South Carolina Department of Motor Vehicles
APPLICATION FOR SPECIAL LICENSE PLATE / MV-95
(Rev. 1/13)
Page 1 of 3

To Apply:

1.  Indicate the plate desired and complete the application information.

2.  Provide required certification. (See pages 2 and 3 of this form for a complete list of requirements.)

3.  Mail completed application and required fees to S.C. Department of Motor Vehicles, P.O. Box 1498, Blythewood, S.C. 29016-0008.

·  Visit www.scdmvonline.com to view available specialty plates.

·  Special plates are issued to cars or light trucks with an empty weight of 9,000 pounds or less and a gross vehicle weight of 11,000 pounds or less.

·  Depending on your present expiration date, an updated tax receipt and additional fees may be required. If your current tag is within three months of expiring, you should pay your property taxes and renew your plate BEFORE you submit an application for a specialty plate.

·  Some applications for special plates must be mailed to the Department.

·  If you no longer meet the requirements for the special plate, you must return it to your local DMV office.

·  Registration Fees:

Passenger Cars - $24.00

Light Trucks GVW Fees:

0001-4000 $30.00 7001-8000 $80.00

4001-5000 $40.00 8001-9000 $90.00

5001-6000 $60.00 9001-10,000 $100.00

6001-7000 $70.00 10,001-11,000 $110.00

·  Senior Citizen Fees: Cars - $20.00 (age 65) $22.00 (age 64)

Light trucks with a GVW of no more than 6,000 lbs. fees are $30.00

REQUIRED INFORMATION
Type of plate requested:
If applying for the following plates:
College or University Plate, specify School
Rotary International Plate, specify Club Name
Education Apple Plate, specify School
APPLICANT INFORMATION
Last Name / First Name / M.I.
Street Address
Mailing Address / Email Address (optional)
City / State / Zip Code / (Area Code) / Telephone Number
Vehicle Identification Number / Make / Year / Vehicle Plate Number
Yes, I wish to donate $5.00, more or less, to Donate Life SC. Amount of donation:

INSURANCE INFORMATION

Under penalties of perjury, I declare this vehicle is insured with the company named below and I will maintain liability insurance throughout the registration period.
Name of Insurance Company

CERTIFICATION

I certify all information provided in this application is true and correct.
Signature of Applicant:
DMV USE ONLY
Check No. / Amount $ / Plate No. / Clerk Initials

Revised 1/13 SOUTH CAROLINA SPECIAL PLATES Page 2 of 3

Plates marked with asterisks (***) are not stocked in DMV offices but are available by direct mail. DMV accepts applications for these plates by mail and in local offices. DMV processes the application and mails the plate to the customer. NOTE: Some plate classes will be issued by direct mail based on the office inventory.

The following plates are available to all SC residents, no special requirements for purchase.

Regular Registration Fee
In God We Trust
University of North Carolina *** / $20.00 + Registration Fee
Appalachian State*** / $25.00 + Registration Fee
SC Equality***
United We Stand
www.IBelieveSC.net***
$30.00 + Registration Fee
Boy Scouts of America
Boykin Spaniel Foundation
Beaufort Water Festival
Cattlemen’s Association
Donate Life
Dr. Mary McLeod Bethune***
Elks Association
Emergency Medical Services / Endangered Species
Greenville Children’s Hospital***
Marine Corps League
National Multiple Sclerosis Society
Parrothead
Penn Center
Quality Deer Management***
Reduce Reuse Recycle*** / Secular Humanist of the Low Country
Share the Road (Palmetto Cycling)
Support Our Troops
Trees SC***
University of Tennessee***
US Air Force Academy***
Wildlife (Bird)***
Wildlife (Deer)***
$35.00 + Registration Fee
Choose Life SC / $40.00 + Registration Fee
Palmetto Health Children’s Hospital*** The Ohio State University*** / $46.00 + Registration Fee
Nurses Foundation
$36.00 + Registration Fee
University of Alabama***
$50.00 + Registration Fee
Ducks Unlimited
Hunting Island State Park
MUSC Children’s Hospital / Ronald McDonald House Charities***
Rotary International
Shag / Special Olympics
Square Dance
$54.00
Education (Apple)
School:
District:
County: / $54.00 + Registration Fee
Keep IT Beautiful
$60.00 + Registration Fee
Earth Echo International / $65.00 + Registration Fee
Surfrider Foundation
$70.00 + Registration Fee
Auburn University
Breast Cancer Awareness***
Camp Sertoma
Carolina Panthers
Driven By the Arts / First in Golf
Florida State University***
Georgia Tech Foundation
NC State University***
No More Homeless Pets / Our Farms Our Future***
University of Florida***
University of Georgia***
Working For the Wild Turkey
NASCAR $70.00 + Registration Fee
Dale Earnhardt #3
Dale Earnhardt, Jr. #8 / Jeff Burton #99
Jeff Gordon #24 / NASCAR
Rusty Wallace #2
$75.00 + Registration Fee
Gone Fishing / Heritage Classic Foundation
$100.00 + Registration Fee
H.L. Hunley
Homeownership: The American Dream / Morris Island Lighthouse
Technology Alliance
College and University $70.00 + Registration Fee
Anderson College
Benedict College
Bob Jones University
Charleston Southern University
Claflin College
Clemson University
Coastal Carolina University
Coker College
College of Charleston
Columbia College / Converse College
Erskine College
Francis Marion University
Furman University
Lander University
Limestone College
Morris College
Newberry College
North Greenville University***
Presbyterian College / SC State University
Southern Wesleyan University
The Citadel
The University of South Carolina***
Voorhees College
Winthrop University
Wofford College

The following plates require Proof of Membership or Certification.

Regular Registration Fee
SC Aviation Association
(Induction Letter from the SC Aviation Association’s Director)
SC Troopers Association***
(Letter of Authorization from SC Troopers Association)
$30.00 + Registration Fee
EMT – Emergency Medical Technician
(EMT Certification)
Fraternal Order of Police
Kiwanis
Lions International
Prince Hall Masons
SC Chiropractic Association
SC Grand Lodge of Ancient Free Masons
(Current dues card from Grand Lodge) / SC Grand Lodge of Ancient Free and Accepted Masons
Shriner’s
Sons of Confederate Veterans
US Naval Academy***
West Point Association of Graduates
Prince Hall Order of the Eastern Star***
Fraternities & Sororities $70.00 + Registration Fee
Alpha Kappa Alpha
Alpha Phi Alpha / Delta Sigma Theta
Kappa Alpha Psi / Omega Psi Phi
Phi Beta Sigma*** / Zeta Phi Beta