Form Mvd-354 - Application For Trailer Transit License

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Department of
the Secretary of State
Bureau of Motor Vehicles
Patty A. Morneault
Deputy Secretary of State
Guilmette
Matthew Dunlap
David W.
Secretary of State
Director, Office of Investigation
& Dealer Licensing
STATE OF MAINE
APPLICATION FOR TRAILER TRANSIT LICENSE
Reference Title 29-A §462-8
Federal ID Number: __________________
DOT Number: ______________________
**Please include proof of insurance**
Legal Business Name: ________________________________________________________________________________________
DBA (if applicable): __________________________________________________________________________________________
Business Mailing Address: ____________________________________ City/Town: _____________________ Zip: ___________
Business Physical Address: ____________________________________ City/Town: ______________________ Zip: ___________
Phone Number: _____________________ Fax Number: ___________________ Email: ___________________________________
Owner Name: ___________________________________________Official Title: ________________ Date of Birth: ____________
Owner Name: ___________________________________________Official Title: ________________ Date of Birth: ____________
Is your business a:
Individual
Partnership
Corporation
If a corporation, please indicate State of incorporation: ___________
Please list any other location(s) where business will be conducted under the same license:
_________________________________________________________________________________________________________
Street Address
City/Town
Zip
_________________________________________________________________________________________________________
Street Address
City/Town
Zip
LICENSE FEE: $150
PLATE FEE: $20 (per plate)
# Of plates requesting: ________ Total plate fees due $ _________ License fee due: $150 TOTAL FEES DUE: $ __________
Please make check or money order payable to Secretary of State and send to: Bureau of Motor Vehicles, Dealer Licensing,
29 State House Station, Augusta, ME 04333
I hereby make application for a Trailer Transit License and affirm that I have received a copy of the rules issued by the Secretary of
State, Bureau of Motor Vehicles. I understand the rules provided, and I am able to comply with all applicable laws and rules.
__________________________________________________________________________________________________________
Signature
Official Title
Date
BMV USE ONLY
Plate # ____________ # of Plates __________
MVD-354 Rev 11/16/2015
101 Hospital Street, #29 State House Station, Augusta, Me 04333-0029 Tel. (207) 624-9000 Ext. 52143 Fax: (207) 624-9126 TTY Users call Maine relay 711

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