Form HSMV 83030 Application for U.S. Reserve or Florida National Guard License Plate - Florida

Form HSMV83030 or the "Application For U.s. Reserve Or Florida National Guard License Plate" is a form issued by the Florida Department of Highway Safety and Motor Vehicles.

The form was last revised in September 19, 2012 and is available for digital filing. Download an up-to-date fillable Form HSMV83030 in PDF-format down below or look it up on the Florida Department of Highway Safety and Motor Vehicles Forms website.

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FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
APPLICATION FOR U.S. RESERVE OR FLORIDA NATIONAL GUARD LICENSE PLATE
SUBMIT APPLICATION TO YOUR LOCAL COUNTY TAX COLLECTOR'S OFFICE OR LICENSE PLATE AGENCY
www.flhsmv.gov/offices
See Reverse Side of this form for Provisions of Law and Instructions
1. I, ____________________________________________ hereby certify that I am a legal resident of Florida, residing at
______________________________________________________________________________________________________
(Address)
(City)
(State)
(Zip)
and I am the registered owner of the following described motor vehicle:
YEAR _________
MAKE _________________________
CURRENT LICENSE PLATE NUMBER ________________________
TITLE NUMBER _____________________ VEHICLE IDENTIFICATION NUMBER _____________________________________________
OWNER/LESSEE'S: DATE OF BIRTH _________________ SEX ____ OWNER/LESSEE'S DL NUMBER ___________________________
OWNER/LESSEE’S EMAIL ADDRESS: ________________________________________________________________________________
2. This is to certify that I, ___________________________________________________, am an active/retired member of the
U.S. Reserve or Florida National Guard who is applying for the following as indicated:
U.S. Reserve License Plate
Florida National Guard License Plate (Choose from the following):
NOTE: An active Florida National Guard may be issued ONE FREE license plate/registration each year. However,
any Initial Registration, specialty and/or personalized fees would still apply, when applicable.
A.
One Free Original Florida National Guard License Plate/Registration for Active Florida National Guard Member.
B.
One Free Original Regular/Specialty/Personalized License Plate/Registration for Active Florida National Guard Member in lieu of a
National Guard plate.
C.
Free Annual Renewal of my current Florida National Guard/Regular/Specialty/Personalized License Plate (active Florida National Guard member).
D.
Retired OR Active Member of the Florida National Guard applying for an Original National Guard License Plate (not exempt from fees).
E.
Active Member of the Florida National Guard renewing their National Guard License Plate (not exempt from fees).
_____________________________________________________________
Signature of the member for the above indicated license plate
A RETIRED MEMBER MUST SIGN ABOVE AND PROVIDE PROOF OF THEIR RETIREMENT (This proof is only needed when an original is being applied for).
AN ACTIVE MEMBER MUST SIGN ABOVE AND ALSO HAVE THE FOLLOWING STATEMENT SIGNED BY THEIR FIRST SERGEANT OR COMMANDING OFFICER:
This is to certify that ________________________________________________ is an active member of the U.S. Reserve or Florida National
Guard
___________________________________________________________________
____________________________________________
Signature of the First Sergeant OR Signature & Rank of Commanding Officer
Telephone Number of Sergeant/Commanding Officer
HSMV 83030 - 09/19/12
www.flhsmv.gov
FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
APPLICATION FOR U.S. RESERVE OR FLORIDA NATIONAL GUARD LICENSE PLATE
SUBMIT APPLICATION TO YOUR LOCAL COUNTY TAX COLLECTOR'S OFFICE OR LICENSE PLATE AGENCY
www.flhsmv.gov/offices
See Reverse Side of this form for Provisions of Law and Instructions
1. I, ____________________________________________ hereby certify that I am a legal resident of Florida, residing at
______________________________________________________________________________________________________
(Address)
(City)
(State)
(Zip)
and I am the registered owner of the following described motor vehicle:
YEAR _________
MAKE _________________________
CURRENT LICENSE PLATE NUMBER ________________________
TITLE NUMBER _____________________ VEHICLE IDENTIFICATION NUMBER _____________________________________________
OWNER/LESSEE'S: DATE OF BIRTH _________________ SEX ____ OWNER/LESSEE'S DL NUMBER ___________________________
OWNER/LESSEE’S EMAIL ADDRESS: ________________________________________________________________________________
2. This is to certify that I, ___________________________________________________, am an active/retired member of the
U.S. Reserve or Florida National Guard who is applying for the following as indicated:
U.S. Reserve License Plate
Florida National Guard License Plate (Choose from the following):
NOTE: An active Florida National Guard may be issued ONE FREE license plate/registration each year. However,
any Initial Registration, specialty and/or personalized fees would still apply, when applicable.
A.
One Free Original Florida National Guard License Plate/Registration for Active Florida National Guard Member.
B.
One Free Original Regular/Specialty/Personalized License Plate/Registration for Active Florida National Guard Member in lieu of a
National Guard plate.
C.
Free Annual Renewal of my current Florida National Guard/Regular/Specialty/Personalized License Plate (active Florida National Guard member).
D.
Retired OR Active Member of the Florida National Guard applying for an Original National Guard License Plate (not exempt from fees).
E.
Active Member of the Florida National Guard renewing their National Guard License Plate (not exempt from fees).
_____________________________________________________________
Signature of the member for the above indicated license plate
A RETIRED MEMBER MUST SIGN ABOVE AND PROVIDE PROOF OF THEIR RETIREMENT (This proof is only needed when an original is being applied for).
AN ACTIVE MEMBER MUST SIGN ABOVE AND ALSO HAVE THE FOLLOWING STATEMENT SIGNED BY THEIR FIRST SERGEANT OR COMMANDING OFFICER:
This is to certify that ________________________________________________ is an active member of the U.S. Reserve or Florida National
Guard
___________________________________________________________________
____________________________________________
Signature of the First Sergeant OR Signature & Rank of Commanding Officer
Telephone Number of Sergeant/Commanding Officer
HSMV 83030 - 09/19/12
www.flhsmv.gov
PROVISIONS OF LAW:
Section 320.0846, Florida Statutes, provides that any owner or lessee of a motor vehicle who resides in this
state and is an active member of the Florida National Guard may, upon application and proof of eligibility, be
issued one standard license plate without charge. Applications for any additional license plates must be
accompanied by appropriate fees. Eligible applicants of the Florida National Guard may apply for a specialty
license plate as provided in s. 320.08056 upon payment of the fees required in that section. All other fees will
be waived. Applications for any additional specialty/personalized license plates must be accompanied by all
appropriate fees established in this chapter. The Initial Registration fee, if applicable, is not waived.
Section 320.089, Florida Statutes, provides that the license plates specified on the reverse side of this form
may only be issued to the following types of vehicles:
Automobiles (private or lease).
Trucks for private use (weighing 7,999 pounds or less).
Motor homes or truck campers which are NOT "for hire" or "commercial" use.
INSTRUCTIONS:
The reverse side of this form must be completed when requesting a US Reserve or a Florida National Guard
License Plate.
The following information will help you to choose the correct box for the Florida National Guard
License Plate in section 2 on the reverse side of this form:
NOTE: An active Florida National Guard may be issued ONE FREE license plate/registration each
year; however, any specialty and personalized fees would still apply, if applicable.
Box A:
When an active Florida National Guard member is applying for a free original Florida National
Guard license plate and registration.
Box B:
When an active Florida National Guard member is applying for a free original
regular/specialty/personalized (not National Guard plate) license plate and registration in lieu of a
National Guard license plate. If requesting a specialty or personalized plate, specialty or
personalized fees would apply, if applicable.
Box C:
When an active Florida National Guard member is requesting their annual renewal of their
Florida National Guard, regular, specialty or personalized (specialty or personalized fees would
apply, if applicable) license plate.
Box D:
When a retired or active Florida National Guard member is applying for an original National
Guard license plate that is not exempt from license plate and registration fees. The retired
member must also submit proof of their retirement, such as DD214, etc.
Box E:
When an active Florida National Guard member is renewing their Florida National Guard license
plate that is not exempt from registration fees (i.e., already received the free annual renewal for
another license plate, additional plates, etc.). A retired National Guard member is not required
to submit this form for renewal of their Florida National Guard license plate; however, the
member must submit proof of their retirement, such as DD214, etc.
NOTE: Multiple boxes may be checked, if applicable.
Check your local phone book government pages or visit the following website for current mailing addresses:
www.flhsmv.gov/offices
HSMV 83030 - 09/19/12
www.flhsmv.gov

Download Form HSMV 83030 Application for U.S. Reserve or Florida National Guard License Plate - Florida

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