Check (4) block below to indicate type of registration plate desired as defined on the reverse side of this form:

q ANTIQUE q clAssic q cOllEcTiblE - The vehicle must be currently branded as a collectible vehicle or the vehiclemust follow procedures as outlined in Form MV-426B.

A APPlicANT(s) iNfOrmATiON

b VEHiclE DEscriPTiON AND gENErAl iNfOrmATiON

c cOllEcTiblE VEHiclE iNfOrmATiON

E sElf-cErTificATiON AND sigNATurE

D OPTiONAl PErsONAliZATiON rEquEsT (NOTE: additional $104 Fee Required.)

Last Name (or Full Business Name)

Street address

City State Zip Code

First Name Middle Name

Daytime Telephone Number

Describe in detail how the vehicle has been modified to qualify as a collectible vehicle as defined on the reverse side of this form. all engine andexhaust system modifications must be described in detail and two additional color photographs are required. One photo of the engine compartmentthat shows the qualifying engine modifications and the other of the exhaust system that shows the modified changes or the new exhaust system thatwas installed must be included. NOTE: If the change is not engine related, i.e., low slung “1950’s” type vehicles, an additional color photograph of thevehicle must be included. Please use additional pages if more space is required:

The fee for any of the above registration plates is $78, plus a certificate of title fee of $53 and a $5 fee for local use, if applicable. Refer to theFee For Local use Fact Sheet on our website at www.dmv.pa.gov. The use of antique, classic and collectible registration plates is governed bySection 1340 of the Pennsylvania Vehicle Code which states: “It is unlawful for any person to operate a motorcycle or vehicle with antique,classic or collectible registration plates for general daily transportation. Permitted use shall be limited to participation in club activities, exhibits,tours, parades, occasional transportation and similar uses.” Occasional transportation and similar uses is defined as no more than oneday a week.NOTE: If you are applying to display a vintage registration plate on your antique or classic vehicle, you must complete Form MV-11V,“application to Display a Vintage Registration Plate," and submit with appropriate fees. NOTE: Collectible vehicles are not eligible to display avintage registration plate.Although buses and trucks are eligible for antique and classic registration plates, buses mAY NOT be used to transport passengers andtrucks mAY NOT haul cargo.Antique and classic registration plates are not available for motorized pedalcycles or motor homes.If your title is being held by a lienholder and it is an Electronic Lien Title (ELT), check here. (No Paper Title Will Be Attached)

( )

Title Number

Insurance Company Name - (Copy of valid Proof of Insurance must be attached.) Policy Number Policy Effective Date Policy Expiration Date

Vehicle Identification Number Make of Vehicle Model Year Body Type

Signature Signature of Co-Owner/Title of authorized Signer

q

Co-Owner Last Name First Name Middle Name

Pa DL/Photo ID#or Bus. ID#

Date of Birth

Pa DL/Photo ID# Date of Birth

The vehicle has been maintained in or restored to a condition that is essentially the same as that which a vehicle of that particular year and model wouldhave been in at the time it was originally manufactured and both interior and exterior are in good condition including paint, chrome, wheels and body.I understand that this vehicle must be maintained in compliance with Pennsylvania Equipment Regulations.The signature below hereby certifies under penalty of law that the information contained herein is TRuE aND CORRECT. WArNiNg: unsworn falsificationto authorities is a misdemeanor of the third degree punishable by a fine of up to $2,500 and/or imprisonment up to 1 year (18 Pa.C.S. Section 4904[b]).

MV-11 (7-17)

APPlicATiON fOr PErmANENT ANTiquE, clAssic Or cOllEcTiblErEgisTrATiON PlATE For Department Use Only

Bureau of Motor Vehicles • Special Tag Unit • P.O. Box 68293 • Harrisburg, PA 17106-8293

The number of allotted letters or numbers in combination varies depending on the selected registration plate type. Pre-printed letterconfigurations or designated letter(s) appear on personalized registration plates based on the type of registration plate requested. Pleasesee the reverse side of this application for additional information. Only one hyphen or space is permitted as part of the available spaces forpersonalization. No other special characters are available. Please use capital letters and print clearly.

FIRSTCHOICE

Date

Odometer Reading

www.dmv.pa.gov

NOTE: When requesting a numeric character of zero, please show as "Ø" instead of the alpha character "O." Since this is an electronically fillableform, after printing the form, please be sure any zero is marked with a "/."

THIRDCHOICE

SECONDCHOICE

ANTiquE, clAssic AND cOllEcTiblE VEHiclEsThe following rules govern the issuance of antique, classic and collectible registration plates.

1. Definitions a. “antique Motor Vehicle” - a motor vehicle, but not a reproduction thereof, manufactured more than 25 years prior to the current year which has been

maintained in or restored to a condition which is substantially in conformance with manufacturer specifications.

B. “Classic Motor Vehicle” - a motor vehicle, but not a reproduction thereof, manufactured at least 15 years prior to the current year which has beenmaintained in or restored to a condition which is substantially in conformity with manufacturer specifications and appearance. any classic motorvehicle registered under Section 1340 (relating to antique, classic and collectible registration plates) on the effective date of the amendment to thisdefinition which fails to qualify as a classic motor vehicle pursuant to these provisions may retain such classic registration unless another type ofregistration is applied for and issued for the vehicle.

C. “Collectible Motor Vehicle” - a reconstructed motor vehicle, but not a reproduction thereof, substantially modified from the manufacturer’s originalspecifications and appearance and maintained in a collectible condition as determined by the Department of Transportation. NOTE: Generally,substantial changes to the engine and exhaust systems must be done to qualify the vehicle as a collectible motor vehicle. If the extensive changesare other than engine, be sure to give very detailed and specific information in Section C on the front of this form. In addition, the vehicle must primarilybe used for show and must appear to be in “show” condition in the photographs submitted with the application.

2. Expiration of Antique, classic and collectible registration Platesantique, classic and collectible registration plate are permanent and are issued for the life of the vehicle while it is owned by the present owner. If the presentowner sells the vehicle, the registration plate remains with the seller/owner and may be used on another qualified vehicle, provided the proper $78 registrationand $53 title fees are paid. However, if ownership is transferred between spouses, or between parent and child, the original registration plate may betransferred in the usual manner with a $53 title fee and $9 transfer fee.

If the owner sells the vehicle and wants to give the new owner the registration plate, the seller must write a letter of release for the registration plate and giveit to the new owner. The new owner should forward the letter to the Bureau of Motor Vehicles, along with all appropriate documents and fees when applyingfor title and registration of the vehicle. The new owner must pay the full registration fee of $78 in order to use the registration plate. The $9 transfer fee is notrequired in this case.

3. Application for Antique and classic registration PlatesThe following forms are necessary for the processing of antique and classic registration plates:

a. Pennsylvania Certificate of Title (Form MV-1) and Vehicle Sales and use Tax Return/application for Registration (Form MV-4ST) or out-of-state titleand completed application for Certificate of Title (Form MV-1) are required to be submitted when the vehicle is being transferred to a new owner andthe new owner is making application for an antique or classic registration plate. NOTE: When a vehicle is already properly titled in the owner’s name,and the owner is making application for an antique or classic registration plate, only the vehicle’s certificate of title (Form MV-4) is required to besubmitted along with Form MV-11. (Neither Form MV-4ST nor Form MV-1 is required in this case.)

B. Form MV-11, “application for antique, Classic or Collectible Registration Plate.”

C. The appropriate sales tax, title/registration fees.

Make check or money order payable to the Commonwealth of Pennsylvania and mail all forms and fees to: Bureau of Motor Vehicles, Special Tag unit,P.O. Box 68293, Harrisburg, Pa 17106-8293.

4. Application for collectible registration Plates.The following forms are necessary for the processing of collectible registration plates:

a. Pennsylvania Certificate of Title (Form MV-4) and Vehicle Sales and use Tax Return/application for Registration (Form MV-4ST), or out-of-state titleand completed application for Certificate of Title (Form MV-1) are required to be submitted when the vehicle is being transferred to a new owner andthe new owner is making application for a collectible plate.

B. Form MV-426B, “application for Reconstructed, Specially Constructed, Collectible, Modified, Flood, Recovered Theft Vehicles and Street Rods.”NOTE: If the vehicle is already branded as a collectible vehicle, complete Form MV-11. This application is only used for vehicles currently branded asa collectible vehicle. If your vehicle is not currently branded as a collectible vehicle, you must follow the procedures outlined on Form MV-426B.

C. The appropriate sales tax, title/registration fees and four clearly distinguishable color photographs of the vehicle (front, rear and both sides). Twoadditional color photographs are required when the engine has been modified, one of the engine compartment that shows the qualifying enginemodifications and the other of the exhaust system that shows the modified changes or the new exhaust system that was installed. (additionalphotographs may be necessary to sufficiently show exhaust system modifications.) NOTE: If the change is not engine related, i.e., low slung “1950’s”type vehicles, an additional color photograph of the vehicle must be included. Collectible vehicles must meet all the requirements for a reconstructedvehicle. In addition, the vehicle must be substantially changed in order to qualify as a collectible vehicle. Substantial changes to the engine or exhaustsystem must be done to qualify as a collectible vehicle. The changes must be documented as required on Form MV-426B. In addition, the vehiclemust primarily be used for show and must appear to be in show condition.

Make check or money order payable to the Commonwealth of Pennsylvania and mail all forms and fees to: Bureau of Motor Vehicles, Special Services unit,P.O. Box 69007, Harrisburg, Pa 17106-9007.

NOTE: Photographs should not be taken at an angle, must be taken in normal daylight, and must clearly show the vehicle and all exteriorequipment (i.e., lights, rear wheel shields, fender coverage), windows must be rolled up and convertible top (if applicable) must be up.

5. change from classic to AntiqueWhen a registered classic vehicle becomes of age to be an antique, the owner may choose to apply for an antique registration plate. If the owner wishes tochange the registration, the title must be changed from classic to antique. Form MV-11 must be completed. There is a $53 title fee for this change. In addition,a $78 antique registration fee is required.

6. inspectionClassic and collectible vehicles are subject to annual vehicle safety inspection. antique vehicles operated exclusively between sunrise and sunset are exemptfrom the normal lighting requirements of the Pennsylvania Vehicle Code, but must have their original lighting equipment. antique vehicles are not subject tothe annual vehicle safety inspection. antique, classic and collectible vehicles are not subject to emissions inspection.

IF PERSONALIZING YOUR REGISTRATION PLATE

• Personalized registration plates may contain:

• PennDOT reserves the right to limit or reject requests.

• The fee to personalize your registration plate is an additional $104. Payment is to be made by check or money order payable to the Commonwealth ofPennsylvania. PLEASE DO NOT SEND CASH.

• To check personalized registration plate availability, visit PennDOT’s Driver and Vehicle Services website, www.dmv.pa.gov, and select Plate Availabilityfrom the list of services under the Online Services heading. Personalized registration plates will not be reserved until PennDOT receives payment anda completed application, and approves your requested registration plate configuration [number(s) and/or letter(s)]. Please note that registration platerequests are processed on a first-come, first-served basis. Although a requested registration plate configuration may show as being available on thewebsite, it is possible that a request for the same registration plate configuration may have already been submitted by another customer and may notbe available when making application.

• Personalized registration plates will be manufactured on the basis of this application. NO REFUND of the fee will be issued when an applicant cancels a request after the order is placed with the manufacturer.

• Allow eight to 10 weeks for delivery.

Visit us at www.dmv.pa.gov or call us at:In state: 1-800-932-4600 u TDD: 1-800-228-0676 u Out-of-State: 1-717-412-5300 u TDD Out-of-State: 1-717-412-5380

For Antique registration plates, up to FOUR letters and/or numbers in combination. If a hyphen or space is used aspart of the registration configuration, it counts as one of the available spaces for personalization. Only one hyphen or space is permitted, but not both. No additional special characters are available. Please use capital letters and printclearly. When requesting a numeric character of zero, please show as "Ø" instead of the alpha character "O." Sincethis is an electronically fillable form, after printing the form, please be sure any zero is marked with a "/."

For Antique Motorcycle registration plates, up to FIVE letters and/or numbers in combination. If a hyphen or spaceis used as part of the registration configuration, it counts as one of the available spaces for personalization. Only one hyphen or space is permitted, but not both. No additional special characters are available. Please use capitalletters and print clearly. When requesting a numeric character of zero, please show as "Ø" instead of the alphacharacter "O." Since this is an electronically fillable form, after printing the form, please be sure any zero is markedwith a "/."

For Classic registration plates, up to FIVE letters and/or numbers in combination. If a hyphen or space is used aspart of the registration configuration, it counts as one of the available spaces for personalization. Only one hyphen or space is permitted, but not both. No additional special characters are available. Please use capital letters and printclearly. When requesting a numeric character of zero, please show as "Ø" instead of the alpha character "O." Sincethis is an electronically fillable form, after printing the form, please be sure any zero is marked with a "/." NOTE: Apre-printed letter configuration of “C” will precede your personalized configuration on your registration plate andcannot be changed.For Classic Motorcycle registration plates, up to FOUR letters and/or numbers in combination. If a hyphen or spaceis used as part of the registration configuration, it counts as one of the available spaces for personalization. Only one hyphen or space is permitted, but not both. No additional special characters are available. Please use capitalletters and print clearly. When requesting a numeric character of zero, please show as "Ø" instead of the alphacharacter "O." Since this is an electronically fillable form, after printing the form, please be sure any zero is markedwith a "/." NOTE: A pre-printed letter configuration of “CL” will precede your personalized configuration on yourregistration plate and cannot be changed.For Collectible registration plates, up to FOUR letters and/or numbers in combination. If a hyphen or space is usedas part of the registration configuration, it counts as one of the available spaces for personalization. Only one hyphenor space is permitted, but not both. No additional special characters are available. Please use capital letters and printclearly. When requesting a numeric character of zero, please show as "Ø" instead of the alpha character "O." Sincethis is an electronically fillable form, after printing the form, please be sure any zero is marked with a "/." NOTE: Apre-printed letter configuration of “CV” will precede your personalized configuration on your registration plate andcannot be changed.For Collectible Motorcycle registration plates, up to THREE letters and/or numbers in combination. If a hyphen orspace is used as part of the registration configuration, it counts as one of the available spaces for personalization.Only one hyphen or space is permitted, but not both. No additional special characters are available. Please usecapital letters and print clearly. When requesting a numeric character of zero, please show as "Ø" instead of thealpha character "O." Since this is an electronically fillable form, after printing the form, please be sure any zero ismarked with a "/." NOTE: A pre-printed letter configuration of “CM” will precede your personalized configuration onyour registration plate and cannot be changed.

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