IRP103_1123 PDF Details

Insurance stamp is required for these transaction types (Section L).

RTA: the original Registration and Title Application (RTA) is required if the vehicle was purchased from a MA dealership, in addition to this IRP Supplement Application.

Vehicle Owner's Limited Power of Attorney: required for each application that is not signed by the owner.

Unit Number: cannot exceed 10 characters.

Applications: application(s) must be signed. Incomplete or illegible applications will be returned to the registrant without processing.

Phone: Registry of Motor Vehicles IRP Section, 857-368-8120.

QuestionAnswer
Form Name IRP103_1123
Form Length 5 pages
Fillable? Yes
Fillable fields 302
Avg. time to fill out 51 min
Other names IRP103_1123, IRP103, IRP supplement application, IRP Supplement Application Massachusetts
PhoneRegistry of Motor Vehicles IRP Section: 857-368-8120
Official sourceIRP103_1123, Registry of Motor Vehicles IRP Section

How to Fill Out IRP Supplement Application

IRP Supplement Application at a glance

What it is: International Registration Plan (IRP) Supplement Application.

Who signs: Signature: Owner/Lessee 1 and Signature: Owner/Lessee 2.

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 L). The original Registration and Title Application (RTA) is required if the vehicle was purchased from a MA dealership, in addition to this IRP Supplement Application.

What to bring and attach to IRP Supplement Application

Vehicle Owner's Limited Power of Attorney: This form is required for each application that is not signed by the owner.

A filled-in IRP Supplement Application example: adding a used truck tractor to an IRP fleet

IRP Supplement Application example filled out, example: adding a used truck tractor to an IRP fleet
Jane Ann Sample adds a used truck tractor to her IRP fleet. She bought it from a private seller and registers it at 80,000 pounds combined gross weight. The picture shows the filled form, and none of its entries is real. She owns Sample Hauling alone, so Owner 2 Information stays empty. The title is Clear, so the salvage brand boxes of D. Title Information stay empty. The mailing address of E. Owner 1 Information is left blank because Same as Residential is ticked. The tractor is not a bus, so C6. Transmission Type and the other boxes of that group leave the Bus choices and Max seating capacity empty. Nothing goes in I. Lienholder Information because she paid cash. The sales tax in J3. Sale By Other Than Motor Vehicle Dealer or Auction House (Casual Sale) is 6.25 percent of the 30,000.00 gross sale price. Nothing goes in L5. Policy Change Date of L. Insurance Information because the policy has not changed. Nothing goes in N2. Plate Number of N. IRP Equipment Information because the plate is new, and Seats stays empty because the tractor is not a bus. The lease dates of N. IRP Equipment Information stay empty because N15 is No. Its total gross weight of 40,000 pounds is within its GVWR. Nothing goes in Authorization Document of O. Carrier Responsible for Safety because the carrier is her own company. Nothing goes in Distance of P. Weight and Distance Information because she is not reporting miles.

How to fill out IRP Supplement Application, box by box

A. Application for Changes

IRP Supplement Application example filled out, a. Application for Changes

Select the transaction to be performed.

Enter A1. Account Number, A2. Registration Year and A4. Name on Account.

B. Account Information

IRP Supplement Application example filled out, b. Account Information

B. Account Information: B1. Identification Number (FEIN or SSN), B2. Fleet Name, B3. Location Address, B4. Contact First Name and Last Name, B5. Email, B6. Phone Number (Business, Cell or Home).

C. Vehicle Information

IRP Supplement Application example filled out, c. Vehicle Information

C. Vehicle Information: Enter C1. Vehicle Identification Number (VIN) and C2. Body Style. C3. Registration Type: Passenger, Commercial, Bus, Livery, Camper, Trailer, Taxi, Motorcycle, Semi-Trailer or Other.

C4. Color(s): Black, White, Brown, Blue, Yellow, Gray, Orange, Red, Silver, Gold, Purple or Green.

Enter C5. Year, Make, Model, Model# and Trim.

C6. Transmission Type

IRP Supplement Application example filled out, c6. Transmission Type

C6. Transmission Type: Automatic, Manual or Other. C7. Number of Cylinders/Passengers/Doors. C8. Fuel Type: Gas, Electric, Propane, Diesel, Hybrid or Other. C9. Odometer (Miles).

C10. Bus: Regular School Bus, School Pupil, DPU, School Pupil/Taxi or School Pupil/Livery. C11. If carrying passengers for hire, enter max seating capacity.

C12. Total Gross Weight (Laden) Cannot exceed GVWR.

D. Title Information

IRP Supplement Application example filled out, d. Title Information

D. Title Information: D1. Vehicle Condition: New or Used. D2. Previous Title Issue Date (MM/DD/YYYY). D3. Previous Title Number, Previous Title State and Previous Title Country.

D4. Title Type: Clear, Salvage, Reconstructed, Theft, Prior Owner Retained or Owner Retained. D5. Primary Salvage Title Brand: Repairable or Parts Only. D6. Secondary Salvage Brand(s): Vandalism, Flood, Theft, Fire, Salt, Collision or Other.

E. Owner 1 Information

IRP Supplement Application example filled out, e. Owner 1 Information

E. Owner 1 Information: E1. Select Owner(s) Identification Requirement being provided for registration purposes: MA License/ID, Out-of-State License, Out-of-Country License, Social Security Number or Lawful Presence. E2. 1st Owner's Name (Last, First, Middle). E3. Date of Birth (MM/DD/YYYY). E4. License#/ ID#/ SSN. E5. Residential Address. E6. State/Country of License/ID.

E7. Mailing Address (Same as Residential). E8. Exp. Date of License/ ID/ Lawful Presence. E9. Email. Phone#: Cell, Home or Work.

H. Garaging Address

IRP Supplement Application example filled out, h. Garaging Address

H. Garaging Address: Enter H1. Address, the address where vehicle is principally garaged.

I. Lienholder Information

IRP Supplement Application example filled out, i. Lienholder Information

I. Lienholder Information: The bank, financial institution, or private party that financed your vehicle loan. Enter the 1st Lien Code, Name and Address, then the 2nd Lien Code and 3rd Lien Code.

J3. Sale By Other Than Motor Vehicle Dealer or Auction House (Casual Sale)

IRP Supplement Application example filled out, j3. Sale By Other Than Motor Vehicle Dealer or Auction House (Casual Sale)

Number J3 must be completed for all casual/private sales: J3. Sale By Other Than Motor Vehicle Dealer or Auction House (Casual Sale) Gross Sale Price (Proof Required).

MA Sales/Use Tax.

K. Purchase Information

IRP Supplement Application example filled out, k. Purchase Information

K. Purchase Information: K1. Purchase Date and K2. Is this vehicle being converted from another state with the same owner?

K3. MA Resident at Time of Purchase? K4. Was Mass Sales Tax Previously Paid? K5. Proof of Tax or Letter of Delivery provided? Yes or No.

L. Insurance Information

IRP Supplement Application example filled out, l. Insurance Information

L. Insurance Information: L1. Insurance Company, L2. Insurance Code, L3. Effective Date of Insurance, L4. Self Insured? Yes or No, L5. Policy Change Date, and the Insurance Company's Authorized Representative's Signature.

M. Seller Information

IRP Supplement Application example filled out, m. Seller Information

M. Seller Information: M1. Seller Name (Please Print) and M2. Address.

N. IRP Equipment Information

IRP Supplement Application example filled out, n. IRP Equipment Information

N. IRP Equipment Information: N11. Does this vehicle pull a trailer? N12. Does this vehicle transport hazardous material? N13. Does this vehicle transport milk? Yes or No.

N1 - 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.

N2 - Enter Plate Number if transferring a plate. Leave blank for new plates. N3 - Unit Number cannot exceed 10 characters.

N4 - 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, TR for Tractor, WK for Wrecker Plus, WR for Wrecker.

N5 - Empty or Tare weight of power unit only. N6 - Gross Vehicle Weight - the weight of the power unit plus the payload it will carry. N7 - Combined Gross Vehicle Weight - GVW plus the weight of the trailer and its payload. N8 - Axles - enter the axles for the power unit only. N9 - Combined Axles - enter the axles for the power unit plus the trailer.

N14 - Answer yes if this vehicle travels less than 10,000 miles per year. N15 - Indicate yes or no if you are under an employment lease agreement. Enter start and end dates of lease: Lease Effective From and Lease Effective To.

O. Carrier Responsible for Safety

IRP Supplement Application example filled out, o. Carrier Responsible for Safety

Section O, boxes 1-5, indicate the USDOT# and TIN# of the motor carrier responsible for safety (MCRS) of this vehicle.

Carrier Responsible for Safety You must attach proof of authorization of use if the DOT owner and vehicle/fleet owner are different.

O1. USDOT, O2. TIN, O3. MCRS Name, O4. Is the carrier expected to change? Yes or No. O5. O6. Was the vehicle purchased new by your company? Yes or No. O7. Purchase Date and O8. Purchase Price.

P. Weight and Distance Information

IRP Supplement Application example filled out, p. Weight and Distance Information

P. Weight and Distance Information: Enter the registered weight per jurisdiction (including Canadian jurisdictions) in pounds. This is the weight that will appear on your Cab Card.

Section P - Weight Field - The registered weight per jurisdictions will default to GVW or CGVW unless you specify a different weight.

If required to enter miles, list the actual distance this fleet has traveled from July 1 to June 30 from the most recent reporting period. Leave mileage boxes blank if you are not reporting miles.

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

IRP Supplement Application example filled out, q. Certification and Signature(s) of Applicant(s)

Q. Certification and Signature(s) of Applicant(s) Application is not complete without all required signatures. Signature: Owner/Lessee 1, Date, Printed Name 1 and Position.

The Registrar may also revoke any registration obtained by false statements or misrepresentations.

Common mistake: Application(s) must be signed. Incomplete or illegible applications will be returned to the registrant without processing.

A second owner, a registrant only and a licensed dealer

There is a second owner

Owner 2 Information: E11. 2nd Owner's Name (Last, First, Middle), E12. Date of Birth (MM/DD/YYYY), E13. License#/ ID#/ SSN, E14. Residential Address, E16. Mailing Address, E18. Email, and E17. Exp. Date of License/ ID/ Lawful Presence.

You are a Registrant only with the carrier's USDOT

USDOT Authorization Document - If you are a Registrant only, the USDOT is not your own, and you have been granted authorization by the carrier to use their USDOT Number, you must provide one of the following.

Employment Lease Agreement or Notarized Letter on company letterhead.

Numbers J1 or J2 are completed by a licensed dealer

Numbers J1 or J2 must be completed by a licensed dealer.

Common questions about IRP Supplement Application

Is there a penalty?

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).

Where to get help with IRP Supplement Application

Registry of Motor Vehicles, IRP Section, PO Box 55889, Boston, MA 02205-5889, PHONE: 857-368-8120.

Sources

[1] IRP Supplement Application (IRP103_1123), Massachusetts Registry of Motor Vehicles (the Official source link on this page).

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