Irp Form T-239 - Georgia Irp Schedule G - New Account Application
Download a blank fillable Irp Form T-239 - Georgia Irp Schedule G - New Account 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 Irp Form T-239 - Georgia Irp Schedule G - New Account 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
1Clear
Print
Georgia Department of Revenue
IRP Schedule G [Form T-239] Revised 4-2013
Motor Vehicle Division
International Registration Plan (IRP)
P. O. Box 740382
Atlanta, Georgia 30374-0382
Telephone: 1-855-406-5221 Fax: (404) 724-7760
E-mail:
commercial.vehicles@dor.ga.gov
Website:
etax.dor.ga.gov
Georgia IRP Schedule G – New Account Application
Attach completed Mileage Schedule B [Form T-139]
1.
Registrant’s/Carrier’s Full Legal Name:
2. Registrant’s/Carrier’s Telephone Number (including area code):
3.
Check the applicable box below indicating how your vehicles are currently registered? (Check only one box) Complete additional
sheets if necessary.
Newly Registered Vehicle
Georgia Intrastate Plate, Plate Number:_________________
Georgia IRP Plate, Plate Number: ___________________Georgia IRP Account Number: ______________________________
Out-of-State Vehicle Plate, Plate Number: _________________________________________
Other, Plate Number: __________________________________________________________
4. Have any vehicles been IRP registered under this account, or any other account?
Yes
No
If ‘yes’, please record the name of each account along with the name of the jurisdiction where registered:
___________________________________________________________________________________________________________
5. Are your vehicle(s) currently leased to a lessee-carrier?
Yes
No
If ‘yes’, list the name and address of the lessee-carrier:
___________________________________________________________________________________________________________
6. Has any licensing service, remittance agency, trucking service agency, consultant, or other individual(s) assisted you in the
preparation of your IRP application?
Yes
No
If ‘yes’, list the individuals’ or agents’ names and addresses:
___________________________________________________________________________________________________________
7. Have you ever reported ‘estimated’ miles in the jurisdiction(s) in which you are requesting to estimate miles?
Yes
No
8. If you currently have apportioned license plates, or if you have had apportioned license plates in the past, please explain why
estimated miles are being used:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
9. Are you currently under a registration suspension?
Yes
No
Under penalties of perjury, I declare that the above information is true, correct and complete to the best of my knowledge and belief.
Signature:
Position or Job Title:
Date:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial