
APPLICATION FOR DEALER'S LICENSE PLATES
(Please Type or Print)
Dealership Name
Business Address (Location of Business) Street
City & State
Mailing Address Street
City & State
A SEPARATE APPLICATION MUST BE COMPLETED FOR EACH SERIES OF PLATES NEEDED.
CHECK APPROPRIATE BLOCK BELOW.
ALL APPLICATIONS FOR DEALER PLATES MUST BE ACCOMPAINED BY CURRENT DEALER
LICENSE AND PROOF OF INSURANCE.
AUTOS, TRUCKS, TRACTORS, TRAILERS, SEMI-TRAILERS & BUSES:
FEE - $15.00 each plate
MOTORCYCLES: FEE - $15.00 each plate.
MANUFACTURERS: FEE - $100.00 for the first plate, $3.00 for each additional plate.
TRANSPORTERS: FEE - $100.00 each plate. Proof must be submitted that applicant is
covered by a liability insurance policy or bond for not less than ten thousand dollars for public
liability and not less than five thousand dollars for property damage.
HANDICAP AUTOS AND TRUCKS: FEE - $15.00 each plate. A notarized affidavit must
accompany the application attesting to the fact that the vehicle upon which the plate is being
attached will be used solely by a mobility impaired person or by a person who is not mobility
impaired but will utilize the vehicle strictly for the benefit of a mobility impaired person.
STATE OF LOUISIANA
OFFICE OF MOTOR VEHICLES
P.O. Box 64886
Baton Rouge, La 70896-4886
DPSMV 1640 (R 01/10)