Form MVR-619 "Application for Permanent Registration Plate" - North Carolina

What Is Form MVR-619?

This is a legal form that was released by the North Carolina Department of Transportation - Division of Motor Vehicles - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2020;
  • The latest edition provided by the North Carolina Department of Transportation - Division of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MVR-619 by clicking the link below or browse more documents and templates provided by the North Carolina Department of Transportation - Division of Motor Vehicles.

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Download Form MVR-619 "Application for Permanent Registration Plate" - North Carolina

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MVR-619
(Rev. 07/20)
North Carolina Division of Motor Vehicles
APPLICATION FOR PERMANENT REGISTRATION PLATE
(In accordance with General Statute 20-84 )
The Division may issue a permanent registration plate for a motor vehicle owned by one of the entities authorized to have a
permanent registration plate. To obtain a permanent registration plate, an authorized representative of the entity must
provide proof of ownership, provide proof of financial responsibility as required by General Statute 20-309, and pay a fee of
six dollars ($6.00). A permanent plate may be transferred as provided in General Statute 20-78 to a replacement vehicle of
the same classification for a fee of $21.50 and if lost may be replaced for a fee of $21.50.
Please make checks payable to NCDMV.
VEHICLE SECTION
YEAR
MAKE
BODY STYLE
SERIES MODEL
VEHICLE IDENTIFICATION NUMBER
OWNER SECTION
OWNER 1 ID #
FULL LEGAL NAME OF OWNER
OWNER 2 ID #
FULL LEGAL NAME OF OWNER
STREET ADDRESS
CITY
STATE
ZIP CODE
COUNTY
MAILING ADDRESS IF DIFFERENT FROM ABOVE
CHECK APPLICABLE BLOCK
A motor vehicle owned by a county, city or town
A motor vehicle owned by a board of education
A motor vehicle owned by the civil air patrol
A motor vehicle owned by an incorporated emergency rescue squad
A motor vehicle owned by a rural fire department, agency, or association
A motor vehicle owned by a local chapter of the American National Red Cross and used for emergency or disaster work
A motor vehicle owned by a community college. (*Community college vehicles purchased with State equipment funds qualify for
a state-owned black/yellow plate.)
A motor vehicle that is owned and operated by a sanitary district created under Part 2 of Article 2 of Chapter 130A of the General
Statutes.
A motor vehicle owned by a federally recognized tribe
A motor vehicle that is owned and exclusively operated by a nonprofit corporation authorized under G.S. 115C-238.29D to operate a
charter school and identified by a permanent decal or painted marking disclosing the name of the nonprofit corporation. The motor
vehicle shall only be used for student transportation and official charter school related activities.
 A motor vehicle that is owned by a public transportation service provider that is a designated recipient or direct recipient of Federal Transit
Administration 47 formula grants funds pursuant 49 U.S.C. 5311 or 49 U.S.C. 5307
I understand that it is a violation of Motor Vehicle Laws of North Carolina for a person who knowingly makes any false affidavit or knowingly
swears or affirms falsely to any matter or thing required by the terms of this Application for Permanent Registration Plate shall be guilty of a
Class I felony under General Statute 20-112.
I affirm the foregoing is true and correct.
Signature of Applicant
(if firm or corporation, form requires hand printed name of firm or corporation and signature and hand printed name of authorized representative)
MVR-619
(Rev. 07/20)
North Carolina Division of Motor Vehicles
APPLICATION FOR PERMANENT REGISTRATION PLATE
(In accordance with General Statute 20-84 )
The Division may issue a permanent registration plate for a motor vehicle owned by one of the entities authorized to have a
permanent registration plate. To obtain a permanent registration plate, an authorized representative of the entity must
provide proof of ownership, provide proof of financial responsibility as required by General Statute 20-309, and pay a fee of
six dollars ($6.00). A permanent plate may be transferred as provided in General Statute 20-78 to a replacement vehicle of
the same classification for a fee of $21.50 and if lost may be replaced for a fee of $21.50.
Please make checks payable to NCDMV.
VEHICLE SECTION
YEAR
MAKE
BODY STYLE
SERIES MODEL
VEHICLE IDENTIFICATION NUMBER
OWNER SECTION
OWNER 1 ID #
FULL LEGAL NAME OF OWNER
OWNER 2 ID #
FULL LEGAL NAME OF OWNER
STREET ADDRESS
CITY
STATE
ZIP CODE
COUNTY
MAILING ADDRESS IF DIFFERENT FROM ABOVE
CHECK APPLICABLE BLOCK
A motor vehicle owned by a county, city or town
A motor vehicle owned by a board of education
A motor vehicle owned by the civil air patrol
A motor vehicle owned by an incorporated emergency rescue squad
A motor vehicle owned by a rural fire department, agency, or association
A motor vehicle owned by a local chapter of the American National Red Cross and used for emergency or disaster work
A motor vehicle owned by a community college. (*Community college vehicles purchased with State equipment funds qualify for
a state-owned black/yellow plate.)
A motor vehicle that is owned and operated by a sanitary district created under Part 2 of Article 2 of Chapter 130A of the General
Statutes.
A motor vehicle owned by a federally recognized tribe
A motor vehicle that is owned and exclusively operated by a nonprofit corporation authorized under G.S. 115C-238.29D to operate a
charter school and identified by a permanent decal or painted marking disclosing the name of the nonprofit corporation. The motor
vehicle shall only be used for student transportation and official charter school related activities.
 A motor vehicle that is owned by a public transportation service provider that is a designated recipient or direct recipient of Federal Transit
Administration 47 formula grants funds pursuant 49 U.S.C. 5311 or 49 U.S.C. 5307
I understand that it is a violation of Motor Vehicle Laws of North Carolina for a person who knowingly makes any false affidavit or knowingly
swears or affirms falsely to any matter or thing required by the terms of this Application for Permanent Registration Plate shall be guilty of a
Class I felony under General Statute 20-112.
I affirm the foregoing is true and correct.
Signature of Applicant
(if firm or corporation, form requires hand printed name of firm or corporation and signature and hand printed name of authorized representative)