Fill and Sign the 2020 Form 1120 Pc Us Property and Casualty Insurance Company Income Tax Return

DMV-54-WC REV 08/11 West Virginia Department of Transportation Division of Motor Vehicles 1-800-642-9066 www.dmv.wv.gov Application for a West Virginia Wesleyan License Plate PLATE SAMPLE A) Applicant/Owner(s) Information Applicant’s Name Name(s) on Registration Street Address STATE CITY ZIP B) Vehicle Information Year Make Title No. Current Plate No. VIN No. C) Insurance Information Effective Dates of Policy From: / / To: / / Policy No. Insurance Company NAIC Number Insurance Agent D) Plate Detail APPLICANT SELECTION ONE You may request a certain number between 1001 and 9999 and assignment will be based on availability. If one of your requests is not available, the next number available will be issued. There are no refunds after an application has been submitted. APPLICANT SELECTION TWO OFFICE USE ONLY APPLICANT SELECTION THREE If one of the applicant’s requested numbers is available, insert it in the plate shown in this box. If no selections are available, use the next available number. APPLICANT SELECTION FOUR E) Applicant Certification I certify that all information on this application is true and correct and if I cease to be in good standing with the above organization, I will immediately return the special license plate to the Division of Motor Vehicles. (X) SIGNATURE OF APPLICANT DATE PLEASE SEE REVERSE SIDE FOR INSTRUCTIONS / / Instructions 1. Any graduate, employee, or friend of West Virginia Wesleyan College is eligible to receive a Wesleyan license plate. 2. A current license plate must be returned to the Division of Motor Vehicles after the special plate is received. After issuance of the special 3. plate, the exchanged plate is canceled and cannot be transferred to another vehicle. There are no refunds. The vehicle must have a West Virginia title and license plate in the name of the applicant before a special plate can be issued. 4. Please send the application and correct fees, payable to West Virginia Wesleyan College, to the address listed below. Please include your personal property tax receipt or an affidavit from the assessor, if your registration is expiring within 60 days of your application. Kristi Wilkerson West Virginia Wesleyan College 59 College Ave. Buckhannon, WV 26201-2998 Plate Detail Plate Begins with 5, 6, or 7 Of Current Year Plate Begins with 8 Plate Begins with 9 Plate Begins with O Plate Begins with N Plate Begins with D Plate Begins with 1 Personalized Plate Plate Begins with 2 Plate Begins with 3 Plate Begins with 4 Plate Begins with 5 Plate Begins with 6 All Expirations beyond the 6th month of next year Total Fee $57.00 $58.63 $56.25 $53.88 $51.50 $49.13 $46.75 $46.75 $44.38 $42.00 $39.63 $37.25 $34.88 $32.50 Your fee is based on the expiration of your present license plate. Use the first letter or number of your license plate to calculate the total fee from the chart above. Your West Virginia Weselyan College license plate will expire every July 1st, renewing your plate will cost $45.00 each year. PLEASE ALLOW ( 60 ) DAYS FOR DELIVERY