Form MV40-12-265-1 "Application for Replacement Credentials" - Alabama

What Is Form MV40-12-265-1?

This is a legal form that was released by the Alabama Department of Revenue - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2020;
  • The latest edition provided by the Alabama Department of Revenue;
  • 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 printable version of Form MV40-12-265-1 by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

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Download Form MV40-12-265-1 "Application for Replacement Credentials" - Alabama

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A
D
R
MV 40-12-265-1
LABAMA
EPARTMENT OF
EVENUE
6/20
M
V
D
OTOR
EHICLE
IVISION
Application For Replacement Credentials
This form is used to request a replacement license plate, replacement validation decal or a current registration receipt issued by the
licensing official. Return this application with payment to your local licensing official's office.
REGISTRANT INFORMATION
LAST, FIRST, MIDDLE OR ORGANIZATION NAME
TELEPHONE NUMBER
EMAIL
PHYSICAL ADDRESS
COUNTY
MAILING ADDRESS ( IF DIFFERENT FROM PHYSICAL ADDRESS)
CITY
STATE
ZIP
CITY
STATE
ZIP
VEHICLE INFORMATION
PLATE NUMBER
VEHICLE IDENTIFICATION NUMBER
OFFICE USE ONLY
REPLACEMENT CREDENTIALS REQUESTED
Replacement fee is determined by local licensing office.
6
6
6
License Plate
Decal
Registration Receipt (current registration period only)
REASON FOR REPLACEMENT
6
Stolen/Lost - It is the responsibility of the registrant to notify the appropriate law enforcement agency regarding lost or stolen
license plates.
6
Mutilated/Damaged - License plate must be surrendered to the appropriate license plate issuing official. If the license plate
cannot be surrendered, a statement as to the certification of the destruction of the license plate may be submittedor stolen
license plates.
6
Incorrect - A copy of the original registration receipt reflecting the incorrect information should be submitted with this form, if
available. Do not return the original registration receipt.
6
Never Received - License plate or decal that was issued but never received due to being lost in the mail.
Should the lost license plate be recovered or come into the possession of the applicant, the license plate must immediately be deliv-
ered to the local licensing authority. Should any person use upon any motor vehicle the old tag or validation stamp, they may be
arrested and upon conviction shall be guilty of a misdemeanor in accordance with Section 40-12-265, Code of Ala. 1975.
I certify, under penalty of perjury that the above information provided is true and correct
Signature: ___________________________________________________________________________ Date: _________________
For credentials issued by the ADOR MVD only (state, county, municipal, PUD, US government loaned, consular official, volun-
teer fire department, or IRP) submit this application to the ADOR MVD.
A
D
R
MV 40-12-265-1
LABAMA
EPARTMENT OF
EVENUE
6/20
M
V
D
OTOR
EHICLE
IVISION
Application For Replacement Credentials
This form is used to request a replacement license plate, replacement validation decal or a current registration receipt issued by the
licensing official. Return this application with payment to your local licensing official's office.
REGISTRANT INFORMATION
LAST, FIRST, MIDDLE OR ORGANIZATION NAME
TELEPHONE NUMBER
EMAIL
PHYSICAL ADDRESS
COUNTY
MAILING ADDRESS ( IF DIFFERENT FROM PHYSICAL ADDRESS)
CITY
STATE
ZIP
CITY
STATE
ZIP
VEHICLE INFORMATION
PLATE NUMBER
VEHICLE IDENTIFICATION NUMBER
OFFICE USE ONLY
REPLACEMENT CREDENTIALS REQUESTED
Replacement fee is determined by local licensing office.
6
6
6
License Plate
Decal
Registration Receipt (current registration period only)
REASON FOR REPLACEMENT
6
Stolen/Lost - It is the responsibility of the registrant to notify the appropriate law enforcement agency regarding lost or stolen
license plates.
6
Mutilated/Damaged - License plate must be surrendered to the appropriate license plate issuing official. If the license plate
cannot be surrendered, a statement as to the certification of the destruction of the license plate may be submittedor stolen
license plates.
6
Incorrect - A copy of the original registration receipt reflecting the incorrect information should be submitted with this form, if
available. Do not return the original registration receipt.
6
Never Received - License plate or decal that was issued but never received due to being lost in the mail.
Should the lost license plate be recovered or come into the possession of the applicant, the license plate must immediately be deliv-
ered to the local licensing authority. Should any person use upon any motor vehicle the old tag or validation stamp, they may be
arrested and upon conviction shall be guilty of a misdemeanor in accordance with Section 40-12-265, Code of Ala. 1975.
I certify, under penalty of perjury that the above information provided is true and correct
Signature: ___________________________________________________________________________ Date: _________________
For credentials issued by the ADOR MVD only (state, county, municipal, PUD, US government loaned, consular official, volun-
teer fire department, or IRP) submit this application to the ADOR MVD.