Form Irp 6 - International Registration Plan Schedule A & C
Download a blank fillable Form Irp 6 - International Registration Plan Schedule A & C in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Irp 6 - International Registration Plan Schedule A & C with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2New York State Department of Motor Vehicles
IRP-6 (6/09)
PAGE 1 OF 2
INTERNATIONAL REGISTRATION PLAN
SCHEDULE A & C
PART 1
TYPE OF APPLICATION REQUESTED
NEW ACCOUNT
ADD JURISDICTIONS
DUPLICATE CAB CARD
ADDRESS CHANGE
ADD VEHICLE
WEIGHT INCREASE
REPLACEMENT PLATES
TEMPORARY AUTHORITY
DELETE VEHICLE
WEIGHT DECREASE
REPLACEMENT STICKER
OTHER____________________
TRANSFER PLATES
RENEWAL
FLEET TO FLEET
CARRIER INFORMATION
DMV USE ONLY
SUPP#: __________________
1. ACCOUNT # ____________________________________
2. FLEET # ____________________
3. CARRIER NAME: ________________________________________________________________________________________
4. DBA: __________________________________________________________________________________________________
5. BUSINESS ADDRESS: ____________________________________________________________________________________
(No P.O. Box Number Allowed)
CITY: ______________________
STATE: _______
ZIP CODE: ______________
COUNTY: ______________________
6. CONTACT PERSON: ________________________________________
7. PHONE # (
) ____________________
8. TAXPAYER IDENTIFICATION # (TIN): _______________________
9. FAX # (
) ____________________
FEIN
SSN
10. DATE OF BIRTH: ____________________
11.
Male
Female
12. PRIVACY ACT: Check the INFORMATION DISCLOSURE box at the end of this sentence if you do not want your personal
information from this record used for surveys, marketing and solicitations.
13. WY AUTHORITY#:____________________________
14. CARRIER US DOT#:____________________________
Have you previously been registered in any jurisdictions?
_________________________________
Yes
No, If yes, jurisdiction
Do you lease your vehicle and driver to a motor carrier?
Yes
No
DMV USE ONLY
FLEET INFORMATION
SP COND: AT, PA , S S , X R
15. FLEET TYPE: ____
16. COMMODITY CLASS:____
17. # OF REG MONTHS: ______
18. EFFECTIVE DATE:_______________
19. EXPIRATION DATE:_____________
20. MAILING ADDRESS: ______________________________________________________________________________________
(No P.O. Box Number Allowed)
CITY: ______________________
STATE: _______
ZIP CODE: ______________
COUNTY:________________________
PART 2
FLEET TO FLEET TRANSFER INFORMATION
(21)
(22)
(23)
(24)
FLEET VEHICLE UNIT #
(OEN)
VEHICLE IDENTIFICATION NUMBER
FROM FLEET #
TO FLEET #
*
DELETIONS
(25)
(26)
(27)
(28)
FLEET VEHICLE UNIT #
LICENSE
REPLACEMENT FLEET
(OEN)
VEHICLE IDENTIFICATION NUMBER
PLATE NUMBER
VEHICLE UNIT # (OEN)
*
(Send in plates for deletion)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal