Form BMV4806 "Application and Affidavit for Historical License Plates" - Ohio

What Is Form BMV4806?

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

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the Ohio Department of Public Safety;
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  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form BMV4806 by clicking the link below or browse more documents and templates provided by the Ohio Department of Public Safety.

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Download Form BMV4806 "Application and Affidavit for Historical License Plates" - Ohio

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OHIO DEPARTMENT OF PUBLIC SAFETY
BUREAU OF MOTOR VEHICLES
APPLICATION AND AFFIDAVIT FOR HISTORICAL LICENSE PLATES
DEFINITION, INSTRUCTIONS AND FEES ON BACK 
TYPE OR PRINT
OHIO LICENSE PLATE #
EXPIRATION DATE
CERTIFICATE OF TITLE NUMBER INSPECTED BY
DEPUTY NAME / DEPUTY #
VEHICLE INFORMATION FROM OHIO CERTIFICATE / MEMORANDUM TITLE
DATE PURCHASED
YEAR
MAKE
MODEL
SERIAL #
CERTIFICATE OF TITLE #
VEHICLE COLOR
OWNER INFORMATION
NAME
D.O.B.
DAYTIME PHONE #
SSN / TIN / OH DL / OH ID
OHIO ADDRESS
CITY
STATE
ZIP CODE
OHIO
VEHICLE OWNERSHIP
JOINT OWNER / LESSEE NAME
SSN #
OHIO COUNTY OF RESIDENCE
Single
Joint
Leased
Company
OWNER BUSINESS ADDRESS
CITY
STATE
ZIP CODE
IS YOUR LICENSE PLATE REGISTRATION UNDER SUSPENSION OR
REVOCATION UNDER OHIO FINANCIAL RESPONSIBILITY LAW?
YES
NO
IF REGISTRATION OR PLATES ARE TO BE MAILED TO A DIFFERENT ADDRESS FROM THAT ABOVE, FILL IN THE FOLLOWING:
STREET
CITY
STATE
ZIP CODE
Historical license plates’ character combinations can also be personalized or reserved. The registrar is required by law to collect an
ADDITIONAL ANNUAL FEE over and above the one-time fee assessed for regular stock (preassigned numbers only) historical plates.
INDICATE YOUR CHOICES AND MEANINGS TO REQUEST RESERVED OR PERSONALIZED
HISTORICAL PLATES IN THE SPACE PROVIDED BELOW.
If you want system-assigned (the next number assigned in sequential order) then DO NOT submit choices.
Inappropriate requests will not be issued.
The first available choice will be assigned. There is a MAXIMUM of 6 characters including spaces on historical license plates. Six character
combinations are permitted to have one full space. Four or five character combinations are permitted up to 3 spaces. Standard manufacturing
procedures do no permit a choice of spacing for reserved license plates. If 3 spaces are requested on 5 character plates, the spacing is actually
only 1/4 space. On 4 character combinations, the spacing can be up to 1/2 space if the maximum of 3 spaces is requested. Leave a box empty to
indicate a space for reserved or personalized plates. If there are not enough spaces in the boxes below, indicate desired spaces with a slash
between characters. Dashes, symbols and punctuation marks cannot be used. There is a MAXIMUM of 4 characters on motorcycle plates.
Inappropriate requests will not be issued. LETTERS MAY NOT BE USED IN THE MIDDLE OF NUMBERS. HISTORICAL PLATES MAY BE
OBTAINED AT YOUR LOCAL DEPUTY REGISTRAR OR BY CONTACTING THE BMV, SPECIAL PLATES AT 1-800-589-TAGS.
FIRST CHOICE
THIRD CHOICE
SECOND CHOICE
FOURTH CHOICE
MEANING OF PLATE(S) REQUESTED
SEE REVERSE SIDE FOR IMPORTANT INFORMATION REGARDING INSTRUCTIONS AND FEES.
*AFFIDAVIT*
X
I,
(owner signature), being first duly sworn, state that I am the
owner of the above motor vehicle which is at least 25 years old. I certify that the vehicle has been inspected and found safe to
operate on the highways of the state. I certify that the vehicle is owned solely as a collector’s item and for participation in club
activities, exhibitions, tours, parades, and similar uses, but in no event is it to be used for general transportation but may be
operated on the public roads and highways to and from a location where maintenance is performed on the vehicle.
Notary:
Sworn to and subscribed in my presence this
day of
, 20
in
County,
State of
.
(Notary Seal)
Signature of Notary Public X
My commission expires
BMV 4806 12/19 [760-1512] Page 1 of 2
RESTRICTED
OHIO DEPARTMENT OF PUBLIC SAFETY
BUREAU OF MOTOR VEHICLES
APPLICATION AND AFFIDAVIT FOR HISTORICAL LICENSE PLATES
DEFINITION, INSTRUCTIONS AND FEES ON BACK 
TYPE OR PRINT
OHIO LICENSE PLATE #
EXPIRATION DATE
CERTIFICATE OF TITLE NUMBER INSPECTED BY
DEPUTY NAME / DEPUTY #
VEHICLE INFORMATION FROM OHIO CERTIFICATE / MEMORANDUM TITLE
DATE PURCHASED
YEAR
MAKE
MODEL
SERIAL #
CERTIFICATE OF TITLE #
VEHICLE COLOR
OWNER INFORMATION
NAME
D.O.B.
DAYTIME PHONE #
SSN / TIN / OH DL / OH ID
OHIO ADDRESS
CITY
STATE
ZIP CODE
OHIO
VEHICLE OWNERSHIP
JOINT OWNER / LESSEE NAME
SSN #
OHIO COUNTY OF RESIDENCE
Single
Joint
Leased
Company
OWNER BUSINESS ADDRESS
CITY
STATE
ZIP CODE
IS YOUR LICENSE PLATE REGISTRATION UNDER SUSPENSION OR
REVOCATION UNDER OHIO FINANCIAL RESPONSIBILITY LAW?
YES
NO
IF REGISTRATION OR PLATES ARE TO BE MAILED TO A DIFFERENT ADDRESS FROM THAT ABOVE, FILL IN THE FOLLOWING:
STREET
CITY
STATE
ZIP CODE
Historical license plates’ character combinations can also be personalized or reserved. The registrar is required by law to collect an
ADDITIONAL ANNUAL FEE over and above the one-time fee assessed for regular stock (preassigned numbers only) historical plates.
INDICATE YOUR CHOICES AND MEANINGS TO REQUEST RESERVED OR PERSONALIZED
HISTORICAL PLATES IN THE SPACE PROVIDED BELOW.
If you want system-assigned (the next number assigned in sequential order) then DO NOT submit choices.
Inappropriate requests will not be issued.
The first available choice will be assigned. There is a MAXIMUM of 6 characters including spaces on historical license plates. Six character
combinations are permitted to have one full space. Four or five character combinations are permitted up to 3 spaces. Standard manufacturing
procedures do no permit a choice of spacing for reserved license plates. If 3 spaces are requested on 5 character plates, the spacing is actually
only 1/4 space. On 4 character combinations, the spacing can be up to 1/2 space if the maximum of 3 spaces is requested. Leave a box empty to
indicate a space for reserved or personalized plates. If there are not enough spaces in the boxes below, indicate desired spaces with a slash
between characters. Dashes, symbols and punctuation marks cannot be used. There is a MAXIMUM of 4 characters on motorcycle plates.
Inappropriate requests will not be issued. LETTERS MAY NOT BE USED IN THE MIDDLE OF NUMBERS. HISTORICAL PLATES MAY BE
OBTAINED AT YOUR LOCAL DEPUTY REGISTRAR OR BY CONTACTING THE BMV, SPECIAL PLATES AT 1-800-589-TAGS.
FIRST CHOICE
THIRD CHOICE
SECOND CHOICE
FOURTH CHOICE
MEANING OF PLATE(S) REQUESTED
SEE REVERSE SIDE FOR IMPORTANT INFORMATION REGARDING INSTRUCTIONS AND FEES.
*AFFIDAVIT*
X
I,
(owner signature), being first duly sworn, state that I am the
owner of the above motor vehicle which is at least 25 years old. I certify that the vehicle has been inspected and found safe to
operate on the highways of the state. I certify that the vehicle is owned solely as a collector’s item and for participation in club
activities, exhibitions, tours, parades, and similar uses, but in no event is it to be used for general transportation but may be
operated on the public roads and highways to and from a location where maintenance is performed on the vehicle.
Notary:
Sworn to and subscribed in my presence this
day of
, 20
in
County,
State of
.
(Notary Seal)
Signature of Notary Public X
My commission expires
BMV 4806 12/19 [760-1512] Page 1 of 2
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DEFINITION AND INSTRUCTIONS
HISTORICAL VEHICLES OHIO REVISED CODE (R.C.) 4503.181
Motor vehicles must be at least 25 years old to qualify. They are solely collector’s items and are used for participation in club activities,
exhibitions, tours, parades, etc. but NOT for general transportation.
Historical license plates are valid without renewal for the life of the vehicle, except Initial/Personalized or when there is a change in
ownership. In that case, the plates must be surrendered to the Registrar of the Ohio Bureau of Motor Vehicles.
If the vehicle has a regular Ohio vehicle registration, there will be no refund or partial refund for your current vehicle registration. Your
registration and plates will be mailed within seven to ten days. Failure to follow instructions will delay the issuance of your registration.
THE FOLLOWING ITEMS ARE REQUIRED TO PURCHASE HISTORICAL LICENSE PLATES.
1.
Total amount due. Make check or money order payable to: Ohio Treasurer of State.
2.
Current OHIO vehicle registration card (if vehicle displays an Ohio license plate) or original Certificate of Title/Memorandum of title
(if vehicle does not display an Ohio license plate). You may take these documents to any Deputy Registrar agency to be verified for a
fee of $5.00. The deputy may process the request for license plates as well.
3.
Affidavit must be completed and notarized.
4.
Completed and signed application.
FEES
The R.C. 4503.19 requires that you ADD $7.50 for a set of license plates and $6.50 for a single plate to the below fees for replacement plates
if your vehicle is currently registered or has been registered within the last 12 months. If requesting reserved personalized historical license
plates ADD the appropriate fee to the below one-time permanent registration. You will be billed annually for the reserved or personalized fee.
th
Your plates will expire on your date of birth; if company owned your plates will expire on the 20
of the month.
REQUIRED FEE
ADD PERMISSIVE TAX
DEPUTY REGISTRAR FEE
POSTAGE
TOTAL AMOUNT DUE
$
$
$
$
$
RESERVED- $25.00 Standard manufacturing procedure does not permit a choice of spacing for this type of license plate. LETTERS MAY
NOT BE USED IN THE MIDDLE OF NUMBERS.
THREE LETTERS ONLY
TWO LETTERS ONLY
THREE LETTERS BEFORE OR AFTER 1 THRU 9
TWO LETTERS BEFORE OR AFTER 1 THRU 9999
ONE LETTER BEFORE AND AFTER 1 THRU 9999
NUMBERS ONLY 28801 THRU 999999
ONE LETTER BEFORE OR AFTER 1 THRU 99999
PERSONALIZED- $50.00 Personalized license plates must contain no less than four letters and no more than six letters or combination of four letters with
numbers.
You are now able to make a $1.00 donation to the Children’s Save Our Sight Program by checking the appropriate box below and adding an additional
$1.00 to your total fees due. For Further information regarding this program, please call 1-800-755-GROW (4769).
Yes, I would like to donate to the Children’s Save Our Sight Program. I have added a $1.00 to the total due.
PROOF OF FINANCIAL RESPONSIBILITY
YOU WILL LOSE YOUR DRIVER LICENSE IF YOU DRIVE WITHOUT INSURANCE OR
OTHER ACCEPTABLE FINANCIALRESPOSIBILITY COVERAGE
In Ohio, it is illegal to drive any motor vehicle without insurance or other financial responsibility (FR) coverage.
It is also illegal for any motor vehicle owner to allow anyone else to drive the owner’s vehicle without FR coverage.
PROOF OF COVERAGE IS REQUIRED: Whenever a police officer issues a traffic ticket At all vehicle inspection stops Upon traffic court appearances.
ANY DRIVER OR OWNER WHO FAILS TO SHOW PROOF OF INSURANCE OR OTHER COVERAGE WILL: Lose his or her driver license until requirements are met on
first offense, ONE YEAR on second offense and TWO YEARS on additional offenses Lose his or her license plates and vehicle registration  Pay reinstatement fees of
$100.00 for first offense, $300.00 for second offense, $600.00 for third and subsequent offenses Pay a $50.00 penalty for any failure to surrender his or her driver license,
license plates, or registration AND Be required to maintain special FR coverage (“High-risk” insurance or equivalent) on file with the Bureau of Motor Vehicles (BMV) for
THREE or FIVE YEARS.
ONCE THIS SUSPENSION IS IN EFFECT: Any driver or owner who violates the suspension will have his or her vehicle immobilized and his or her license plates confiscated
for at least 30 DAYS first offense and 60 DAYS second offense. For third or subsequent offenses, the vehicle will be forfeited and sold and the person will not be permitted to
register any motor vehicle in Ohio for FIVE YEARS.
IF YOU ARE INVOLVED IN AN ACCIDENT WITHOUT INSURANCE OR OTHER FR COVERAGE: In addition to all the penalties listed above, you may have A
SECURITY SUSPENSION for TWO YEARS or more and A JUDGMENT SUSPENSION INDEFINITELY (until all damages have been satisfied).
THESE PENALTIES ARE IN ADDITION TO ANY FINES OR PENALTIES IMPOSED BY A COURT OF LAW.
WARNING: THESE LAWS DO NOT PREVENT THE POSSIBILITY THAT YOU MAY BE INVOLVED IN AN ACCIDENT WITH A PERSON WHO HAS NO INSURANCE OR
OTHER FR COVERAGE.
WHEN REQUIRED, PROOF OF COVERAGE MAY BE SHOWN BY ANY OF THE FOLLOWING: AN INSURANCE POLICY showing automobile liability insurance of at
least $25,000 bodily injury per person, $50,000 injury two or more persons, and $25,000 property damage AN INSURANCE IDENTIFICATION CARD (same coverage) A
SURETY BOND OF $30,000 issued by any authorized surety company or insurance company A BMV BOND SECURED BY REAL ESTATE having equity of at least
$60,000 A BMV CERTIFICATE FOR MONEY OR GOVERNMENT BONDS in the amount of $30,000 on deposit with the Ohio Treasurer of State A BMV CERTIFICATE
OF SELF-INSURANCE, available only to companies or persons who own at least twenty-six motor vehicles.
I affirm that the owners (or lessees or leased vehicle) now have insurance or other proof of financial responsibility (FR coverage) covering
this vehicle and will not operate or permit the operation of this vehicle without FR coverage; and will be used as a commercial vehicle
unless so registered. WARNING: Applicant giving false information is subject to prosecution R.C. 2913.42. Application must be signed by
the owner(s) as named on Certificate of Title.
OWNER(S) SIGNATURE
DATE
X
Mail to: OHIO BUREAU OF MOTOR VEHICLES, ATTN: REGISTRATION SECTION, P.O. Box 16521, Columbus, Oh 43216-6521
Phone (614) 752-7800. This form may be found on the Web site: www.bmv.ohio.gov
BMV 4806 12/19 [760-1512] Page 2 of 2
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