Schedule D - Kansas Department Of Revenue
Download a blank fillable Schedule D - Kansas Department Of Revenue 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 Schedule D - Kansas Department Of Revenue 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
1phone: 785-296-6541
Commercial Motor Vehicle Office
fax: 785-296-6548
915 SW Harrison St. Room 150
Topeka, KS 66612
Nick Jordan, Secretary
Sam Brownback, Governor
Lisa Kaspar, Director
SCHEDULE D
Account Number_______________________
Name________________________________________
FEIN___________________
Phone_________________
Address_______________________________________
________________________________________________
1. Indicate how your vehicle(s) were registered in the prior year:
Kansas base plate; Name
Kansas IRP plate; Name and
Foreign base plate; Name, Plate and Jurisdiction No.
and Plate No.
Plate No.
_____________________________________________________
___________________
___________________
Other _______________________________________________
2. Have you previously been denied registration?
3. In the past have you had IRP registration in Kansas?
If yes, please indicate the name and account number of previous file ______________________________________________
4. Has your registration ever been suspended or revoked?
5. Do you hold any type of operating authority?
Describe briefly: ____________________________________
6. Are your vehicle(s) presently leased to any individual
company?
If yes, list name and address of the lessee _____________________________________________________________________
7. Have you ever been audited by Kansas, or any other IRP
jurisdiction?
8. Have your vehicle(s) been previously registered under any
other name?
If yes, list each name and address ______________________________________________________________________
9. Has any Licensing Service, Remittance Agency, Trucking
Service Agency, Consultants, or other individual(s) assisted you
in the preparation of your IRP application?
List the individual(s), or Agent’s name and address __________________________________________________
I hereby affirm that the information set forth herein is true and correct.
Authorized Signature
Date
Title
CMV-50 (6/13)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Schedule A Local Sales Tax Due From Sales Made In Various County Taxing Jurisdictions Spreadsheet - Kansas Department Of Revenue
Financial
Schedule K-62 - Alternative-fueled Motor Vehicle Property Credit - Kansas Department Of Revenue
Financial
Related Categories
Parent category: Financial