application for fertilizer license plate (form vtr-52-f)...only one fertilizer truck plate will be...

First Name (or Entity Name) Middle Name Last Name Suffix County Address City State ZIP Email Phone Number Vehicle Identification Number Year Make Body Style Current TX License Plate (if applicable) Empty Weight (lbs.) Carrying Capacity (lbs.) Gross Vehicle Weight (lbs.) Date Application for Fertilizer Truck License Plate County Use Only License No _ Mo/Yr of Exp Date Issued ___________________ __________________ ___________________ Instructions Submit the completed application; payment of $75 plate fee in the form of a personal check, money order, or cashier’s check; and evidence of ownership to your local county tax assessor-collector’s office. Do not mail cash. Fee is not refundable. The plate may be issued to a motor vehicle designed or modified and used exclusively to transport to the field and spread fertilizer, including agricultural limestone. Only one Fertilizer Truck plate will be issued, and the plate must be displayed on the front of the vehicle. Texas title and registration must be in the name shown on this application. If the vehicle is not titled in the name shown below, 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 (VTR-500 RTS) receipt. If the vehicle is leased, attach a copy of the lease agreement. Contact your county tax assessor-collector if you have any questions. Applicant Information Vehicle Information Certification – State law makes falsifying information a third degree felony. I certify I am the owner/operator of the vehicle listed above, and the vehicle will be operated exclusively to transport to the field and spread fertilizer, including agricultural limestone. Signature Form VTR-52-F Rev. 11/2017 Form available online at www.TxDMV.gov Page 1 of 1

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First Name (or Entity Name) Middle Name Last Name Suffix County

Address City State ZIP

Email Phone Number

Vehicle Identification Number Year Make Body Style

Current TX License Plate (if applicable) Empty Weight (lbs.) Carrying Capacity (lbs.) Gross Vehicle Weight (lbs.)

Date

Application for Fertilizer Truck License Plate

County Use Only

License No _

Mo/Yr of Exp

Date Issued

___________________

__________________

___________________

Instructions

Submit the completed application; payment of $75 plate fee in the form of a personal check, money order, or cashier’s check; and evidence of ownership to your local county tax assessor-collector’s office. Do not mail cash. Fee is not refundable.

The plate may be issued to a motor vehicle designed or modified and used exclusively to transport to the field and spread fertilizer, including agricultural limestone. Only one Fertilizer Truck plate will be issued, and the plate must be displayed on the front of the vehicle.

Texas title and registration must be in the name shown on this application. If the vehicle is not titled in the name shown below, 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 (VTR-500 RTS) receipt. If the vehicle is leased, attach a copy of the lease agreement.

Contact your county tax assessor-collector if you have any questions.

Applicant Information

Vehicle Information

Certification – State law makes falsifying information a third degree felony.

I certify I am the owner/operator of the vehicle listed above, and the vehicle will be operated exclusively to transport to the fielda

nd spread fertilizer, including agricultural limestone.

Signature

Form VTR-52-F Rev. 11/2017 Form available online at www.TxDMV.gov Page 1 of 1

http://www.txdmv.gov/www.TxDMV.gov

First Name or Entity Name: Middle Name: Last Name: Suffix: County: Address: City: State: ZIP: Email: Phone Number: Vehicle Identification Number: Year: Make: Body Style: Current TX License Plate if applicable: Empty Weight lbs: Carrying Capacity lbs: Gross Vehicle Weight lbs: Date: