MV IRP-A (2-19).Qxp

DEPARTMENT USE ONLY ALABAMA DEPARTMENT OF REVENUE Effective MOTOR VEHICLE DIVISION Date ______

International Registration Plan Initials ______MV IRP-A (2/19) Vehicle Schedule Instructions on reverse side REGISTRANT INFORMATION Renewal Mo/License Yr. Account Number Fleet Number US Dot Number Taxpayer Identification Number

Registrant Name Email Address

Street Address Contact Person

City State Zip Telephone Number Fax Number ( ) ( ) WEIGHT GROUP AL DC IL MD MT NM PA UT WY NS

AR DE IN ME NC NV RI VA AB ON

AZ FL KS Ml ND NY SC VT BC PE

CA GA KY MN NE OH SD WA MB QC

CO IA LA MO NH OK TN WI NB SK

CT ID MA MS NJ OR TX WV NF

ADDITIONS Unit Model Vehicle Vehicle Vehicle Axles/ Fuel Unladen 1 Number Year Make Color Vehicle Identification Type Seats Type Weight

Combined Purchase Date of Title US DOT Number Taxpayer Is The MCRS Expected To Tag Gross Weight Price Name of Owner/Lessor Identification Change During The Number Purchase/Lease Number of MCRS Number of MCRS Registration Period?

Yes / No

Unit Model Vehicle Vehicle Vehicle Axles/ Fuel Unladen 2 Number Year Make Color Vehicle Identification Type Seats Type Weight

Yes / No

Unit Model Vehicle Vehicle Vehicle Axles/ Fuel Unladen 3 Number Year Make Color Vehicle Identification Type Seats Type Weight

Yes / No

The undersigned under oath, swears under penalty of perjury that the information furnished in this application and the attached schedules is true and correct.

Signed by: ______Title: ______Date: ______VEHICLE SCHEDULE INSTRUCTIONS

REGISTRANT INFORMATION VEHICLE TYPE: TR – tractor, TK – truck, TT – truck tractor, BS – bus. RENEWAL MONTH/LICENSE YEAR: the renewal month and current li- AXLE/SEATS: the number of axles on the motor vehicle, including steer- cense year. (Ex. Aug/2014) ing axle. Do not include trailer axles. Enter the number of seats for buses. ACCOUNT NUMBER: the account number assigned by the Motor Vehi- cle Division. FUEL TYPE: the type of fuel used by the motor vehicle. (Ex. D – diesel, G – gasoline, P – propane, CNG – compressed natural gas, LNG – liq- FLEET NUMBER: the two-digit fleet number. (Ex. 01) uefied natural gas, etc.) US DOT NUMBER: the number assigned to the Motor Carrier Respon- UNLADEN WEIGHT: The empty weight of the motor vehicle fully sible for Safety (MCRS) of the vehicle by the FMCSA. (If applicable) equipped for service. TAXPAYER IDENTIFICATION NUMBER: the nine digits FEIN or SSN of COMBINED GROSS WEIGHT: The weight of the motor vehicle including the registrant. the heaviest load to be carried on trailing equipment used in combination REGISTRANT NAME: the legal name of the person, firm, or corporation with the motor vehicle. in which the account is registered. PURCHASE PRICE: The price of the motor vehicle including trade-ins, STREET ADDRESS: the street or highway and building number, or rural but excluding sales or use tax and finance charges. Do not show cents. route box number (no P O Boxes) along with the city, state, and zip code When payments are "taken-over," the purchase price is equity paid plus of the location where the records are maintained. the amount of principal still owed.

CONTACT PERSON: name, telephone number, fax number, and e-mail PURCHASE/LEASE DATE: the month, day, and year the motor vehicle address of the person who is authorized to conduct business on behalf was purchased/leased. of the registrant. NAME OF OWNER/LESSOR: the name of the owner or operator as it WEIGHT GROUP appears on the Certificate of Title or Alabama Application for Certificate of Title. For vehicles under a lease-purchase plan, show the name of WEIGHT GROUP: Indicate the appropriate combined gross weight in the owner or operator as shown on the Certificate of Title or Alabama the jurisdiction for which apportioned registration is sought. You can find Application for Certificate of Title. The name of the lease-purchaser may the maximum weights for all jurisdictions on the IRP website at be shown in addition to the name of the owner. www.irponline.org. TITLE NUMBER: the number shown on the Certificate of Title or Ala- ADDITIONS bama Application for Certificate of Title. If the vehicle is titled in another UNIT NUMBER: vehicle unit number assigned by the applicant. Be sure state, enter the abbreviation of the state in which the vehicle is titled. to use a different unit number for each vehicle. The ownership of each vehicle must be supported by a copy of a Certifi- cate of Title or Alabama Application for Certificate of Title. MODEL YEAR: the model year of the motor vehicle. US DOT NUMBER & TAXPAYER IDENTIFICATION NUMBER: the num- VEHICLE MAKE: the trade name of the vehicle. (Ex. MACK, FRHT, KW, bers assigned to the Motor Carrier Responsible for Safety (MCRS) of etc.) A list of Standard Vehicle abbreviations is found in the Alabama the vehicle by the FMCSA. Motor Carrier Services Manual on the website at http://revenue. alabama.gov/motorvehicle/forms.cfm. IS THE MCRS EXPECTED TO CHANGE DURING THE REGISTRA- TION PERIOD?: circle yes or no VEHICLE COLOR: the color of the vehicle. (Ex. WHI, BLK, BRO, etc.) A list of vehicle color codes may be found in the Alabama Motor Carrier TAG NUMBER: the most recent license plate number assigned to the Services Manual on the website at http://revenue.alabama.gov/ motor vehicle. motorvehicle/forms.cfm. SIGNATURE/TITLE/DATE: original signature of the owner, partner, cor- VEHICLE IDENTIFICATION NUMBER (VIN): complete serial number porate officer or person holding power of attorney for the company. reflected on the title or application for title.

The office mailing address is: The office is located in the: ALABAMA DEPARTMENT OF REVENUE ALABAMA TAXPAYER SERVICE CENTER MOTOR VEHICLE DIVISION 2545 TAYLOR ROAD MOTOR CARRIER SERVICES UNIT MONTGOMERY, AL 36117 P.O. BOX 327620 Telephone: (334) 242-2999 MONTGOMERY, AL 36132-7620 Website: http://revenue.alabama.gov/motorvehicle/