Form 711 - Joint Application For Emergency Or Temporary Authority - To Transport Passenger Or Household Goods Page 4
Download a blank fillable Form 711 - Joint Application For Emergency Or Temporary Authority - To Transport Passenger Or Household Goods 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 711 - Joint Application For Emergency Or Temporary Authority - To Transport Passenger Or Household Goods 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
2
3
4
5WHEREFORE, the joint applicants ask that the Indiana Department of Revenue grant ___________________________
(Emergency Temporary or Temporary)
authority to purchaser pending the sale and transfer of ____________________ number ________________________ ,
(Certifi cate or Permit)
authorizing the operation of motor vehicles as a common or contract carrier over the public highways of the State of
Indiana upon the route and between the points and serving the cities and towns as authorized by the above numbered
certifi cate or permit.
_____________________________________________
___________________________________________
(Signature of Attorney or Representative or Purchaser)
(Signature of Purchaser)
_____________________________________________
___________________________________________
(Print Name of Attorney or Representative)
(Print Name of Purchaser)
_____________________________________________
(Address)
_____________________________________________
(Telephone Number)
STATE OF _____________
)
) SS:
COUNTY OF ____________ )
Before me the undersigned, a Notary Public for ____________________ County, State of ______________, personally
appeared ________________, and he being fi rst duly sworn by me upon his oath, says that the facts alleged in the
foregoing instrument are true. Signed and sealed this ______ day of _______________, 20 _____.
____________________________________
(Signature) Notary Public
____________________________________
(Printed Name)
County of Residence: ___________________________ My Commission Expires: __________________
_____________________________________________
___________________________________________
(Signature of Attorney)
(Signature of Seller)
_____________________________________________
___________________________________________
(Print Name of Attorney)
(Print Name of Seller)
_____________________________________________
(Address)
_____________________________________________
(Telephone Number)
_____________________________________________
(Email Address)
STATE OF _____________
)
) SS:
COUNTY OF ____________ )
Before me the undersigned, a Notary Public for ____________________ County, State of ______________, personally
appeared ________________, and he being fi rst duly sworn by me upon his oath, says that the facts alleged in the
foregoing instrument are true. Signed and sealed this ______ day of _______________, 20 _____.
____________________________________
(Signature) Notary Public
____________________________________
(Printed Name)
County of Residence: ___________________________ My Commission Expires: __________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 703 - Application For Emergency Or Temporary Authority - To Transport Passenger Or Household Goods
Financial
Form Scc759/921 - Application For A Certificate Of Authority To Transact Business In Virginia - 1997
Legal
Virginia State Corporation Commission Form Scc759/921 Application For A Certificate Of Authority To Transact Business In Virginia As A Foreign Corporation
Legal
Form 707 - Joint Application For Sale And Transfer Of Permanent Authority - To Transport Passenger Or Household Goods
Financial
Form N-100a - Application For Additional Extension Of Time To File Hawaii Return For A Partnership, Trust, Or Remic - 2001
Financial
Related Categories
Parent category: Financial