Form Mf-660c - Application For Repair And Maintenance Permit
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1Indiana Department of Revenue
MF-660C
Application for Repair and Maintenance Permit
State Form 49097
(R3 / 8-12)
Company Name:
FEIN:
DBA Name:
Telephone Number:
Address:
City:
State:
Zip Code:
Place an X in the appropriate box for the repair/maintenance permit you are applying for:
□
International Fuel Tax (IFTA) Repair/Maintenance Permit ($40.00)
□
International Registration Plan (IRP) Repair/Maintenance Permit ($40.00)
□
Both - IFTA and IRP ($80.00)
Purchasing the International Fuel Tax Repair/Maintenance permit exempts the owner of the repair and
maintenance permit from reporting and paying Indiana quarterly fuel taxes while traveling in Indiana to have
the vehicles, semi-trailers, or trailers repaired.
Purchasing the International Registration Plan Repair/Maintenance permit exempts the owner of the repair
and maintenance permit from reporting and paying Interstate registration fees while traveling in Indiana to
have the vehicles, semi-trailers, or trailers repaired.
The cost for either the IFTA or IRP Repair/Maintenance permit is $40.00. The cost for both permits is $80.00.
This application for repair and maintenance permit applies to all vehicles, semi-trailers, or trailers operated
by the named carrier. This application is not transferable to another carrier. IC 6-6-4.1-13 provides that a
person may obtain a repair and maintenance permit to move an unregistered motor vehicle from a quarry
or mine to a maintenance or repair facility.
Under penalty of perjury, I declare that I have examined this Repair/Maintenance Permit Application and to the best of my
knowledge and belief it is true, correct, and complete. I further declare that I will distribute the repair and maintenance permit
issued to me by the Indiana Department of Revenue only to the vehicles, semi-trailers, or trailers I am operating or causing
to be operated.
Signature:
Date:
Title:
You may submit the form by:
Fax
(317) 615-7310
Email
IndianaIRP@dor.in.gov
Mail
Indiana Department of Revenue
Motor Carrier Services - Attn: IRP Unit
7811 Milhouse Road, Suite M
Indianapolis, IN 46241-9550
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