Form ITD 3169 Loaner Plate or Registration Order/Renewal - Idaho

Form ITD3169 or the "Loaner Plate Or Registration Order/renewal" is a form issued by the Idaho Department of Transportation.

Download a PDF version of the Form ITD3169 down below or find it on the Idaho Department of Transportation Forms website.

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ITD 3169 (Rev. 05-18)
Loaner Plate Or Registration
itd.idaho.gov
Order/Renewal
Idaho Transportation Department
Return the completed form and your payment to: Dealer Services
Idaho Transportation Department
PO Box 34
Boise ID 83731-0034
Dealership Name (as shown on license)
Dealer Number
Phone Number
Date
(
)
Dealership Physical Location
City
State
Zip+4
Dealership Mailing Address
City
State
Zip+4
Applicant’s Signature
I hereby order the loaner plate(s) listed below.
All Loaner Plates Expire in Same Month as Dealer License
– When requesting new plates, calculate the number
of months left until the dealer license expires. Include the current month in the count.
A. New Loaner Plates
B. Loaner Plate Renewal
List Plates to be Renewed
Dealer License Expires In
Months
(include current month)
Quantity
Total
Regular
Motorcycle
1 Month
X $17.75 =
$
2 Months
X $23.50 =
$
3 Months
X $29.25 =
$
B. Total Renewal Fees
Renewal
Quantity
Cost Each
4 Months
X $35.00 =
$
Fees
X
$73.25 =
$
5 Months
X $40.75 =
$
6 Months
X $46.50 =
$
C. Loaner Plate/Registration Replacement
List Plates and/or Registration to be Replaced
7 Months
X $52.25 =
$
Type of Replacement
Plate/Registration Number(s)
8 Months
X $58.00 =
$
Registration and Sticker(s)
9 Months
X $63.75 =
$
10 Months
X $69.50 =
$
Registration - No Sticker(s)
11 Months
X $75.25 =
$
12 Months
X $81.00 =
$
Plate(s), Registration, and Sticker(s)
A. Total New Plate Fees $
Replacement Fees
Cost
Qty
Each
Total
List Lost or Stolen Plates
1.
Registration / Sticker
x
$7.00 = $
Plate Number
Plate Number
Plate Number
2.
Registration / No Sticker
x
$5.00 = $
3.
Plate, Registration, and Sticker
x $14.75 = $
C. Total Replacement Fees
$
Total Fees Submitted (Add the Totals from A, B, and C) $
-- ITD Use Only --
Plate Numbers Issued
Distribution: Original - ITD Dealer Services
Copy - Dealer
ITD 3169 (Rev. 05-18)
Loaner Plate Or Registration
itd.idaho.gov
Order/Renewal
Idaho Transportation Department
Return the completed form and your payment to: Dealer Services
Idaho Transportation Department
PO Box 34
Boise ID 83731-0034
Dealership Name (as shown on license)
Dealer Number
Phone Number
Date
(
)
Dealership Physical Location
City
State
Zip+4
Dealership Mailing Address
City
State
Zip+4
Applicant’s Signature
I hereby order the loaner plate(s) listed below.
All Loaner Plates Expire in Same Month as Dealer License
– When requesting new plates, calculate the number
of months left until the dealer license expires. Include the current month in the count.
A. New Loaner Plates
B. Loaner Plate Renewal
List Plates to be Renewed
Dealer License Expires In
Months
(include current month)
Quantity
Total
Regular
Motorcycle
1 Month
X $17.75 =
$
2 Months
X $23.50 =
$
3 Months
X $29.25 =
$
B. Total Renewal Fees
Renewal
Quantity
Cost Each
4 Months
X $35.00 =
$
Fees
X
$73.25 =
$
5 Months
X $40.75 =
$
6 Months
X $46.50 =
$
C. Loaner Plate/Registration Replacement
List Plates and/or Registration to be Replaced
7 Months
X $52.25 =
$
Type of Replacement
Plate/Registration Number(s)
8 Months
X $58.00 =
$
Registration and Sticker(s)
9 Months
X $63.75 =
$
10 Months
X $69.50 =
$
Registration - No Sticker(s)
11 Months
X $75.25 =
$
12 Months
X $81.00 =
$
Plate(s), Registration, and Sticker(s)
A. Total New Plate Fees $
Replacement Fees
Cost
Qty
Each
Total
List Lost or Stolen Plates
1.
Registration / Sticker
x
$7.00 = $
Plate Number
Plate Number
Plate Number
2.
Registration / No Sticker
x
$5.00 = $
3.
Plate, Registration, and Sticker
x $14.75 = $
C. Total Replacement Fees
$
Total Fees Submitted (Add the Totals from A, B, and C) $
-- ITD Use Only --
Plate Numbers Issued
Distribution: Original - ITD Dealer Services
Copy - Dealer

Download Form ITD 3169 Loaner Plate or Registration Order/Renewal - Idaho

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