Form VR-096 Maryland

Application for Historic or Street Rod Registration

This document is an application for historic or street rod vehicle registration in Maryland. The applicants, identified by name, driver's license numbers, dates of birth, and addresses, request registration for a vehicle meeting certain criteria: it is either an historic passenger vehicle, motorcycle, or truck, or a street rod vehicle that is 25 years or older and substantially altered from the manufacturer's original design. The document requires payment made payable to the MVA with imprinted name and address, driver's license number, date of birth, and home or work telephone number. The applicants certify that the vehicles will only be used for exhibitions, club activities, parades, tours, and occasional transportation. Historic vehicles must have a VIN and be identifiable by one registration plate displayed on the rear. A one-time permanent nontransferable fee is charged. Special restrictions apply for historic trucks over 10,000 GVWR. Vehicles manufactured at least 50 years before the current model year receive one registration plate for display on the front or rear.