Tc 95 303C Form PDF Details

Delving into the realm of vehicle regulation and fleet management within Kentucky, the TC 95-303C form emerges as a crucial document for those navigating the specifics of apportioned registration under the International Registration Plan (IRP). This supplemental application schedule C, updated regularly by the Kentucky Transportation Cabinet's Department of Vehicle Regulation, serves a vital role in ensuring that commercial vehicles are correctly registered across state lines, facilitating smoother operations for businesses involved in interstate commerce. The comprehensive form meticulously collects information ranging from the legal name of the applicant and detailed vehicle data to declarations about the vehicle's operating status, including whether it has previously been registered in another IRP jurisdiction or if it is subject to special operational circumstances, such as having Colorado Intrastate Authority for less than 10,000 miles. Moreover, it lays the groundwork for accountability and compliance with both the IRP and Federal Motor Carrier Safety Regulations, demanding a declaration signed under the penalties of perjury to maintain integrity within the motor carrier community. Filing this form correctly is not just about fulfilling a regulatory requirement; it represents a commitment to safety, legal compliance, and the efficient movement of goods across state and international borders, underscoring the interconnected nature of modern commerce.

QuestionAnswer
Form NameTc 95 303C Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesky irp apportioned registration application, tc 95 623, kentucky form irp, ky apportioned plates

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KENTUCKY TRANSPORTATION CABINET

TC 95303C

Department of Vehicle Regulation

Rev. 09/2021

DIVISION OF MOTOR CARRIERS

Page 1 of 2

KENTUCKY IRP APPORTIONED REGISTRATION SUPPLEMENTAL APPLICATION

SCHEDULE C

IRP Account #:

 

Registrant/Leased to MCRS

NOTE: Motor carrier is responsible for safety information.

SECTION 1: APPLICANT INFORMATION

LEGAL NAME OF APPLICANT

APPLICANT USDOT OR KYTC #

APPLICANT FEIN

 

 

 

 

DBA NAME (IF DIFFERENT FROM ABOVE)

 

 

 

 

 

 

 

PRIMARY CONTACT NAME

PRIMARY CONTACT EMAIL

PRIMARY CONTACT PHONE #

 

 

 

 

PHYSICAL ADDRESS (NO P.O. BOXES)

CITY

STATE

ZIP

 

 

 

 

MAILING ADDRESS

CITY

STATE

ZIP

 

 

 

 

SECTION 2: LESSEE/REGISTRANT INFORMATION

LESSEE/REGISTRANT NAME

MCRS COMPANY NAME

MCRS USDOT #

MCRS FEIN

 

 

 

 

PRIMARY CONTACT NAME

CONTACT EMAIL

CONTACT PHONE #

 

 

 

 

PHYSICAL ADDRESS (NO P.O. BOXES)

CITY

STATE

ZIP

 

 

 

 

MAILING ADDRESS

CITY

STATE

ZIP

 

 

 

 

SECTION 3: APPLICANT OPERATING INFORMATION

OPERATION TYPE:

Private

Exempt commodities

For hire MC #

 

 

 

 

 

Have any listed vehicles been registered in another IRP jurisdiction?

Yes

No If yes, which jurisdiction?

 

Do you have Colorado Intrastate Authority less than 10,000 miles?

Yes

No

Section 4: DECLARATION & SIGNATURE

Under penalties of perjury, I certify that the information given is, to the best of my knowledge, true and accurate. I further certify that I am familiar with the International Registration Plan (IRP) and Federal Motor Carrier Safety Regulations and that failure to comply with these provisions shall be grounds for denial of registration or revocation of any license and/or authority in Kentucky or all member jurisdictions.

Signature:Title:Date:

Mail application to: Division of Motor CarriersIRP Section, PO Box 2323, Frankfort KY 406022323

For overnight delivery, send application to: Division of Motor CarriersIRP Section, 200 Mero Street, Frankfort KY 40622 For questions, call (502) 5641257, email IRP.DMC@ky.gov, or visit Drive.ky.gov.

KENTUCKY TRANSPORTATION CABINET

TC 95303C

Department of Vehicle Regulation

Rev. 09/2021

DIVISION OF MOTOR CARRIERS

Page 2 of 2

KENTUCKY IRP APPORTIONED REGISTRATION SUPPLEMENTAL APPLICATION

SCHEDULE C

SECTION 5: VEHICLE INFORMATION

INSTRUCTIONS: Use the descriptions below to complete the required information.

Registered weight – Weight on Apportion Certificate

Plate weight – Combined gross weight (truck, trailer, and load)

Vehicle type: BS – Bus

TK – Single truck

TT – Truck tractor

WR – Wrecker

Fuel type: D – Diesel

G – Gasoline

P – Propane

O – Other

 

Unit #:

Leased

Unit #:

Leased

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHCLE IDENTIFICATION # (VIN)

 

 

 

 

 

 

VEHCLE IDENTIFICATION # (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MODEL YEAR

MAKE

 

 

TYPE (TK, TT, BS, WR)

MODEL YEAR

MAKE

 

 

TYPE (TK, TT, BS, WR)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AXLES/SEATS

TRAILER AXLES

 

 

FUEL TYPE

 

 

AXLES/SEATS

TRAILER AXLES

FUEL TYPE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNLADEN WEIGHT

REGISTERED WEIGHT

PLATE

 

 

UNLADEN WEIGHT

REGISTERED WEIGHT

PLATE WEIGHT

 

 

 

 

 

 

 

 

 

 

WEIGHT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PURCHASE PRICE

FACTORY PRICE

 

 

PURCHASE DATE

 

PURCHASE PRICE

FACTORY PRICE

 

PURCHASE DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This vehicle was purchased

new

 

 

used.

 

 

This vehicle was purchased

new

 

used.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF OWNER/LESSOR/LESSEE

 

 

 

 

 

 

NAME OF OWNER/LESSOR/LESSEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TITLE #

 

 

MCRS USDOT #

 

FEIN

 

 

 

TITLE #

 

 

MCRS USDOT #

 

FEIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Does registrant travel less than 10,000 miles/year?

Y

N

Does registrant travel less than 10,000 miles/year?

Y

N

Does registrant pull trailers?

Y

N

 

 

 

Does registrant pull trailers?

Y

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unit #:

 

 

 

 

 

 

 

 

 

Leased

 

 

Unit #:

 

 

 

 

 

 

 

 

Leased

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHCLE IDENTIFICATION # (VIN)

 

 

 

 

 

 

VEHCLE IDENTIFICATION # (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MODEL YEAR

MAKE

 

 

TYPE (TK, TT, BS, WR)

MODEL YEAR

MAKE

 

 

TYPE (TK, TT, BS, WR)

 

 

 

 

 

 

 

 

 

 

 

 

AXLES/SEATS

TRAILER AXLES

 

 

FUEL TYPE

 

 

AXLES/SEATS

TRAILER AXLES

FUEL TYPE

 

 

 

 

 

 

 

 

 

 

 

 

 

UNLADEN WEIGHT

REGISTERED WEIGHT

PLATE

 

 

UNLADEN WEIGHT

REGISTERED WEIGHT

PLATE WEIGHT

 

 

 

 

 

 

 

 

 

 

WEIGHT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PURCHASE PRICE

FACTORY PRICE

 

 

PURCHASE DATE

 

PURCHASE PRICE

FACTORY PRICE

 

PURCHASE DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This vehicle was purchased

new

 

 

used.

 

 

This vehicle was purchased

new

 

used.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF OWNER/LESSOR/LESSEE

 

 

 

 

 

 

NAME OF OWNER/LESSOR/LESSEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TITLE #

 

 

MCRS USDOT #

 

FEIN

 

 

 

TITLE #

 

 

MCRS USDOT #

 

FEIN

 

 

 

 

 

 

 

 

 

 

 

 

Does registrant travel less than 10,000 miles/year?

Y

N

Does registrant travel less than 10,000 miles/year?

Y

N

Does registrant pull trailers?

Y

N

 

 

 

Does registrant pull trailers?

Y

N