Form 78-9891e - International Registraton Plan (Frp) & Vehicle Information Form
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INTERNATIONAL REGISTRATON PLAN (FRP)
PLEASE PRINT OR TYPE
78-9891E (12/14)
IRP (2) – VEHICLE INFORMATION
PAGE ___OF ___
Vehicle Transaction Type Code (TRANS CD)
Vehicle Types (VEH TYPE)
Fuel Type
(1) Client ID
Fleet
YY
Supp
(2) Registrant name
AV – Add Vehicle
AR – Add Vehicle using Credit
TK – Truck
TT – Truck Tractor
D - Diesel
P - Propane
BS - Bus
DV – Delete Vehicle
DR – Delete Vehicle using Credit
G – Gasoline
O - Other
Vehicles listed on this page will be authorized to operate in all jurisdictions
at the weights listed below. Use additional page(s) for any vehicle with a
weight difference in any jurisdiction.
TRANS CD
UNIT No.
PLATE#
PROV
NEW PLATE#
Year
Make
Model
Colour
CYL
FUEL
VEH
VEHICLE IDENTIFICATION NUMBER
TYPE
NOTE: If weight varies 10% in jurisdictions, please explain:
1
INSURER’S NAME
____________________________________________________
BUS SEATS
WHEEL BASE
TARE (kg)
AXLES
INSURANCE POLICY NUMBER
EXPIRY DATE
(m)
____________________________________________________
LESSOR/NAME
LESSOR ADDRESS
CANADA
(KGS)
U.S
(LBS)
BROKER NAME
BROKER ADDRESS
.
OWNED VEH. – DATE OF PURSHASE
BC
MD
MONTHLY LEASE AMOUNT
LEASE START DATE
LEASE END DATE
PURCHASE PRICE
TRADE-IN VALUE
$
$
$
AB
ME
SK
MI
TRANS CD
UNIT No.
PLATE#
PROV
NEW PLATE#
Year
Make
Model
Colour
CYL
FUEL
VEH
VEHICLE IDENTIFICATION NUMBER
MB
MN
TYPE
ON
MO
2
INSURER’S NAME
BUS SEATS
WHEEL BASE
TARE (kg)
AXLES
INSURANCE POLICY NUMBER
EXPIRY DATE
QC (axles)
MS
(m)
NB
MT
LESSOR/NAME
LESSOR ADDRESS
NS
NC
BROKER NAME
BROKER ADDRESS
PE
ND
OWNED VEH. – DATE OF PURSHASE
MONTHLY LEASE AMOUNT
LEASE START DATE
LEASE END DATE
PURCHASE PRICE
TRADE-IN VALUE
NL
NE
$
$
$
YT
NH
NT
NJ
TRANS CD
UNIT No.
PLATE#
PROV
NEW PLATE#
Year
Make
Model
Colour
CYL
FUEL
VEH
VEHICLE IDENTIFICATION NUMBER
U.S.
(LBS)
NM
TYPE
AK
NV
3
INSURER’S NAME
BUS SEATS
WHEEL BASE
TARE (kg)
AXLES
INSURANCE POLICY NUMBER
EXPIRY DATE
AL
NY
(m)
AR
OH
LESSOR/NAME
LESSOR ADDRESS
AZ
OK
BROKER NAME
BROKER ADDRESS
CA
OR
OWNED VEH. – DATE OF PURSHASE
MONTHLY LEASE AMOUNT
LEASE START DATE
LEASE END DATE
PURCHASE PRICE
TRADE-IN VALUE
CO
PA
$
$
$
CT
RI
DC
SC
TRANS CD
UNIT No.
PLATE#
PROV
NEW PLATE#
Year
Make
Model
Colour
CYL
FUEL
VEH
VEHICLE IDENTIFICATION NUMBER
DE
SD
TYPE
4
FL
TN
INSURER’S NAME
BUS SEATS
WHEEL BASE
TARE (kg)
AXLES
INSURANCE POLICY NUMBER
EXPIRY DATE
GA
TX
(m)
IA
UT
LESSOR/NAME
LESSOR ADDRESS
ID
VA
BROKER NAME
BROKER ADDRESS
IL
VT
OWNED VEH. – DATE OF PURSHASE
MONTHLY LEASE AMOUNT
LEASE START DATE
LEASE END DATE
PURCHASE PRICE
TRADE-IN VALUE
IN
WA
$
$
$
KS
WI
KY
WV
LA
WY
SIGNATURE OF APPLICANT
APPLICANT NAME (PLEASE PRINT)
DATE
MA
MAIL TO: IRP Office, PO Box 1998, Fredericton NB E3B 5H4 or fax to: (506)453-3076
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