Form VTR-423 "Application for Gold Star License Plates" - Texas

What Is Form VTR-423?

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

Form Details:

  • Released on July 1, 2018;
  • The latest edition provided by the Texas Department 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 VTR-423 by clicking the link below or browse more documents and templates provided by the Texas Department of Motor Vehicles.

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Download Form VTR-423 "Application for Gold Star License Plates" - Texas

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Application for
County Use Only
Gold Star
License No
Mo/Yr of Exp
License Plates
Date Issued
Instructions
Submit the completed application; payment in the form of a personal check, money order, or cashier’s check; and proof of
eligibility to your local county tax assessor-collector’s office. Registration fees must be paid to establish a single expiration date
for both the specialty plate and the vehicle registration when your plates are issued; however, there is no specialty plate fee.
Plates may be personalized for an additional fee of $40; make your selection on page 2. The personalization fee is non-
refundable.
There is a limit of one Gold Star specialty plate per applicant. Gold Star plates are available for passenger cars and trucks (up to
18,000 lbs.) and motorcycles/mopeds.
The vehicle must h ave a title and registration in your name. If the vehicle is not titled in your name, attach a statement stating you
have legal right of possession and control of the vehicle. If you recently submitted an application for title, attach a copy of the title
application receipt (VTR-500-RTS). If the vehicle is leased, attach a copy of the lease agreement.
If you place your order by mail, please contact your county tax assessor-collector’s office in three weeks to verify your plates are
ready, or if you have any questions.
Plate Eligibility
You must submit proof of eligibility for the plate type you are requesting.
Gold Star Family: Proof that you an immediate family member (parent, child, or sibling) of a person who died while
serving in the U.S. Armed Forces.
Gold Star Father: Proof that you are the father of a person who died while serving in the U.S. Armed Forces.
Gold Star Mother: Proof that you are the mother of a person who died while serving in the U.S. Armed Forces.
Gold Star Spouse: Proof that you are the surviving spouse of a person who died while serving in the U.S. Armed Forces.
Applicant Information
First Name
Middle Name
Last Name
Suffix
County
Address
City
State
ZIP
Email
Phone Number
Vehicle Information
Vehicle Identification Number
Year
Make
Vehicle Type
Passenger car
Truck (up to 18,000 lbs.)
Motorcycle/Moped
Plate Type
Gold Star Family
Gold Star Father
Gold Star Mother
Gold Star Spouse
Certification
– State law makes falsifying information a third-degree felony.
I certify I am eligible for the specialty license plates selected above and am providing proof to that effect.
Signature
Date
Form VTR-423 Rev 07/2018
Form available online at
www.TxDMV.gov
Page 1 of 2
Application for
County Use Only
Gold Star
License No
Mo/Yr of Exp
License Plates
Date Issued
Instructions
Submit the completed application; payment in the form of a personal check, money order, or cashier’s check; and proof of
eligibility to your local county tax assessor-collector’s office. Registration fees must be paid to establish a single expiration date
for both the specialty plate and the vehicle registration when your plates are issued; however, there is no specialty plate fee.
Plates may be personalized for an additional fee of $40; make your selection on page 2. The personalization fee is non-
refundable.
There is a limit of one Gold Star specialty plate per applicant. Gold Star plates are available for passenger cars and trucks (up to
18,000 lbs.) and motorcycles/mopeds.
The vehicle must h ave a title and registration in your name. If the vehicle is not titled in your name, attach a statement stating you
have legal right of possession and control of the vehicle. If you recently submitted an application for title, attach a copy of the title
application receipt (VTR-500-RTS). If the vehicle is leased, attach a copy of the lease agreement.
If you place your order by mail, please contact your county tax assessor-collector’s office in three weeks to verify your plates are
ready, or if you have any questions.
Plate Eligibility
You must submit proof of eligibility for the plate type you are requesting.
Gold Star Family: Proof that you an immediate family member (parent, child, or sibling) of a person who died while
serving in the U.S. Armed Forces.
Gold Star Father: Proof that you are the father of a person who died while serving in the U.S. Armed Forces.
Gold Star Mother: Proof that you are the mother of a person who died while serving in the U.S. Armed Forces.
Gold Star Spouse: Proof that you are the surviving spouse of a person who died while serving in the U.S. Armed Forces.
Applicant Information
First Name
Middle Name
Last Name
Suffix
County
Address
City
State
ZIP
Email
Phone Number
Vehicle Information
Vehicle Identification Number
Year
Make
Vehicle Type
Passenger car
Truck (up to 18,000 lbs.)
Motorcycle/Moped
Plate Type
Gold Star Family
Gold Star Father
Gold Star Mother
Gold Star Spouse
Certification
– State law makes falsifying information a third-degree felony.
I certify I am eligible for the specialty license plates selected above and am providing proof to that effect.
Signature
Date
Form VTR-423 Rev 07/2018
Form available online at
www.TxDMV.gov
Page 1 of 2
Application for Gold Star License Plates
Personalize Your Plate
– If you would like to personalize your specialty plate, there will be a $40 fee per year in addition to
the annual registration fee.
Show personalizations exactly as you want them to appear on your license plate(s). You may list more than one option
in the event the personalization you have chosen is already issued.
A selection that has been issued, is deemed offensive, or conflicts with the regular license plate numbering system
cannot be approved.
Enter your desired personalized letters, numbers, and/or symbols in the blocks below. The available symbols include:
a period, a dash, a blank space, a Texas silhouette (use an asterisk “*” to indicate), a heart (use an at “@” to indicate),
and a star (use an ampersand “&” to indicate).
Passenger car and truck specialty plates are limited to five (5) characters total, including punctuation characters.
Motorcycle and moped specialty plates are limited to four (4) characters total, including punctuation characters.
You are not required to use all the blocks provided.
The International Symbol of Access “
“ counts as two (2) characters and will be located at the beginning of the plate
number. If you are disabled and applying for personalized specialty plates, use a percent sign “%”to indicate.
Personalization fee will not be refunded once the application is submitted.
st
nd
rd
1
Choice
2
Choice
3
Choice
International Symbol of Access
To display the International Symbol of Access on your license plate, attach a signed Application for Persons with Disabilities
Parking Placard and/or License Plate (Form VTR-214) to this application to show your eligibility. Contact your county tax assessor-
collector’s office for more information.
Form VTR-423 Rev 07/2018
Form available online at
www.TxDMV.gov
Page 2 of 2
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