Form VSD760 "Gold Star License Plates Request Form" - Illinois

What Is Form VSD760?

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

Form Details:

  • The latest edition provided by the Illinois Secretary of State;
  • 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 VSD760 by clicking the link below or browse more documents and templates provided by the Illinois Secretary of State.

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Download Form VSD760 "Gold Star License Plates Request Form" - Illinois

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Secretary of State
Gold Star License Plates
Request Form
Secretary of State
This request may only be processed
★★ ★
Vehicle Services Department
in the Springfield office.
Special Plates Division, Rm. 541
501 S. Second St.
Gold Star plates
Springfield, IL 62756-5100
also may be requested through
217-785-4175
★ ★ ★ ★
★ ★ ★ ★
Pick-a-Plate at www.cyberdriveillinois.com.
www.cyberdriveillinois.com
Gold Star License Plates may be issued to any Illinois resident who is a surviving widow/widower, parent, daughter, son or
sibling of a person who served in the U.S. Armed Forces and lost his/her life while serving during peacetime or war. The
surviving widow/widower, parent, daughter, son and sibling(s) may be issued one set of plates. A Gold Star Affirmation veri-
fying receipt of the Gold Star, including the service member’s name and relationship to the applicant, is required.
Gold Star plates are multi-year and may be displayed on passenger vehicles, trucks and vans weighing 8,000 pounds or less.
To purchase Gold Star License Plates, please submit the appropriate request form along with your license plates registration
or renewal application, the required military documentation and the following applicable fees to the address above.
Random-Number Gold Star License Plates
• Newly-acquired vehicle/first-time issuance — $196 ($95 title fee, $101 registration fee)
• Currently titled vehicle/first-time issuance — $101 ($101 registration fee)
• Current plates expire within 90 days — $101 ($101 registration fee, $0 replacement fee)
• Current plates do not expire within 90 days — $0 ($0 replacement fee)
• Annual renewal — $101 ($101 registration fee)
Vanity Gold Star License Plates
Same fees as Random-Number Plates. No vanity fees required.
Personalized Gold Star License Plates
Same fees as Random-Number Plates. No personalized fees required.
Printed by authority of the State of Illinois. May 2018 — 1 — VSD 760.5
Secretary of State
Gold Star License Plates
Request Form
Secretary of State
This request may only be processed
★★ ★
Vehicle Services Department
in the Springfield office.
Special Plates Division, Rm. 541
501 S. Second St.
Gold Star plates
Springfield, IL 62756-5100
also may be requested through
217-785-4175
★ ★ ★ ★
★ ★ ★ ★
Pick-a-Plate at www.cyberdriveillinois.com.
www.cyberdriveillinois.com
Gold Star License Plates may be issued to any Illinois resident who is a surviving widow/widower, parent, daughter, son or
sibling of a person who served in the U.S. Armed Forces and lost his/her life while serving during peacetime or war. The
surviving widow/widower, parent, daughter, son and sibling(s) may be issued one set of plates. A Gold Star Affirmation veri-
fying receipt of the Gold Star, including the service member’s name and relationship to the applicant, is required.
Gold Star plates are multi-year and may be displayed on passenger vehicles, trucks and vans weighing 8,000 pounds or less.
To purchase Gold Star License Plates, please submit the appropriate request form along with your license plates registration
or renewal application, the required military documentation and the following applicable fees to the address above.
Random-Number Gold Star License Plates
• Newly-acquired vehicle/first-time issuance — $196 ($95 title fee, $101 registration fee)
• Currently titled vehicle/first-time issuance — $101 ($101 registration fee)
• Current plates expire within 90 days — $101 ($101 registration fee, $0 replacement fee)
• Current plates do not expire within 90 days — $0 ($0 replacement fee)
• Annual renewal — $101 ($101 registration fee)
Vanity Gold Star License Plates
Same fees as Random-Number Plates. No vanity fees required.
Personalized Gold Star License Plates
Same fees as Random-Number Plates. No personalized fees required.
Printed by authority of the State of Illinois. May 2018 — 1 — VSD 760.5
Print
Reset
Random-Number Gold Star License Plates Request Form
Name _____________________________________________________________________________________________
Address ___________________________________________________________________________________________
City/State/ZIP_______________________________________________________________________________________
Telephone Number___________________________________________________________________________________
License Plate Number________________________________________Expiration Date ____________________________
o Passenger
o B-Truck
Type of Plate
Vanity & Personalized Gold Star License Plates Request Form
Vehicle Owner’s Name
Address
City
State
ZIP
OFFICE USE ONLY
Daytime Telephone Number (8 a.m. - 4:30 p.m.)
Current License Plate #
Expiration Date
1st choice
2nd choice
3rd choice
o Yes
o No
If your exact 1st, 2nd and 3rd choices are not available, would you like the next plate number available in that series?
If you want a space between letters, please indicate with a slash mark. An automatic space is required between letters and numbers.
Vanity Gold Star Plates
Personalized Gold Star Plates
A B C D
examples
A B C
1
Numbers 1-999
1 or 2 letters plus 1-99
or
or
Note: 4-letter Gold Star plates cannot have a space. Spacing will vary with the type of plate requested.
1, 2, 3 or 4 letters
3 letters plus 1-9
Proper completion of this form is the customer’s responsibility.
Vanity/Personalized License Plates
• No refund or adjustment will be made for a change of choice or spacing after a plate has been ordered or if the request
form is incorrectly completed.
• The Secretary of State’s office is authorized to recall a plate determined to be obscene or offensive.
• All request forms should indicate whether you want the Secretary of State to assign one of your choices with the next
available number if your exact request is unavailable.
• If you wish to submit more than three requests, attach additional selections to the request form.
DO NOT
• Intermix letters and numbers
• Use a space between numbers
• Use lowercase letters
• Use characters, symbols, foreign words or symbols of punctuation, such as dashes or periods
• Select obscene or offensive combinations
First-Time Registrations
• Money must accompany request forms on all first-time registrations.
• A leased vehicle is eligible for vanity or personalized plates.
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