Form Imc-2 - Idaho Motor Carrier Application - 2012 Page 2

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EFO00167-2
01-30-2012
Idaho Motor Carrier Application - IFTA only (IMC-2) INSTRUCTIONS
You must complete the Idaho Motor Carrier Application (IMC-2) if
12. Answer all of the questions in the boxes.
you:
1) are based in Idaho, and
13-16. Fees - complete the fee calculation.
2) operate a motor vehicle over 26,000 pounds gross vehicle
weight (GVW), and
17. List the appropriate information:
3) drive on Idaho highways and in at least one other IFTA
If you marked sole proprietor on line 5, list the individual and the
individual's spouse's name, address, and Social Security Number.
juridiction.
If there are more than three officers, attach an extra page.
1. List the legal name of the business. If the business is owned
by an individual, the legal name is the owner's name.
18. Mark the jurisdiction(s) in which you travel, in the section below.
This section must be completed.
2. List the assumed business name (dba), if it is different than the
legal business name. (i.e., Joe Smith - dba Joe Smith Trucking.)
___All Jurisdictions
___New York
___Alabama
___North Carolina
3. List your federal Employer Identification Number (EIN). If you
___Alaska
___North Dakota
have a motor vehicle with a gross vehicle weight of 55,000 lbs. or
___Arizona
___Ohio
more, you must have an EIN. If you do not have an EIN and are
___Arkansas
___Oklahoma
not required to have one, leave this box blank.
___California
___Oregon
___Colorado
___Pennsylvania
3a. If you own the business as an individual, do not have employees,
___Connecticut
___Rhode Island
and do not have a highway motor vehicle with a gross vehicle weight
___Delaware
___South Carolina
of 55,000 lbs. or more, enter your Social Security Number (SSN).
___D.C.
___South Dakota
___Florida
___Tennessee
4. If you have registered with the Federal Motor Carrier Safety
___Georgia
___Texas
Administration (FMCSA), enter the US DOT number that has been
___Idaho
___Utah
assigned to you. If you have questions about obtaining a US DOT
___Illinois
___Vermont
number, contact the FMCSA at (208) 334-1842.
___Indiana
___Virginia
___Iowa
___Washington
5. Mark the item that describes the type of business entity making
___Kansas
___West Virginia
___Kentucky
___Wisconsin
application.
___Louisiana
___Wyoming
7. Enter the highest gross vehicle weight at which your trucks will
___Maine
___Maryland
CANADIAN PROVINCES
operate.
___Massachusetts
___Alberta
8. List the business's physical location in Idaho and the telephone
___Michigan
___British Columbia
number at the physical location.
___Minnesota
___Manitoba
___Mississippi
___New Brunswick
9. If you wish to have a separate mailing address for your business,
___Missouri
___Newfoundland
___Montana
___Nova Scotia
list that here.
___Nebraska
___Ontario
10. If you wish to have the report forms mailed to an address dif-
___Nevada
___Prince Edward Island
ferent than the one listed on line 11 (such as your reporting services
___New Hampshire
___Quebec
or accountant's address), list that address and telephone number
___New Jersey
___Saskatchewan
___New Mexico
here.
11. List the name, telephone number, and fax number of the person
we should contact if we have questions about this application.
Definitions
BULK STORAGE - Any fuel storage tank other than the fuel supply
IFTA - International Fuel Tax Agreement.
tanks of your motor vehicles or unlicensed equipment.
IRP - International Registration Plan
DECALS - You are required to have a decal on each side of the truck
if you operate under IFTA. It is recommended that you have a spare
JURISDICTION - A state of the United States, the District of
set of decals in case a decal is accidentally destroyed.
Columbia, or a province or territory of Canada.
FLEET - One or more qualified motor vehicles you will operate under
QUALIFIED MOTOR VEHICLE - Motor vehicles with a gross vehicle
weight over 26,000 lbs or having three or more axles. Recreational
this license.
vehicles such as motor homes or pickups with campers are not
qualifed motor vehicles.
HIGHWAY MOTOR VEHICLE - Any motor vehicle that is propelled
by its own motor and is designed to carry a load over public
highways.
UNSIGNED APPLICATIONS WILL BE RETURNED

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