Form M-211- Annual Special Weight Vehicle Registration And/or Quarterly Billing Authorization Application Page 2

Download a blank fillable Form M-211- Annual Special Weight Vehicle Registration And/or Quarterly Billing Authorization Application 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 M-211- Annual Special Weight Vehicle Registration And/or Quarterly Billing Authorization Application 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

FORM M-211
Indiana Department of Revenue
State Form 47864
Revised (R3 / 7-11)
Annual Special Weight Vehicle Registration
and/or
Quarterly Billing Authorization Application
Important: All Special Weight ("Michigan Train") carriers must register annually.
See Guidelines on the back of this form.
Section A
(Must be completed by all Special Weight Carriers)
1) Company Name
2) Telephone Number:
3) Fax Number
4) Company Address:
5) City
6) State
7) Zip Code
8) FEIN
9) For Calendar Year
10) USDOT Number
Section B
(Must be completed by all Special Weight Carriers)
Enter the vehicles you are registering. We need this information in order to ensure that you have the required transponders in your
vehicle(s). List each tractor you are registering and the serial number below. Attach additional sheets, if necessary.
Make
Year
State
Plate #
VIN #
Nick Name
Section C
Special Weight Carriers who wish to pay for their permits quarterly need to check this box to indicate that you are request-
ing quarterly billing authorization. To pay your permit quarterly, you must have a bond on fi le with the Indiana Department
□
of Revenue Motor Carrier Services, Oversize Overweight section.
Under penalties of perjury, I declare that I have examined this document and to the best of my knowledge it is true, cor-
rect, and complete.
Annual Fee Due: $25.00
______________________________________________
Please include your check,
payable to the Indiana Department of Revenue.
Signature of Responsible Offi cer
Date

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Vehicle Registration And/or Title Revocation Request Vehicle Registration And/or Title Revocation Request Legal
Form Tc-849 - Requirements For Motor Vehicle Registration And Title Form Tc-849 - Requirements For Motor Vehicle Registration And Title Financial
Form Tc-849 - Requirements For Motor Vehicle Registration And Title - Utah State Tax Comission Form Tc-849 - Requirements For Motor Vehicle Registration And Title - Utah State Tax Comission Financial
Form Tc-849 - Requirements For Motor Vehicle Registration And Title Form Tc-849 - Requirements For Motor Vehicle Registration And Title Financial
Form 1223 - Michigan Annual Report Of Unclaimed Cash And/or Safe Deposit Boxes - 2012 Form 1223 - Michigan Annual Report Of Unclaimed Cash And/or Safe Deposit Boxes - 2012 Financial
Form Com/rad 327 - Checklist For Beer Non-resident Or Resident Dealer Permit Application Form Com/rad 327 - Checklist For Beer Non-resident Or Resident Dealer Permit Application Financial
Form 14-202 - Texas Claim For Refund Of Motor Vehicle Tax, B. Diesel Motor Vehicle Surcharge, And/or Commercial Vehicle Registration Surcharge - Form 14-202 - Texas Claim For Refund Of Motor Vehicle Tax, B. Diesel Motor Vehicle Surcharge, And/or Commercial Vehicle Registration Surcharge - Financial
Form Hsmv 82053 -power Of Attorney For A Motor Vehicle, Mobile Home Or Vessel/hsmv 82040 - Application For Certificate Of Title With/without Registration Form Hsmv 82053 -power Of Attorney For A Motor Vehicle, Mobile Home Or Vessel/hsmv 82040 - Application For Certificate Of Title With/without Registration Legal
Form M-ss1 - Annual Registration For Minnesota Business Corporations Form M-ss1 - Annual Registration For Minnesota Business Corporations Legal
Form Rv-3 - Annual Rental Motor Vehicle And Tour Vehicle Surcharge Tax Return - Instructions - 2008 Form Rv-3 - Annual Rental Motor Vehicle And Tour Vehicle Surcharge Tax Return - Instructions - 2008 Financial

Related Categories

Parent category: Financial
Download
Go
Page of 2