Form Yt-1 - Application For Yard Tractor Permit
Download a blank fillable Form Yt-1 - Application For Yard Tractor Permit 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 Yt-1 - Application For Yard Tractor Permit 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
1Indiana Department of Revenue
Form
YT-1
Application For Yard Tractor Permit
State Form 47692
Annual Permit Fee: $40
(R3 / 7-13)
Company Name
IFTA Motor Account Number
DBA Name
IRP Account Number
Address
US DOT Number
City
State
Zip Code
County
Federal Identification or
Social Security Number
Telephone Number
Taxpayer Identification
Number
Address of Terminal Locations (Indiana Only)
Terminal 1
Address
City
Terminal 2
Address
City
Terminal 3
Address
City
Terminal 4
Address
City
This Yard Tractor Permit is an annual permit and applies to all yard tractors operated by the named carrier. This permit is not transfer-
able to another carrier. Under no circumstances does this permit allow the carrier to carry cargo or transport or draw a semitrailer or
other vehicle under the permit. Yard tractor refers to a tractor that is used to move semitrailers around a terminal or a loading or spotting
facility.
Any person in violation of the strict authorization granted by the above requested permit may be subject to fines, impoundment of all
vehicles in violation and revocation of all operating permits issued by the department.
Please make Check or Money order payable to the Indiana Department of Revenue.
Under penalty of perjury, I declare that I have examined this Yard Tractor application and to the best of my knowledge and belief it is
true, correct and complete. I further declare that I will distribute the Yard Tractor permit issued to me by the Indiana Department of Rev-
enue only in vehicles that I am operating or causing to be operated.
Taxpayer or Authorized Agent
Typed or Printed Name
Title
Date Signed
Telephone Number
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 46241-9612
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial