MA IRP Application PDF Details

For individuals and businesses aiming to add newly purchased vehicles to an existing fleet, transfer plates, swap plates, register a vehicle, or amend vehicle information such as color, weight, or insurance details, the International Registration Plan (IRP) Supplement Application provided by the Registry of Motor Vehicles in Boston, MA, is a vital document. It explicitly requires an insurance stamp for transactions like plate transfers or vehicle amendments, ensuring that all changes are backed by valid insurance coverage. The form meticulously details the process for declaring equipment information, signaling actions such as adding or deleting a vehicle, or changing current vehicle information, with specific codes for the type of vehicle being registered. Instructions for accurately documenting the vehicle's weight, whether empty or gross (inclusive of maximum permissible operating weight as specified by the manufacturer) and details concerning trailers, are also provided. This application process ties into the federal Performance and Registration Information Systems Management (PRISM) program, necessitating a valid USDOT number unique to the IRP account holder. Furthermore, the form encapsulates a wide gamut of information, from specifying the motor carrier responsible for the vehicle's safety to vehicle identification, ownership details, and sales or use tax schedules, underscoring the comprehensive nature of the application. The necessary inclusion of certification that excise tax liabilities are cleared, alongside the requirement for the submission of original, unaltered documents like a Power of Attorney or MCRS Authorization when the condition applies, underscores the meticulous verification process designed to uphold integrity and compliance within vehicle registration and fleet management.

QuestionAnswer
Form Name Ma Irp Application
Form Length 5 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 1 min 15 sec
Other names irp registration application, international registration plan application, irp application, ma rmv irp

Form Preview Example

International Registration Plan (IRP)

Supplement Application

Registry of Motor Vehicles · IRP Section

PO Box 55889 · Boston, MA 02205-5889 · PHONE: 857-368-8120

Instructions

Complete this form to add a newly purchased vehicle to an existing fleet , plate transfer , plate swap , add registration or a vehicle amendment (color, insurance, weight, passengers, or seats). Insurance stamp is required for these transaction types (Section M) .

Instructions for IRP Equipment Information (Section O)

*Action – Place an “A” in the action box if adding a vehicle. Place a “D” in the Action box if deleting the vehicle. Place a “C” in the Action box if changing any vehicle information.

*O4 - Use BU for Bus, CM for Concrete Mixer, CR for Crane, DT for Dump Truck, LG for Log Truck, MT for Mobile Home Toter, SP for Special Truck, ST for Straight Truck, TK for Truck, TT for Truck Tractor, WK for Wrecker Plus, WR for Wrecker.

Important Additional Information

*O5 - Indicate the weight of the EMPTY vehicle.

*O6 -Gross Weight is the maximum operating weight of a vehicle specified by the manufacturer.

*O9 - Indicate if the vehicle pulls a trailer.

*O10 - Combined Weight (Gross Weight plus the Weight of the trailer).

*O11 - If the unit pulls a trailer indicate the number of axles and trailer axles combined.

*P1-4 - Indicate if the motor carrier responsible for the safety of this vehicle is expected to change during this Registration year.

USDOT Numbers- Under the Performance and Registration Information Systems Management (PRISM) program, an applicant must have a valid USDOT number that is unique to their IRP Account. Multiple accounts may not be opened using the same USDOT number, and you may not open an account using a USDOT other than your own.

You may need to complete one or more of the following forms as part of your application:

•Power of Attorney: Power of Attorney is required for each vehicle contained on your application that is not titled in your name. Power of Attorney is a notarized statement on company letterhead signed by an authorized representative.

•MCRS Authorization: If the MCRS listed for a vehicle is different from the vehicle owner, or the account holder, the applicant must provide a lease agreement or notarized statement which authorizes the use of the USDOT number. If the USDOT is assigned to a company, the notarized statement must be on company letterhead. The following information must be included on the lease agreement or notarized statement: USDOT number, Tax Identification Number (FEIN or SSN), the name of the company authorizing the use of their USDOT number and the name of the individual/company that has permission to use that USDOT number. The documents can not have been altered, and the original must be presented at each renewal. A company should notify the IRP section in writing when the agreement to use the USDOT number has ended.

•Applications must be signed. Incomplete or illegible applications will be returned to the registrant without processing.

A. Application for Changes

Select the transaction to be performed.

 

 

 

 

 

A1. Account Number

A2. Registration Year

A3. Supplement Number

 

 

 

OFFICE USE ONLY

 

A4. Name on Account

 

 

 

 

 

 

I would like to:

Add a Vehicle

Registration Title

Transfer a plate

Plate Swap Replace CAB Card

Amend Information

 

US DOT/TIN

Other

Account Information

 

 

Fleet Information

 

Weight

 

Vehicle / Equipment Info

 

B. Account Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B1. Identification Number

 

 

 

 

 

 

 

B2.

Fleet Name (optional)

 

 

 

 

 

 

FEIN

SSN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B3.

Location Address

 

Apt. #

 

 

City

 

 

 

 

State

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B4.

Contact First Name

 

Last Name

 

 

 

B5.

Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B6.

Phone Number

 

 

 

 

 

 

 

B7.

Fax Number

 

 

 

 

 

 

Business

Cell

Home

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. Fleet Information

Complete this section if you are

C1. Carrier Type

Private

For-Hire

Rental

Goods

Exempt

amending fleet information.

 

C2. If Rental, is it greater

Yes

No

C3. If Goods,

Representative Name

 

 

 

 

C4. Do you have a WY

 

Yes

No

 

or equal to 45 days?

 

 

 

 

 

 

 

 

Operating Authority Permit?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C5. Are you a carrier Registrant only?

Yes

No

 

C6. USDOT#

 

 

 

 

C7. TIN

 

 

 

 

 

If No, complete C6 - C7.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IRP103_1119

Reprint this page as needed for multiple vehicles.

Account #

 

Unit/Owner Equipment Number

D. Vehicle Information

D1. Vehicle Identification Number (VIN)

D2. Body Style

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D3. Registration Type:

Passenger

Commercial

Bus

 

Livery

Camper

D4. Color(s):

Black

White

Brown

Blue

Yellow

Trailer

Taxi

Motorcycle

Semi-Trailer

Other:

 

 

Gray

Red

Purple

Green

Orange

Gold

Silver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D5. Year

 

Make

 

 

Model

 

 

 

 

Model#

 

 

Trim

 

D6. Transmission Type:

Automatic

D7. Number of: Cylinders/Passengers/Doors

D8. Fuel Type:

Gas

Electric Propane

Other:

 

 

Manual

 

Diesel

Hybrid

Other:

 

 

 

 

 

 

 

 

 

 

 

 

D9. Odometer (Miles)

D10. Bus:

Regular

DPU

 

School Pupil/Taxi

School Bus

School Pupil

D11. If carrying passengers for hire,

School Pupil/Livery

enter max seating capacity

 

 

 

 

 

 

D12. Total Gross Weight (Laden) Cannot exceed GVWR

E. Title Information

E3. Previous Title Number

E1. Vehicle Condition

New

Used

Previous Title State

E2. Previous Title Issue Date (MM/DD/YYYY)

Previous Title Country

 

E4. Title Type:

Clear

Salvage

Reconstructed

E5. Primary Salvage Title Brand:

E6. Secondary Salvage Brand(s):

Vandalism

Flood

 

 

Theft

Prior Owner Retained

Owner Retained

Repairable

Parts Only

 

Theft

 

 

Fire

Salt

Collision

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F. Owner 1 Information

F1. Select Owner(s) Identification Requirement being provided for registration purposes

MA License/ID

 

 

 

 

 

Out-of-State License

Out-of-Country License

Social Security Number

Lawful Presence

 

F2.

1st Owner’s Name (Last, First, Middle)

 

F3. Date of Birth (MM/DD/YYYY)

 

F4.

License#/ ID#/ SSN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F5.

Residential Address

 

Apt.#

City

 

State

Zip Code

F6.

State/Country of License/ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F7.

Mailing Address

Same as Residential Apt.#

City

 

State

Zip Code

F8.

Exp. Date of License/ ID/ Lawful Presence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F9.

Email

 

 

 

 

 

 

Cell

Home

Work

 

Phone#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner 2 Information

F10. Select Owner(s) Identification Requirement being provided for registration purposes

MA License/ID

 

Out-of-State License

Out-of-Country License

Social Security Number

Lawful Presence

 

 

 

 

 

F11. 2nd Owner’s Name (Last, First, Middle)

 

F12. Date of Birth (MM/DD/YYYY)

 

 

F13.

License#/ ID#/ SSN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F14.

Residential Address

 

Apt.#

City

State

Zip Code

 

F15.

State/Country of License/ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F16.

Mailing Address

Same as Residential

Apt.#

City

State

Zip Code

 

F17.

Exp. Date of License/ ID/ Lawful Presence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F18.

Email

 

 

 

Cell

Home

Work

 

Phone#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G. Lessee Information / In Custody of

G1. 1st License #/ ID #/ SSN/ FID

G2. 1st Lessee or Corp/Co/Organizations Name

G3. 1st Lessee Address

G4. 2nd License #/ ID #/ SSN/ FID

G5. 2nd Lessee or Corp/Co/Organizations Name

G6. 2nd Lessee Address

H. Business Owner Information

H1. Email

 

 

Cell

Home

Work

Phone#

 

 

 

 

 

 

 

 

 

 

 

 

H2.

EIN/FID

 

H3. Corp/Co/Organization/Lessor Name

 

 

 

 

H4. USDOT#

H5. TIN

 

 

 

 

 

 

 

 

 

 

H6.

DBA Dealer - Farmer - OC - Repair - and Transporter use only

 

 

 

 

H7. SSN if Sole Proprietor

 

 

 

 

 

 

 

 

 

 

 

 

H8.

Physical Address

 

 

 

Apt.#

City

 

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

H9.

Mailing Address

Same as Physical Address

Apt.#

City

 

State

Zip Code

IRP103_1119

Reprint this page as needed for multiple vehicles.

Account #

 

Unit/Owner Equipment Number

 

 

 

 

 

 

 

 

 

 

I. Garaging Address Address where vehicle is principally garaged.

 

 

 

 

I1. Address

 

Apt.#

City

State

Zip Code

 

 

 

 

 

 

J. Lienholder Information

The bank, financial institution, or private party that financed your vehicle loan.

 

 

1st Lien Code

Name

Address

2nd Lien Code

Name

Address

3rd Lien Code

Name

Address

 

 

K. Sales or Use Tax Schedule

Numbers K1 or K2 must be completed by a licensed dealer. Number K3 must be completed for all

casual/private sales. Number K4 is completed for sales tax exemptions by the RMV.

 

K1. Sale by Licensed Motor Dealer EIN/FID#:

K2. Sale By Auction

Authorized Dealer’s Signature:

 

 

Sale Price including Buyer’s Premium:

 

 

MSRP:

 

 

 

Total Sales Price:

 

 

 

 

Less Manufacturers Excise:

Trade-In 1 VIN:

 

 

 

 

Less Trade-In Allowance:

 

Year:

Make:

 

 

 

Model:

 

 

 

 

 

 

 

 

 

 

 

 

Trade-In 2 VIN:

 

 

 

 

Less Trade-In Allowance:

 

Year:

Make:

 

 

 

Model:

 

 

 

 

 

 

 

 

 

 

 

 

Taxable Sales Price:

 

 

 

MA Sales Tax Paid:

 

K3. Sale By Other Than Motor Vehicle Dealer or Auction House (Casual Sale)

Gross Sale Price (Proof Required):

MA Sales/Use Tax:

Out of State Sales Tax Previously Paid:

State that Sales Tax was Paid to:

K4. Claim Exemption Code

Form Attached (If Required)

L. Purchase Information

 

L1. Purchase Date:

 

 

L2. Is this vehicle being converted from another state with the same owner?

 

 

 

 

 

 

 

 

 

 

 

 

If Yes, answer questions L3-L5 below

Yes

No

L3. MA Resident at

Yes

 

No

 

 

 

L4. Was Mass Sales

Yes

 

No

 

L5. Proof of Tax or Letter

Yes

No

Time of Purchase?

 

 

 

 

Tax Previously Paid?

 

 

of Delivery provided?

 

 

 

 

 

 

 

 

 

 

 

 

 

M. Insurance Information

 

 

 

 

 

 

 

 

 

 

 

The company signatory hereto hereby certifies that it has or will insure or guarantee

 

 

 

 

 

 

 

 

 

 

 

performance by the applicant herein before named with respect to the motor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

vehicle herein before described for a period at least coterminous with that of such

M1. Insurance Company

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

registration under a motor vehicle liability policy, binder or bond which conforms to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the provisions of general laws, Chapter 175, Section 113A, and that the premium

 

 

 

 

 

 

 

 

 

 

 

 

 

 

charge and classification on the effective date of registration are as established by the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

commissioner of insurance under Chapter 175, Section 113B, 113H and Chapter 175E.

M2. Insurance Code

 

 

M3. Effective Date of Insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M4. Self Insured?

Yes

No

M5. Policy

 

 

 

 

 

 

 

 

 

 

 

Change Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N. Seller Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance Company’s Authorized Representative’s Signature

 

N1. Seller Name (Please Print)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N2. Address

 

 

 

 

 

 

 

 

Apt.#

 

City

 

 

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O. IRP Equipment Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O1. Action

 

O2. Plate Number

 

 

 

 

O3. Unit/Owner Equipment Number

 

 

O4. IRP Classification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O5. Unladen Weight

 

 

 

 

O6. Gross Vehicle Weight

 

 

 

 

 

O7. Seats

O8. Axles

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O9. Does this vehicle pull a trailer?

 

 

Yes

 

No

O10. Combined Gross Vehicle Weight

 

 

O11. Combined Axles

 

 

 

If Yes, answer questions O10-O11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O12. Does this vehicle

 

 

Yes

 

No

O13. Does this vehicle

 

Yes

No

O14. Purchase Price

O15. Purchase Date

transport hazardous material?

 

 

 

 

 

 

 

travel less than 10,000?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IRP103_1119

Reprint this page as needed for multiple vehicles.

Account #

 

Unit/Owner Equipment Number

P. Carrier Responsible for Safety

P1. USDOT

P2. TIN

P3. Operator Name

P4. Is the carrier is expected to change?

Yes

No

Q. Weight Information

Please list the weight you wish to appear on your CAB Card for each Jurisdiction in which you will travel. If you do not plan on travelling in a jurisdiction the default weight assigned to the vehicle will be listed on your CAB Card.

Jurisdiction

Weight

Jurisdiction

Weight

Jurisdiction

Weight

Jurisdiction

Weight

Alberta

 

Indiana

 

North Dakota

 

Quebec

 

Alabama

 

Kansas

 

Nebraska

 

Rhode Island

 

Arkansas

 

Kentucky

 

New Hampshire

 

South Carolina

 

Arizona

 

Louisiana

 

New Jersey

 

South Dakota

 

British Columbia

 

Massachusetts

 

Newfoundland & Lab

 

Saskatchewan

 

California

 

Manitoba

 

New Mexico

 

Tennessee

 

Colorado

 

Maryland

 

Nova Scotia

 

Texas

 

Connecticut

 

Maine

 

Nevada

 

Utah

 

 

 

 

 

 

 

 

 

Dist. of Columbia

 

Michigan

 

New York

 

Virginia

 

Delaware

 

Minnesota

 

Ohio

 

Vermont

 

Florida

 

Missouri

 

Oklahoma

 

Washington

 

Georgia

 

Mississippi

 

Ontario

 

Wisconsin

 

 

 

 

 

 

 

 

 

Iowa

 

Montana

 

Oregon

 

West Virginia

 

 

 

 

 

 

 

 

 

Idaho

 

New Brunswick

 

Pennsylvania

 

Wyoming

 

 

 

 

 

 

 

 

 

Illinois

 

North Carolina

 

Prince Edward Island

 

 

 

Units listed on this application will be authorized to operate in the jurisdictions and at the weights listed above. The weight recorded above will appear on the CAB Card for all IRP Jurisdictions for the units listed.

R. Certification and Signature(s) of Applicant(s)

Application not complete without all required signatures.

I/We the applicants hereby certify under the penalties of perjury that there are no outstanding excise tax liabilities on the vehicle described above that have been incurred by the applicant(s), any member of the applicant’s immediate family who is a member of the applicant’s household or the business partner of the applicant(s). The RMV reserves the right to verify any representations or documents you provide. Whoever knowingly makes any false statement in application for registration of a motor vehicle is subject to prosecution and a fine and/or imprisonment upon conviction (M.G.L. c.90, §24). The Registrar may also revoke any registration obtained by false statements or misrepresentations. I hereby affirm under the penalty of perjury that the representations and/ or documents I have provided in this Section are true and accurate. I further understand that falsely affirming to any matter required by the Registrar under Chapter 90 may be considered to be the commission of perjury under Chapter 90, Section 28 and punished as such under M.G.L. c. 268, §1.

Signature: Owner/Lessee 1

 

 

 

Date:

 

Printed Name 1

 

 

Position

 

Signature: Owner/Lessee 2

 

 

 

Date:

 

Printed Name 2

 

 

Position

 

Signature on this application by the applicant or authorized representative constitutes the applicant’s consent to have the information submitted as part of participation in IRP and verified through an audit performed by the Commonwealth of Massachusetts Registry of Motor Vehicles, the Department of Revenue, or their agents. Further, the applicant understands that the Registry of Motor Vehicles and the Department of Revenue may exchange the information obtained during an audit for purposes of enforcing the International Registration Plan (IRP) and the International Fuel Tax Agreement (IFTA).

IRP103_1119

How to Edit MA IRP Application Form Online for Free

Our PDF editor that you can apply was created by our finest computer programmers. It is easy to fill in the mass irp supplement form file immediately and efficiently with this software. Just comply with this instruction to get started.

Step 1: Hit the button "Get form here" to open it.

Step 2: Once you have accessed your mass irp supplement form edit page, you'll see all functions you can use with regards to your file in the top menu.

These segments are in the PDF form you'll be filling out.

example of empty fields in massachusetts irp application

Provide the appropriate information in the space Reprint this page as needed for, Account, UnitOwner Equipment Number, D Vehicle Information, D Vehicle Identification Number VIN, D Body Style, D Registration Type, Trailer, Taxi, Passenger Motorcycle, Commercial SemiTrailer, Bus Other, Livery, Camper, and D Colors.

Finishing massachusetts irp application step 2

Jot down the main details in F Residential Address, Apt, City, State, Zip Code, F StateCountry of LicenseID, F Mailing Address, Same as Residential, Apt, City, State, Zip Code, F Exp Date of License ID Lawful, F Email, and Cell area.

part 3 to completing massachusetts irp application

You'll have to identify the rights and obligations of all parties in box H DBA Dealer Farmer OC Repair, H SSN if Sole Proprietor, H Physical Address, Apt, H Mailing Address, Same as Physical Address, Apt, City, City, State, State, Zip Code, Zip Code, and IRP.

Filling out massachusetts irp application stage 4

Finish by checking the following sections and typing in the suitable details: Reprint this page as needed for, Account, UnitOwner Equipment Number, I Garaging Address, Address where vehicle is, I Address, Apt, City, State, Zip Code, J Lienholder Information, The bank financial institution or, st Lien Code, nd Lien Code, and rd Lien Code.

part 5 to entering details in massachusetts irp application

Step 3: The moment you select the Done button, your final document is simply exportable to each of your gadgets. Alternatively, you can deliver it by using mail.

Step 4: You will need to make as many copies of your document as you can to remain away from potential worries.

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