Form Hsmv 83045 – Fill Out and Use This PDF

State of Florida

DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES

Application for Registration of a Street Rod, Custom Vehicle,

Horseless Carriage or Antique (Permanent)

INSTRUCTIONS: COMPLETE APPLICATION AND CHECK APPLICABLE BOX

1APPLICANT INFORMATION

Name of Applicant ________________________________ Applicant’s Email Address ______________________________

Street Address ___________________________________________________________________________________

City ___________________________________________ State _______________ Zip _______________________

Sex ______	Date of Birth ____________	Florida Driver License Number or FEID Number ______________________________
2		VEHICLE INFORMATION

YEAR ___________ MAKE ____________ BODY TYPE ______________ WEIGHT OF VEHICLE _____________ COLOR ______________

ENGINE OR ID# _______________________________________________________________________________________________________

TITLE# _______________________________________	PREVIOUS LICENSE PLATE# __________________________________
___
3	CERTIFICATION

(Check Applicable Box)

The vehicle described above is a “Street Rod” which is a modified motor vehicle manufactured prior to 1949. The vehicle meets state equipment and safety requirements that were in effect in this state as a condition of sale in the year listed as the model year on the certificate of title. The vehicle will only be used for exhibition and not for general transportation.

The vehicle described above is a “Custom Vehicle” which is a modified motor vehicle manufactured after 1948 and is 25 years old or older and has been altered from the manufacturer’s original design or has a body constructed from non-original materials. The vehicle meets state equipment and safety requirements that were in effect in this state as a condition of sale in the year listed as the model year on the certificate of title. The vehicle will only be used for exhibition and not for general transportation.

The vehicle described above is a “Horseless Carriage” which is an automobile, truck or motorcycle weighing 5,000 pounds or less, for private use, manufactured in 1945 or earlier. The license plate is permanent and valid for use without renewal as long as the vehicle is owned by the same owner/registrant.

The vehicle described above is: A Firefighting Apparatus (may choose either type plate listed below, regardless of the vehicle’s age). A Former Military Vehicle (may choose either type plate listed below, regardless of the vehicle’s age).

A Historical Motor Vehicle 30 years old or older used ONLY in exhibitions, parades or public displays (may choose either type plate listed below, if the vehicle is 30 years old or older).

Therefore, I am requesting the following type of license plate:

I certify the above information is true and correct. ___________________________________________

	(Signature of Applicant)
4	ADDITIONAL INFORMATION & REQUIREMENTS

A Street Rod or Custom Vehicle License Plate should be processed through your local county Tax Collector's Office or License Plate Agency. The customer has the option of submitting a completed application for a permanent antique (for a qualifying firefighting vehicle only) to the license plate agency or directly to the department for processing. Check your local phone book government pages or visit the following website for current mailing addresses: http://www.flhsmv.gov/offices/

A Horseless Carriage or Permanent Antique (except for a qualifying firefighting vehicle) License Plate MUST be issued by the department. The completed and signed form must be submitted to the following address for processing:

Bureau of Issuance Oversight, MS# 72, 2900 Apalachee Parkway, Neil Kirkman Building, Tallahassee, FL. 32399, along with the following documentation:

Copy of the vehicle registration or a copy of the Florida certificate of title.

Proof of insurance.

Applicable Fee (listed below), payable to DMV, which includes a mailing fee:

Permanent Antique Motor Vehicle	$67.45	Replacement for Permanent Antique Motor Vehicle	$45.20
Horseless Carriage Motor Vehicle	$61.65	Replacement for Horseless Carriage Motor Vehicle	$40.90
Horseless Carriage Motorcycle	$62.40	Replacement for Horseless Carriage Motorcycle	$40.90
Permanent Antique Firefighting apparatus/military vehicle (30 years old or older)			$60.15
Replacement for Permanent Antique Firefighting apparatus/military vehicle (30 years old or older)			$49.90
Permanent Horseless Carriage Firefighting apparatus/military vehicle (30 years old or older)			$61.65
 Replacement for Horseless Carriage Firefighting apparatus/military vehicle (30 years old or older)			$51.40
Add an additional $10, if the GVW weight is 10,000 lbs. or more.
NOTE: The Initial Registration Fee is not required on vehicles that are 30 years old or older.
HSMV 83045 (REV. 03/12)	www.flhsmv.gov