State Form 37028 PDF Details

Are you unsure about how to properly complete State Form 37028? Do not worry – this form is a relatively simple one that can be easily filled out with the right information. With that being said, it’s important to understand the details of what is required in order to ensure accuracy and legal compliance on your part. This blog post will provide helpful tips, best practices, and resources so that you have an easy time completingForm 37028 correctly every time. Read on for insights into all aspects of state forms!

QuestionAnswer
Form NameState Form 37028
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestemporary license plate online indiana, indiana temporary license plate, indiana 30 day temporary registration permit, indiana temporary license plate 2021

Form Preview Example

APPLICATION FOR TRANSPORT OPERATOR PLATES

State Form 37028 (R4 / 2-98)

Approved by State Board of Accounts, 1998

BUREAU OF MOTOR VEHICLES - DEALER SECTION

6400 E. 30th Street, Indianapolis, IN 46219

Date received (month, day, year) BMV number

Do not write in shaded areas - BMV Use Only

Name of business

Mailing address

 

Business telephone number

Federal I.D. number

City

State

 

ZIP code

County

 

 

 

 

 

 

If you have a rural location, please give directions to the place of business.

In what states do you intend to operate?

If an out-of-state resident, give address and

Name (if different than above) and address

 

 

 

telephone number of Indiana headquarters.

 

 

 

 

 

 

 

 

 

Telephone number (with area code)

City

State

ZIP code

County

()

Check type of business organization:

Sole Proprietorship

Partnership

Corporation

Unincorporated Association

List information for: owner (if Sole Proprietorship), all partners (if Partnership), all officers or directors (if Corporation), or all managers or chief administrative officials (if Unincorporated Association).

NAME

TITLE

HOME ADDRESS

HOME PHONE NO.

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List any previous Transport Operator Plates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If a Regulated Carrier, please indicate your Public Service Commission Indiana Operation Authority number(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of business principally engaged in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of insurance carrier

 

 

 

 

Insurance policy number

 

Date of expiration (month, day, year)

 

 

 

 

 

 

 

 

 

 

 

 

 

INVOICE - Add fee and mailing charges (if applicable) for total fee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEE

 

 

 

 

TOTAL

 

 

 

 

 

 

 

 

 

 

 

Two sets of (2) Transport Operator Plates @ $130.25

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Will Pick Up

Please Mail

 

Mailing Charge @ $1.50 per set ($3.00 total)

$

 

 

 

 

 

 

 

 

 

 

 

 

Application must be accompanied by check or money order.

 

 

TOTAL FEE

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby certify, under penalty of perjury, that the answers and information contained in this application are true and correct.

Date (month, day, year)

Signature of owner, partner, or officer

Typed or printed name

Typed or printed title

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