Tc 95 303C Form PDF Details

Are you in the process of making a real estate or construction transaction? If so, chances are you've come across the dreaded Tc 95 303C form. This is an incredibly important document that should be taken seriously - after all, it will dictate much about the terms and conditions of your transaction. But don't worry; this blog post can help guide you through it! Today, we'll take a closer look at what exactly the Tc 95 303C form entails and how both parties of a deal should use it to ensure they're getting everything out of their agreement. Ready? Here goes!

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