Irp Schedule A Form PDF Details

The International Registration Plan (IRP) Schedule A form plays a critical role in the management and operation of commercial vehicles that traverse multiple jurisdictions or states. Its comprehensive structure demands detailed information from the registrants about their fleet, including basic identification such as the name and address of the registrant, the Federal Employer Identification Number (FEIN), Social Security Number (SSN), or Tax Identification Number (TIN), and the U.S. Department of Transportation (DOT) number. Additionally, it addresses both the physical and mailing addresses to ensure accurate communication and delivery of essential documents. The form delves deeper with item D, where it specifies the need for listing each vehicle in the fleet, their weights for different jurisdictions, and the type of carrier, whether it is private, for-hire, buses, or household goods carriers. There's a section dedicated to temporary permit requests, changes in the vehicle fleet through additions or deletions, and an affirmation of the accuracy and legality of the information provided, under penalty of perjury. The meticulous craftsmanship of the form ensures every vehicle is correctly accounted for and complies with jurisdictional weight regulations—an indispensable process for commercial fleet operations engaging in interstate commerce.

QuestionAnswer
Form NameIrp Schedule A Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesvehicle oen registrant form, vehicle oen registrant print, vehicle oen registrant online, schedule a form irp

Form Preview Example

STATE OF TENNESSEE

INTERNATIONAL REGISTRATION PLAN

SCHEDULE A

A

Name of Registrant

Registrant Email Address

Doing Business As:

Physical Street Address

C

License Yr.

IRP Account#

 

Fleet #

Page

o f

Person to Contact Regarding Application:

 

 

 

 

 

Name

 

 

Telephone No.

 

 

Fax No.

 

City

 

 

 

 

County

 

 

 

 

State

 

 

Zip Code

 

 

 

Registrant’s FEIN/SSN/TIN

 

 

Registrant’s U.S. DOT#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

State

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D. UNITS LISTED BELOW WILL BE AUTHORIZED TO OPERATE JURISDICTIONS AND AT THE WEIGHT LISTED BELOW. LIST WEIGHTS IN THE BOX FOR EACH JURISDICTION.

E

Temporary Permit Requested? (Please check one) YesNo

F

Carrier Type: Private

For-Hire

Buses

Household Goods

Jurisdiction Use Only

New Account

Renewal

Supplement #

AL

AR

AZ

 

CA

CO

CT

DC

DE

 

FL

 

GA

IA

ID

IL

 

IN

KS

KY

LA

MA

 

MD

 

ME

MI

MN

MS

 

MO

MT

NE

NV

NH

 

NJ

 

NM

NY

NC

ND

 

OH

OK

OR

PA

RI

 

SC

 

SD

TX

UT

VT

 

VA

WA

WV

WI

WY

 

AB

 

BC

MB

NB

NL

 

NS

ON

PE

QC

SK

 

 

 

 

ADDITIONS

 

 

* Will the control & responsibility for the safety of this vehicle be assigned to a different motor carrier during the registration year by lease?

Yes

 

No

 

 

 

 

 

 

 

 

 

 

1

OEN

2

V.I.N.

3 Y R

4

MAKE

5

TYPE

6

AXLES/ SEATS

7

CM BD AXLES

8

FUEL

9

UNLADEN

WEIGHT

10

GROSS

COMBINED

WEIGHT

11

PURCHASE

PRICE

12

DATE OF

PURCHASE

13

FACTORY

PRICE

14

NAME OF OWNER-LESSOR OR NAME OF LESSEE OF RENTAL VEHICLE

15

JURISTITLE NUMBER

16

*U.S. DOT#

17 TIN

G.

DELETIONS

OEN

V.I.N.

LICENSE PLATE #

DECAL #

REASON REMOVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H. Declaration: Under penalty of perjury, the undersigned declares that the information on this application is true and correct.

By:

 

 

 

Date:

 

 

Title:

 

 

 

See Reverse Side for Instructions, and Affidavit for Lost Cab Card

RV-F1309401 (Rev. 2-12)

 

OFFICE USE ONLY

 

DATE

INITIALS

HVUT

 

 

 

MCS-150

 

 

 

VERIFIED & KEYED

 

 

 

2nd VERIFICATION

 

 

 

CRED. RELEASED

 

 

 

Schedule A and Application Instructions

Complete Items A, B and C. A street address or road location must be provided in item A to allow for mailing of license plates. A Federal Employee Identification Number (FEIN) shall be used. If a FEIN has not been issued a Social Security Number (SSN) may be provided. The name, telephone and fax number of the person who is responsible for the completion of this application must be provided.

Item D:

 

1.

Determine the different gross/combined gross weight for your account.

 

(Example - 5 vehicles @ 56,000 and 5 vehicles @ 80,000)

2.

Complete 1 Schedule A for a new account or an established account for each group of vehicles defined in Item #1.

3.

If you require a special weight for a particular jurisdiction, write the desired weight in the jurisdictional box.

 

(Example: Tennessee @ 56,000 and Kentucky @ 55,000 lbs.)

The following columns must be completed:

Column 1 - Assigned owner Equipment number (1-999999999) Column 2 - Vehicle identification number

Column 3 - Year of vehicle

Column 4 - Make of vehicle - Example: Dodge = Dodg, Ford = Ford, Freightliner = FRHT, GMC = GMC, International = INTL

Column 5 - Type: TT = Truck Tractor, TK = Single Truck, TR = Tractor, BS = Bus Column 6 - Number of axles for trucks. Number of seats for buses.

Column 7 - Number of combined axles. Column 8 - Fuel Type - D = Diesel, G = Gas Column 9 - Unladen weight = Empty weight

Column 10 - Gross/combined weight = Registered weight

Column 11 - Purchase price = Purchase price of vehicle. (Excluding trade-in and sales tax, but including accessories or modifications).

Column 12 - Purchase Date - Date vehicle was purchased.

Column 13 - Factory Price - The manufacturer’s list price of the vehicle when new, including all improvements and modifications attached to the vehicle. Trade-in and sales or use tax should be excluded.

Column 14 - Name of Owner (Lessor) or Name of Lessee of rental vehicle.

Column 15 - Title number - Enter the jurisdiction and the title number of the vehicle being added.

Column 16 - U.S. DOT# - The motor carrier responsible for the safety of each unit, if different from the registrant.

If you have multiple vehicles using the same U.S. DOT number, record the number in the first U.S. DOT number field for the first vehicle, then record “same” in the second vehicle’s U.S. DOT number field. If all subsequent fields are using the same U.S. DOT number, you can draw a line through the remaining U.S. DOT number fields.

Column 17 - Tennessee Identification Number (TIN) - The motor carrier responsible for the safety of each OEN, if different from the registrant.

Item E - Temporary Permit Requested - Place a in the appropriate box. Item F - Carrier Type: Place an X in the appropriate box.

Item G - Deletions - Complete all information requested.

Note: The original cab card and license plate must accompany an upgrade/downgrade transaction.

The original cab card must accompany a tag reassignment, change of ownership, weight increase/decrease transaction.

If the cab card cannot be returned, complete the affidavit for lost cab card Item I. Item H - Declaration: Signature, date and title of preparer must be completed.

Item I - Affidavit for Lost Cab Card.

ITEM I

I certify that the International Registration Plan Apportioned Cab Card(s) issued for the owner equipment number(s) listed below have been lost.

OEN

 

MAKE

 

YEAR

 

 

OEN

 

MAKE

 

YEAR

 

 

OEN

 

MAKE

 

YEAR

 

 

OEN

 

MAKE

 

YEAR

 

 

OEN

 

MAKE

 

YEAR

 

 

OEN

 

MAKE

 

YEAR

 

 

Manufacturers Identification Number

Manufacturers Identification Number

Manufacturers Identification Number

Manufacturers Identification Number

Manufacturers Identification Number

Manufacturers Identification Number

Manufacturers Identification Number

Registrant/Representative Signature

In the event I locate the above mentioned cab card(s), I will immediately forward them to the Department of Revenue, International Registration Plan Office.

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2. Once your current task is complete, take the next step – fill out all of these fields - OEN, VIN, Y R, MAKE, TYPE, AXLES SEATS, CM BD AXLES, FUEL, UNLADEN WEIGHT, GROSS, COMBINED, WEIGHT, PURCHASE, PRICE, and DATE OF with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

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Be very mindful while filling out PRICE and UNLADEN WEIGHT, since this is where most users make errors.

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