while registered, whether or not it is operated, or the uninsured motor vehicle fee must be paid. Penalties are severe for violation of this requirement.

USE OF ANTIQUE PLATES

Virginia Code, Section 46.2-730, limits use of antique vehicles, trailers, motorcycles and autocycles registered with antique plates to the participation in club activities, exhibits, tours, parades and similar events and to carrying or transporting passengers, personal effects and other antique vehicles for show purposes. They may also be used on Virginia highways to test vehicle/trailer operation, obtaining maintenance or repairs and/or to sell the vehicle or trailer. Antique plates permit occasional pleasure driving (not to exceed 250 miles from the owner's residence) but are not to be used for general transportation purposes, including but not limited to, daily travel to and from the owner's place of employment.

PENALTY FOR MISUSE OF ANTIQUE PLATES

Any owner of an antique vehicle, trailer, motorcycle or autocycle registered with license plates pursuant to Virginia Code, Section 46.2-730, will be guilty of a Class 4 misdemeanor if convicted of a violation of antique plate usage. The conviction will cause the owner's registration for the vehicle involved in the violation to be revoked for a five-year period from the date of conviction.

VEHICLE SAFETY CERTIFICATION

Virginia Code, Section 46.2-730, requires that you certify that the antique vehicle, trailer, motorcycle or autocycle registered with antique plates is capable of being safely operated on Virginia highways.

VEHICLE TITLE NUMBER

VEHICLE IDENTIFICATION NUMBER (VIN)

MAKE

MODEL

LICENSE PLATE NUMBER

I/We certify and affirm that all information presented in this form is true and correct, that any documents I/we have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I/We make this certification and affirmation under penalty of perjury and I/we understand that knowingly making a false statement or representation on this form is a criminal violation.

OWNER SIGNATURE

DATE (mm/dd/yyyy) CO-OWNER SIGNATURE

DATE (mm/dd/yyyy)

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DMV conclusion process explained (part 1)

2. Given that this part is done, it's time to put in the needed details in INSURANCE CERTIFICATION, IWe certify that check one, This vehicle is insured by a, This vehicle is not insured, Virginia Code Section limits use, USE OF ANTIQUE PLATES, Any owner of an antique vehicle, PENALTY FOR MISUSE OF ANTIQUE, Virginia Code Section requires, VEHICLE TITLE NUMBER, VEHICLE IDENTIFICATION NUMBER VIN, MAKE, MODEL, LICENSE PLATE NUMBER, and VEHICLE SAFETY CERTIFICATION so you can move forward further.

LICENSE PLATE NUMBER, MAKE, and PENALTY FOR MISUSE OF ANTIQUE in DMV

Always be really attentive when filling out LICENSE PLATE NUMBER and MAKE, because this is where many people make a few mistakes.

3. The following section is mostly about IWe certify and affirm that all, OWNER SIGNATURE, DATE mmddyyyy COOWNER SIGNATURE, and DATE mmddyyyy - fill out all of these blank fields.

The right way to fill out DMV stage 3

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