OFF-LINE ISSUANCE OF PRE-PRINTED

FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES

OFF-LINE ISSUANCE OF A PRE-PRINTED TEMPORARY LICENSE PLATE

Section 320.131(9) (b), Florida Statutes, allows for the issuance of a pre-printed temporary license plate.

Pre-printed temporary license plates may only be used by an Electronic Temporary Registration (ETR) participating dealer during a system outage which prevents ETR issuance or by an issuing entity for a trailer weighing less than 2,000 pounds.

This is to certify that temporary license plate number __________________________was issued

on _____________ to __________________________________________________________

(Date)

(Purchaser's Name)

(Purchaser's Date of Birth)

____________________________________________________________________________

(Purchaser's Address)

____________________________________________________________________________________________ (Purchaser's Driver License Number)

The reason for the off-line issuance is _______________________________________________

______________________________________________________________________________

Vehicle Identification Number

Year

Make/Manufacturer

Body Type

Weight of Trailer

Title Number

Color

Cubic Centimeters (Motorcycles Only)

This is to certify that the above license plate was issued during a system outage or was issued for a trailer weighing less than 2,000 pounds. I understand that the issuance of this temporary license plate must be reported to the department within one business day of the issuance of the plate.

_____________________________________________________________________________

(Dealership/Issuing Entity's Name)

_____________________________________________________________________________

(If applicable, current Dealer License Number, including suffix, if additional location)

_____________________________________________________________________________

(Printed Name of Dealer/Issuing Entity's Authorized Representative)

_____________________________________________________________________________

(Signature of Dealer/Issuing Entity's Authorized Representative)

DEALER: This completed form must be retained in your files for 5 years. A copy must be retained in the deal jacket.

ISSUING ENTITY: This completed form must be submitted to a tax collector's office or license plate agency within one business day of the issuance of the plate. A copy of this form should be retained for your records.

HSMV 82082 (Rev. 08/20)

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