Form Mv-190 - Commercial Implement Of Husbandry Or Implement Of Husbandry Supplemental Application
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3MV-190-SIDE A (9-15)
COMMERCIAL IMPLEMENT OF HUSBANDRY
OR IMPLEMENT OF HUSBANDRY
SUPPLEMENTAL APPLICATION
For Department Use Only
Bureau of Motor Vehicles • Commercial Registration Section
1101 South Front Street • Harrisburg, PA 17104
NOTE: This application must be used with Form MV-1 or Form MV-4ST.
q Implement of Husbandry
q Commercial Implement of Husbandry
New - Complete Sections A, B, C, and E.
New - Complete Sections A, B, C, D, and E.
q
q
Transfer of IMPH - Complete Sections A, B, and E.
Transfer of CIMPH - Complete Sections A, D, and E.
q
q
NOTE: Implement of Husbandry and Commercial Implement of Husbandry registration plates may be personalized.
Should you choose to personalize your Implement of Husbandry or Commercial Implement of Husbandry registration
plate, please complete and attach Form MV-904C, "Application for Personalized Commercial Registration Plate," to
this application. NOTE: There is an additional $100 fee required with each personalization request.
A
Title Number
Vehicle Identification Number
Applicant Name
If vehicle is part of a Pennsylvania Fleet, please provide the following:
Fleet Account Number
Fleet Number
Equipment Number
B
Describe in detail how and where this equipment is used.
q
Do you charge fees when this equipment is used?
q
List the individual or business name and identification number under which you last filed your Pennsylvania
q
Income Tax Return (PA40), including Schedule F.
Individual or Business Name
Identification Number
Year Last Filed
C
Two clear photographs are needed (one rear view and one side view).
q
The actual maximum weight of the vehicle ready for service is needed. Either have the vehicle weighed at
q
a weigh station with all fluids and driver in the vehicle, and submit the weigh slip from the scales or list the
unladen weight or shipping weight, or gross vehicle weight rating. If no weight slip is attached, specify
which weight you are listing.
Do you own or lease all of the farm(s) on which the vehicle will be used?.............................. r YES
r NO
q
Identify the primary agricultural commodity produced by your farm or agriculture enterprise:
q
D
List the nutrients, soil amendments or chemicals applied commercially by this vehicle for production
q
agriculture:
List the total number of days per year this vehicle is operated over the highway:
q
E
I/We hereby certify under penalty of law that all information herein is TRUE and CORRECT and that I/we
understand that any misstatement of fact is a misdemeanor of the third degree punishable by a fine up to $2,500
and/or imprisonment up to 1 year (18 Pa.C.S. Section 4904[b]).
Signature
Date
FOR DEPARTMENT USE ONLY
This vehicle qualifies as an implement of husbandry.
q
This vehicle qualifies as a commercial implement of husbandry with a TK body type.
q
This vehicle qualifies as a commercial implement of husbandry with a IMPH body type.
q
This vehicle does not qualify as an Implement of Husbandry or Commercial Implement of Husbandry;
q
therefore, this vehicle should be registered as a truck.
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