FLORIDA AG TAG

ORDER FORM

Dear County Tax Collector:

Enclosed is a copy of my vehicle registration (or renewal notice), proof of insurance, and a check to cover the fees for a new Agricultural License Plate. I understand my purchase of this plate contributes $20 to educating youth about agriculture.

NAME:_____________________________________________________________

STREET: ___________________________________________________________

CITY/ZIP: _________________________________, FL:_____________________

PHONE:____________________________________________________________

***To replace your current valid plate for the remainder of the year, take it to your local tax collector. The total fee will be $38.60.***

COST CALCULATION FOR BIRTH MONTH RENEWAL FEE

Agriculture Specialty Plate Fee
DHSMV Process Fee
Metal Plate
$ 20.00
$ 2.00
$ 10.00
Automobiles Trucks Cost
thru 2499 lbs. Thru 1999 lbs. ($26.60) __________
2500-3499 lbs. 2000-3499 lbs. ($34.60) __________
3500 or more 3001-5000 lbs. ($44.60) __________
Personal Trailer
Thru 500 lbs. ($15.60) __________
Over 500 ($13.10 + $0.75 per each 100 lbs.) __________
County Branch Agency Fee ($0.50) __________
Mail My Plate to Me ($1.50) __________
Personalize My Plate ($12.00) __________
To Read: _ _ _ _ _ _ _ (Enter up to Seven Characters & Confirm Availability with Tax Collector)
GRAND TOTAL SUBMITTED: __________