Application for Replacement License Plate(s),

and/or Vehicle Registration Sticker

Tax Assessor-Collector use only

Expiration of Plate(s) and/or Sticker Issued: Month Year

New Plate Number Old Plate Number

General Requirements
Submit this application for replacement license plate(s) and/or vehicle registration sticker to your local county tax
assessor-collector's office. Replacement fee is $6.00, plus $0.50 automation fee. Do not mail cash.

Contact your local county tax assessor-collector's office if you have any questions.

The following item(s) need replacement. Check all that apply:

Current license plate(s)

Current plate registration sticker

✔ Current windshield registration sticker

Applicant Information Type or print only

First Name Middle Initial Last Name Suffix County
Omar Rodriguez Harris
Address City State Zip
6500 Rampart st apt 23 Houston tx 77081
Email Phone Alternate Phone
linuxrgr@gmail.com 8324688421

Vehicle Information
Vehicle Identification Number Year Make Body Style
2D4GP44L17R268032 2007 Dodge Caravan Van

State law makes falsifying information on this application a third-degree felony.

I certify that the license plates(s) and/or registration sticker for the above vehicle are lost, stolen or mutilated, or need
replacement for cosmetic or readability reasons, and that any current license plate and/or registration sticker in my possession
that is being replaced have been returned to the County Tax Assessor-Collector's office.

I also state that the replacement plate(s) and/or sticker being issued will not be used or displayed on any vehicle other than the
above described vehicle, and that if the license plate(s) and/or sticker being replaced are recovered, they will not be used or
displayed on any vehicle.

Owner/Agent Signature Date 3/4/2018

VTR-60 Rev 01/17 Form available online at www.TxDMV.gov Page 1 of 1