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Application for "It's Like A Whole Other Country®" Specialty License Plate

Please read instructions before completing this form. Applicant must complete this information. Print this page and mail in with your payment to order your specialty license plate.

Check one only  

 

1st Choice    
2nd Choice    
3rd Choice    

NOTE: All fees are in addition to regular annual registration fee. Make check or money order payable to:
Texas Department of Transportation. Return application and payment to: Vehicle Title & Registration Division, Texas Department of Transportation, Austin, TX 78779-0001
I, the undersigned, state that I am requesting this special license plate for a passenger vehicle or light truck having a manufacturer's rated carrying capacity of one ton or less.

SIGNATURE OF APPLICANT:____________________________________________________________

WARNING: TRANSPORTATION CODE SECTION 502.410 PROVIDES THAT FALSIFYING INFORMATION ON ANY REQUIRED STATEMENT OR APPLICATION IS A THIRD DEGREE FELONY.

FOR TEXAS DEPARTMENT OF TRANSPORTATION USE ONLY

License Plate # ________ Month and Year Expiration ________ Date Issued ________