
Temporary Tag Fee:
Enter the total number of temporary tags requested . . . . . . . . . .
Price per temporary tag. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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.
DEALER NAME DA NUMBER
MAILING ADDRESS
STREET ADDRESS COUNTY
CONTACT PERSON TELEPHONE NUMBER
FAX NUMBER EMAIL ADDRESS
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.
MVR-1
12/08
$2.25
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