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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.

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Question	Answer
Form Name	Ma Irp Application
Form Length	5 pages
Fillable?	Yes
Fillable fields	232
Avg. time to fill out	23 min 51 sec
Other names	massachusetts irp application, international registration plan application, irp application, ma irp

12

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
School Pupil/Livery

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
	K. Sales or Use Tax Schedule	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

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

example of empty fields in international registration plan application

Provide the appropriate information in the space Account, Unit, Owner, Equipment, Number Trailer, D, Year Taxi, Passenger, Motorcycle D, Vehicle, Identification, Number, V, IN D, BodyStyle Commercial, SemiTrailer Bus, Other Livery, Camper, D, Colors Gray, Red, and Black, Purple

Finishing international registration plan application step 2

Jot down the main details in Cell, Home, Work, Phone, F, Email Owner, Information Fn, dOwners, Name, Last, First, Middle F, DateofBirth, MM, DD, YYYY Out, of, State, License Out, of, Country, License MA, License, ID, Lawful, Presence Social, Security, Number, F, License, IDS, SN F, Residential, Address Apt, and F, Mailing, Address area.

part 3 to completing international registration plan application

You'll have to identify the rights and obligations of all parties in box H, Physical, Address H, Mailing, Address Same, as, Physical, Address Apt, Apt, City, City, State, State, Zip, Code Zip, Code and IRP.

Filling out international registration plan application stage 4

Finish by checking the following sections and typing in the suitable details: Account, Unit, Owner, Equipment, Number I, Garaging, Address, I, Address Apt, City, State, Zip, Code J, Lien, holder, Information, st, Li, enCode Name, nd, Li, enCode rd, Li, enCode Name, Name, Address, and Address.

part 5 to entering details in international registration plan 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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