Ma Irp Application PDF Details

Ma Irp Application Form, is an online application form that can be filled by the citizens of Mauritius for the Irwin Rodrigues Prize. The prize is open to all the students who have completed their A-Levels or its equivalent qualification within the year preceding the awarding of the Prize. The deadline for submission of application is 30th November each year. The prize was instituted in honour of Irwin Rodrigues, an eminent Mauritian educator and intellectual, who was Principal of Royal College from 1970 to 1978. The aim of this Prize is to encourage and reward academic excellence amongst secondary school students in Mauritius. The Prize comprises a cash award and a trophy.

Listed here, you'll find a number of details about ma irp application PDF. It's definitely worth taking the time to learn this before starting filling in your document.

QuestionAnswer
Form NameMa Irp Application
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namesirp registration, massachusetts international registration plan, massachusetts irp, irp supplement application mass

Form Preview Example

International Registration Plan (IRP) Application

SELECT THE APPROPRIATE APPLICATION TYPE- Additional instructions are located on page 4

ORIGINAL – Application for NEW IRP account. Complete all sections and sign the application.

SUPPLEMENT – Make changes to an existing account, such as add vehicles, amend vehicle information, amend fleet information, change weight, etc….Please complete section A and other

sections where changes will be made.

Account holder 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. For example, if you are working for a company that has an existing IRP account, that company should add your vehicle to their account, unless you choose to open an account using your own USDOT number.

Section A

ACCOUNT NUMBER

FLEET NUMBER

REGISTRATION YEAR

SUPPLEMENT NUMBER

OFFICE USE ONLY

NAME ON ACCOUNT

US DOT

TIN

SSN (REGISTRANT ONLY)

I would like to:

 

 

 

 

 

 

 

 

 

Add a Vehicle

 

 

 

 

Amend information

 

 

Obtain a new plate

 

 

 

 

 

 

 

 

 

 

 

 

Delete a Vehicle

 

 

 

 

US DOT/TIN

 

 

Transfer a plate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Increase Weight

 

 

 

 

MCRS

 

 

 

 

 

 

 

 

 

 

Decrease Weight

 

 

 

 

Account Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Add Jurisdiction(s)

 

 

 

 

Fleet Information

 

 

 

 

 

 

 

 

 

 

Add a Fleet

 

 

 

 

Other _________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duplicate CAB Card (Complete A and E)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section B- Check appropriate transaction type when adding vehicles.

 

Transaction Type (if known)

 

 

 

 

RT- Registration and Title

 

TAR (title add registration)

 

 

 

 

 

Renew/Swap

 

Summer Winter

 

 

 

 

 

 

 

 

 

 

 

Plate Swap

 

RX- Plate Transfer - Plate number____________

 

 

 

 

 

 

 

 

 

 

 

Section C- Complete this section when opening a new account or amending information within this section

ACCOUNT INFORMATION

Business Type - Corporation Sole Proprietor Trust LLC LLP Non Profit Partnership Other ___________________________

TIN TYPE

 

SSN

 

FEIN

Number_____________________ Accountholder US DOT_________________

 

 

 

 

 

 

Account Legal Name _____________________________________________________________________________

DBA Name_____________________________________________________________________________________

Phone Number ______________________ Fax Number ___________________________

Physical Address _______________________________City __________________ Zip Code____________ (No PO Box)

Mailing Address (If Different) ______________________________ City _______________ Zip Code_____________

Primary Contact Name __________________________________ Email ___________________________________

Address ___________________________________ City ________________________ Zip code________________

Phone ____________________Fax ____________________

Additional Contact Name ______________________________ Email ____________________________________

Address _____________________________________ City _________________ Zip code_____________________

Phone ____________________ Fax ____________________

Section D- Complete this section if creating a fleet or if you are amending information within this section

FLEET INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apportioned Fleet Type:

 

 

 

Private

 

 

 

For-Hire

Is this a rental company?

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Rental Company, choose one:

 

Rental is less than 45 days

 

 

Rental is greater than or equal to 45 days

 

 

 

Use:

 

Standard

 

 

Household Goods -- If household goods, Service Representative name: ______________________

 

 

 

Does the carrier hold a WY Operating Authority Permit?

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you been apportioned in any other Jurisdiction in the last 18 months?

 

 

 

No

 

 

 

Yes, Jurisdiction________

 

 

 

 

 

 

Will this fleet be composed entirely or primarily of vehicles in which you operated or exercised control over during the

previous registration period?

 

Yes

 

No

If YES, see next question

 

 

 

 

Did the vehicle accrue actual distance in any of the jurisdictions for which you are seeking apportion?

 

Yes

 

No

 

 

 

 

Fleet Name____________________________________ Service Representative_______________________________

Phone Number ________________________________ Fax Number ________________________________________

Physical Address _______________________________City __________________ Zip Code____________ (No PO Box)

Mailing Address (If Different) ______________________________ City _______________ Zip Code_______________

Section E - VEHICLE EQUIPMENT LIST- Instructions on back. Reprint this page as needed for multiple vehicles. Acct #____________Fleet ____

ACTION

PLATE

VEHICLE

 

 

BODY

*1

AXLES

FUEL

 

 

TRANS

SEATS

 

 

Unit

*2

IDENTIFICATION

YEAR

MAKE MODEL

UNLADEN

COLOR

ODOM

CYL/PASS/DOORS

VEHICLE

Number

NUMBER

 

 

STYLE

WEIGHT

 

 

 

 

#

TYPE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

*4

 

*5

 

 

 

TYPE OF

OWNER 1 TYPE

 

*3

PULL

MAX

PURCH

PURCH

PURCH

 

<10K

SALE

(INDIVIDUAL OR

OWNER 1 NAME

CGVW

TRAILY/N

TRAILE

N/U

DATE

 

MILES

PRICE

DLR/CAS

COMPANY)

 

 

 

AXLES

 

 

 

 

 

 

 

 

 

 

 

 

OWNER 1 ID #

OWNER 2 TYPE

 

OWNER 2 ID #

LESSEE TYPE

 

LESSEE ID #

(LICENSE or

(INDIVIDUAL

OWNER 2 NAME

(INDIVIDUAL OR

LESSEE NAME

(LICENSE)

(LICENSE, SSN, OR FEIN)

FEIN)

ONLY)

 

COMPANY)

 

 

 

 

 

GARAGE LOCATION

MOTOR CARRIER RESP FOR

SAFETY (MCRS) NAME

MCRS US DOT

MCRS TIN

(FEIN OR SSN)

*6 MCRS TO CHANGE

DURING THE YEAR?

INSTRUCTIONS FOR VEHICLE EQUIPMENT LIST

A completed RMV1 form stamped by your insurance is also required when adding vehicles.

If you change the insurance company, garage location, color, gross weight, passengers, or seats field(s), you are required to submit a RMV-3 Form stamped by your insurance company.

**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.

*1- Indicate the weight of the EMPTY vehicle. *2- Please use TT for Truck Tractor, TK for Truck, TR for Tractor, RT for Road Tractor or BS for Bus. *3- This is the combined or Gross Weight of the vehicle. If a weight group does not exist for this weight, a new group will be created unless you indicate you would like this vehicle in a higher weight group. *4- Indicate if this vehicle travels less than 10,000 miles nationally. *5- If the unit pulls a trailer indicate the maximum number of trailer axles that will be pulled. *6- Indicate if the motor carrier responsible for the safety of this vehicle is expected to change during this registration year.

IMPORTANT ADDITIONAL INFORMATION

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. For example, if you are working for a company that has an existing IRP account, that company must add your vehicle to their account, unless you choose to open an account using your own USDOT number.

Temporary CAB Cards- Temporary CAB cards will be limited to only certain transactions in MassIRP. A temporary CAB card will be available to carriers in good standing for adding jurisdictions, amending weight, adding a fleet to an existing account, processing a fleet to fleet transfer. A temporary CAB card will not be available, for example, if you are registering and titling a vehicle. The sales tax, title fees and registration fees must be paid in full prior to receiving credentials.

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

Schedule D - Estimated Distance Justification: This form must accompany your application if you entered estimated distance for jurisdictions that was not derived from the Estimated Distance Chart.

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, you must provide a lease agreement or notarized statement on company letterhead which authorizes the use of the USDOT number and Tax Identification Number (TIN). The Authorization must include the US DOT number and the TIN, and the length of time the owner is authorized to use the USDOT number and TIN.

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

Section F - WEIGHT INFORMATION

Please list the weight you wish to appear on your CAB Card for each Jurisdiction in which you will travel.

Jurisdiction

Weight

Jurisdiction

Weight

Jurisdiction

Weight

Jurisdiction

Weight

Jurisdiction

Weight

 

 

 

 

 

 

 

 

 

 

Alberta

 

Iowa

 

Missouri

 

NW Territory

 

South Dakota

 

 

 

 

 

 

 

 

 

 

 

Alaska

 

Idaho

 

Mississippi

 

Nevada

 

Saskatchewan

 

 

 

 

 

 

 

 

 

 

 

Alabama

 

Illinois

 

Montana

 

New York

 

Tennessee

 

 

 

 

 

 

 

 

 

 

 

Arkansas

 

Indiana

 

Mexico

 

Nunavut

 

Texas

 

 

 

 

 

 

 

 

 

 

 

Arizona

 

Kansas

 

New Brunswick

 

Ohio

 

Utah

 

 

 

 

 

 

 

 

 

 

 

Brit. Columbia

 

Kentucky

 

North Carolina

 

Oklahoma

 

Virginia

 

 

 

 

 

 

 

 

 

 

 

California

 

Louisiana

 

North Dakota

 

Ontario

 

Vermont

 

 

 

 

 

 

 

 

 

 

 

Colorado

 

Massachusetts

 

Nebraska

 

Oregon

 

Washington

 

 

 

 

 

 

 

 

 

 

 

Connecticut

 

Manitoba

 

Newfoundland/Lab

 

Pennsylvania

 

Wisconsin

 

 

 

 

 

 

 

 

 

 

 

Dist Columbia

 

Maryland

 

New Hampshire

 

Pr Edward Isl.

 

West Virginia

 

 

 

 

 

 

 

 

 

 

 

Delaware

 

Maine

 

New Jersey

 

Quebec

 

Wyoming

 

 

 

 

 

 

 

 

 

 

 

Florida

 

Michigan

 

New Mexico

 

Rhode Island

 

Yukon

 

 

 

 

 

 

 

 

 

 

 

Georgia

 

Minnesota

 

Nova Scotia

 

South Carolina

 

 

 

 

 

 

 

 

 

 

 

 

 

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. Use separate pages for any vehicles with a weight difference in any jurisdiction.

Section G- DISTANCE SCHEDULE

Place “A” for actual or “E” for estimated miles reported for the period of July 1 through June 30. List mileage in each jurisdiction in which this fleet will travel and you wish to have apportionment. If using the Estimated Distance Chart be sure it is for the current registration year. All other jurisdiction fields should be left blank.

A

 

DISTANCE

A

 

DISTANCE

A

 

 

 

DISTANCE

 

 

 

 

 

 

 

 

 

/

JURISDICTION

 

/

JURISDICTION

 

/

JURISDICTION

 

 

 

E

 

 

E

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alberta

 

 

Manitoba

 

 

 

Oklahoma

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alabama

 

 

Maryland

 

 

 

Ontario

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Arkansas

 

 

Maine

 

 

 

Oregon

 

 

 

 

Arizona

 

 

Michigan

 

 

 

Pennsylvania

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

British Columbia

 

 

Minnesota

 

 

 

Prince Edward Island

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

California

 

 

Missouri

 

 

 

Quebec

 

 

 

 

Colorado

 

 

Mississippi

 

 

 

Rhode Island

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Connecticut

 

 

Montana

 

 

 

South Carolina

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dist of Columbia

 

 

New Brunswick

 

 

 

South Dakota

 

 

 

 

Delaware

 

 

North Carolina

 

 

 

Saskatchewan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Florida

 

 

North Dakota

 

 

 

Tennessee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Georgia

 

 

Nebraska

 

 

 

Texas

 

 

 

 

Iowa

 

 

New Hampshire

 

 

 

Utah

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Idaho

 

 

New Jersey

 

 

 

Virginia

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Illinois

 

 

Newfoundland & Lab

 

 

 

Vermont

 

 

 

 

Indiana

 

 

New Mexico

 

 

 

Washington

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kansas

 

 

Nova Scotia

 

 

 

Wisconsin

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kentucky

 

 

Nevada

 

 

 

West Virginia

 

 

 

 

Louisiana

 

 

New York

 

 

 

Wyoming

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Massachusetts

 

 

Ohio

 

 

 

TOTAL

 

 

 

 

 

 

 

 

 

 

 

DISTANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby certify under the penalties of perjury that there are no outstanding excise tax liabilities on the vehicle(s) listed that have been incurred by the applicant, any member of the applicant's immediate family who is a member of the applicant's household or the business partner of the applicant. I hereby further certify that all information contained in this application is true and correct to the best of my knowledge and belief. False statements are punishable by fine, imprisonment or both.

Authorized Accountholder Signature ________________________________________ Date________________

Printed Name _________________________________ Position (if company)_____________________________

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).

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