TOWN OF BROADWAY DECAL APPLICATION
P.O. Box 156, Broadway, Virginia 22815
www.town.broadway.va.us
Please read the complete form before filling out. Make checks payable to Town of Broadway
Year
Vehicle Make/Model
Vehicle I.D. Number
Did you own this vehicle
st
Jan. 1 (of this year) in
Rockingham Co.?
License
Number
Decal Needed?
1
Yes
No
Yes
No
2
Yes
No
Yes
No
3
Yes
No
Yes
No
Print name (as registered with DMV) and address:
Amount
Due
Official Use
Decal
Number
Social Security No. Owner:
Social Security No. Co-Owner:
Signature of Applicant:
For official use only
Treasurer:
Deadline for Town Decal is April 15th
Date:
Fee Paid:
Town of Broadway vehicle licenses will be available beginning March 1st at the Town Office. The Town Office is open Monday thru Friday
8:00 AM to 4:30 PM, except holidays. The telephone number is (540) 896-5152.
State law requires the payment of all delinquent personal property taxes owed by the taxpayer before a vehicle license may be issued.
Please bring this filled out application form when purchasing the license. If ordering by mail complete this form, and mail with payment by
April 5th to P.O. Box 156, Broadway, VA 22815, to insure return mail by April 15th. The completed form with payment may also be placed in
the drop box behind the Municipal Building when the office is closed.
Failure to notify the Commissioner of Revenue by May 1st of personal property owned in Rockingham County as of January 1st will result in
additional penalty.
License Fee Schedule
Truck, car and bus $20.00
Motorcycle $10.00
All trailers $6.50
Transfers (must present original decal) $2.00