Form T 239 Irp Schedule G PDF Details

The T-239 (Revised 7-2019) form, facilitated by the Georgia Department of Revenue - Motor Vehicle Division, serves a crucial role in streamlining the process for registrants aiming to establish a new International Registration Plan (IRP) account. Tailored specifically for entities looking to engage in interstate and international transportation, the form encapsulates several essential steps in its application process. Complete and detailed completion is a must, with submissions accepted through specific channels, notably via email to the designated Commercial Registration Unit. The form requires an array of documents to substantiate the application, ranging from proofs of an Established Place of Business or Georgia residence, vehicle registration details including certificate of title and liability insurance credentials, to more specific documentation like the IRS Schedule 1 for vehicles over 54,999 lbs, and employment lease or contracts if operating fleet vehicles not under the motor carrier's immediate responsibility for safety. Moreover, it structures the need for detailed registrant information, including legal name, USDOT number, and contact details, thus ensuring a comprehensive approach to the application process. With a keen emphasis on accuracy and completeness, the form underscores the legal and procedural responsibilities of the registrant under penalty of perjury, reinforcing the seriousness and significance of the information provided.

QuestionAnswer
Form NameForm T 239 Irp Schedule G
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namest239 form, t 239, georgia t 239, the form t239

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T-239 (Revised 7-2019)

Web and MV Manual

Georgia Department of Revenue - Motor Vehicle Division

International Registration Plan (IRP)

New Account Application - Schedule G

Purpose of this form: This form is to be used by a registrant to apply for a new IRP account.

How to submit this form: This form must be completed in its entirety, legibly printed in blue or black ink or typed, and e-mailed along with all required documents

to the DOR/Motor Vehicle Division’s Commercial Registration Unit at commercial.vehicles@dor.ga.gov.

 

 

Required document(s): The following documents must be submitted to process this application:

 

 

1.

Five (5) proofs of Established Place of Business

3.

Completed Form T-138 IRP Vehicle Schedule A.

6.

IRS Schedule 1 (Form 2290) reflecting all VINs

 

or three (3) separate proofs of Georgia residence.

4.

Liability insurance card, binder or certificate of

 

which will be registered at a weight over 54,999 lbs.

 

See instructions for a complete list of documents.

 

insurance (declarations of insurance will not be

7.

Employment lease or contract if operating fleet

2.

Certificate of title receipt reflecting valid proof of

 

accepted).

 

vehicles and you are not the motor carrier

 

Georgia title (include a notarized lease agreement

5.

Copy of applicant’s current driver’s license.

 

responsible for safety.

 

if leasing).

 

 

 

 

A

REGISTRANT INFORMATION

Registrant’s Full Legal Name:

Registrant’s

USDOT No.:

TIN (EIN/SSN):

Business Address:

Street No.

Street Name

Apt./Suite No.

City

State

ZIP Code

Mailing Address:

Street No.

Street Name

Apt./Suite No.

City

State

ZIP Code

Contact Person’s Name:

E-mail Address:

Telephone No.:

Fax No.:

B

CARRIER RESPONSIBLE FOR SAFETY INFORMATION

Carrier’s

Full Legal Name:

Business Address:

Carrier’s

USDOT No.:

Street No.

Street Name

Apt./Suite No.

City

State

ZIP Code

E-mail Address:

Telephone No.:

Fax No.:

C

SERVICE PROVIDER INFORMATION

Service Provider’s Full Legal Name:

Business Address:

Street No.

Street Name

Apt./Suite No.

City

State

ZIP Code

Contact Person’s Name:

E-mail Address:

Telephone No.:

Fax No.:

D

VEHICLE REGISTRATION

Vehicle(s) current registration: (Check applicable box below.)

[] No Current Registration

[] Georgia Intrastate Plate Record plate number

[] Georgia IRP Plate Record plate number and Georgia IRP account number

[] Out-of-State Vehicle Plate Record plate number

[ ] Other Record plate number

Plate No.:

Georgia IRP Account No.:

Have any vehicles been IRP registered under this account or any other account? [ ] Yes [ ] No

If “yes,” please record the name of each account along with the name of the jurisdiction where registered. Attach additional pages if needed.

Are you currently under any registration suspension? [ ] Yes [ ] No

E

CERTIFICATION

Under penalty of perjury, I declare that the above information is true, correct and complete to the best of my knowledge and belief.

Printed Name of Registrant:

Signature of Registrant:

Date:

/ /

Have a question? Visit our website at https://dor.georgia.gov/georgia-trucking-portal or scan the QR code above for more information.

INSTRUCTIONS

How to complete Form T-239

COMPLETING THIS FORM

This form must be completed in its entirety, legibly printed in blue or black ink or typed.

Section A: Provide the full legal name, USDOT number, Taxpayer Identification Number (TIN), business address, mailing address, contact person, e-mail address, telephone number and fax number of the registrant applying for a new IRP account.

Section B: If vehicles are leased to a lease-carrier, provide the full legal name, USDOT number, business address, e-mail address, telephone number and fax number of the carrier responsible for safety.

Section C: If any licensing service, remittance agency, trucking service agency, consultant, or other individual(s) assisted in the preparation of IRP applications, provide their full legal name, business address, contact person, e-mail address, telephone number and fax number.

Section D: Identify your current registration status. If vehicles are currently registered, record the plate number and account number, when applicable. If any vehicles have been IRP registered under the identified account or any another account, record the name of each account along with the jurisdiction where registered – attach additional pages if needed. Also indicate if you are currently under any registration suspension.

Section E: Certify the information provided in this form is true, correct and complete to best of your knowledge and belief.

REQUIRED DOCUMENTS

The following documents are required to process this application:

1.Five (5) proofs of Established Place of Business or three (3) separate proofs of Georgia residence. See tables below.

•Addresses for all submitted proofs of Established Place of Business or residence must match.

•P.O. Box addresses will not be accepted as proof of Established Place of Business or residence.

•If supplying three (3) proofs of residence, submission must contain three separate/different proofs.

2.Certificate of title receipt reflecting valid proof of Georgia title (include a notarized lease agreement if leasing).

3.Completed Form T-138 IRP Vehicle Schedule A.

4.Liability insurance card, binder, or certificate of insurance (declarations of insurance will not be accepted).

5.Copy of applicant’s current driver’s license.

6.IRS Schedule 1 (Form 2290) reflecting all VINs which will be registered at a weight over 54,999 lbs.

•Each page of IRS Form 2290 containing registered vehicles must clearly show e-file watermark.

•IRS Form 2290 must reflect the correct year’s July 1st-June 30th period at top of form.

7.Employment lease or contract if operating fleet vehicles and you are not the motor carrier responsible for safety.

•Lease or contract must list USDOT of motor carrier responsible for safety.

•Lease or contract must list name and include signature of authorized representative of IRP account.

•Lease or contract must list name and include signature of authorized representative of carrier.

PROOF OF ESTABLISHED PLACE OF BUSINESS

 

 

 

Documents

 

 

 

 

Document Requirements

 

 

 

 

 

 

 

 

 

 

 

 

County-issued Certification of Zoning Compliance

• Demonstrates physical structure is located within base jurisdiction (Georgia).

 

 

 

 

 

 

 

• Demonstrates physical structure is owned or leased by the registrant.

 

 

 

 

 

 

 

• Demonstrates a specific street address which does not include a P.O. Box number.

 

 

 

 

 

 

 

 

 

 

 

 

 

Publicly listed document page (dated within 30 days of

• Demonstrates physical structure is open for business.

 

 

application date and verifiable via the internet)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee schedule

• Demonstrates physical structure is staffed during regular business hours by one or more

 

 

 

 

 

 

 

 

 

persons.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee paystub

• Demonstrates physical structure staff member(s) are employed by the registrant.

 

 

 

 

 

 

 

• Demonstrates physical structure staff member(s) are employed on a permanent basis (not

 

 

 

 

 

 

 

 

 

contracted).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Georgia Secretary of State’s “Annual Registration”

• Demonstrates physical structure is used for the purpose of the general management of the

 

 

form with “business purpose” section completed

 

 

registrant’s trucking-related business (not limited to credentialing, distance reporting, and

 

 

 

 

 

 

 

 

 

phone inquiries).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROOF OF RESIDENCE IN GEORGIA - Provide three (3) separate items

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

If an individual, current and valid driver’s license

 

 

 

4.

Proof registrant’s federal income tax return

 

7.

Proof registrant receives utility bills in

 

 

 

 

 

issued to applicant by the State of Georgia.

 

 

 

 

is filed from a Georgia address.

 

 

Georgia that are in either registrant’s or

 

 

 

 

2.

Proof of incorporation or proof of registration that

 

 

 

5.

Proof registrant has paid personal income

 

 

business’s name.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

entity is authorized to do business in Georgia.

 

 

 

 

tax to Georgia.

 

8.

Proof registrant has a vehicle titled in

 

 

 

 

3.

If a corporation, proof owner of corporation is a

 

 

 

6.

Proof registrant has paid real estate tax or

 

 

Georgia that is in either registrant’s or

 

 

 

 

 

 

 

 

 

business’s name.

 

 

 

 

 

legal Georgia resident.

 

 

 

 

personal property tax to Georgia.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBMITTING THIS FORM

This completed form and all required documents must be submitted directly to the Commercial Registration Unit of the Department’s Motor Vehicle Division through e-mail to commercial.vehicles@dor.ga.gov.

Have a question? Visit our website at https://dor.georgia.gov/georgia-trucking-portal or scan the QR code above for more information.

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1. Before anything else, once completing the the form t239, start in the area that features the subsequent blanks:

Completing part 1 of 2019 ga irp

2. Now that this part is finished, you'll want to include the required details in Vehicles current registration, No Current Registration, Plate No, Georgia IRP Account No, Have any vehicles been IRP, If yes please record the name of, Are you currently under any, E CERTIFICATION, Under penalty of perjury I declare, Printed Name of Registrant, Signature of Registrant, Date, and Have a question Visit our website so you're able to move forward to the 3rd stage.

Writing section 2 in 2019 ga irp

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