Fillable 19799 IRP Registration Form

Fill Online, Printable, Fillable, Blank 19799 IRP Registration Form Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

19799 IRP Registration Form

On average this form takes 59 minutes to complete

The 19799 IRP Registration Form form is 2 pages long and contains:

  • 0 signatures
  • 39 check-boxes
  • 216 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1
IRP REGISTRATION FORM
SECTION 1. GENERAL INFORMATION
EFFECTIVE DATE
FEIN/SSN
USDOT NO
TRANSACTION TYPE
ACCOUNT NO
FLEET NO
REGISTRATION YR
TYPE OF OPERATION: FOR-FOR HIRE PVT-PRIVATE FHL-FOR HIRE LEASE FHE-FOR HIRE EXEMPT FHR-FOR-HIRE RENTAL PVR-PRIVATE RENTAL
COMMODITY CLASS: A-ALL E-EXEMPT H-HOUSEHOLD GOODS L-LOGS P-PASSENGER
BUSINESS PHONE (MO#)
COUNTY
BUSINESS ADDRESS (MO location where fleet is based)
CITY
STATE
ZIP CODE
MAILING ADDRESS (For bills, cab cards, plates)
CITY
STATE
ZIP CODE
PERSON TO CONTACT
CONTACT PHONE NO.
FAX NO.
E-MAIL ADDRESS
SECTION 2. ADD EQUIPMENT
NUMBER OF VEHICLES ADDING Make a copy of this page if adding more than 3 vehicles.
EQUIPMENT UNIT NO
VEHICLE IDENTIFICATION NO
VEHICLE TYPE
MODEL YEAR
MAKE
FUEL TYPE
UNLADEN WEIGHT
WEIGHT GROUP
POWER UNIT AXLES
TRAILER UNIT AXLES
SEATS (BUSES ONLY)
DATE OF PURCHASE
PURCHASE PRICE
FACTORY PRICE
TITLE STATE
TITLE NUMBER
IS UNIT LEASED YES NO
NAME OF TITLED OWNER
MOTOR CARRIER RESPONSIBLE FOR SAFETY
IS RESPONSIBLE CARRIER EXPECTED TO CHANGE DURING THE REGISTRATION YEAR? YES NO
USDOT
TAX ID
WEIGHT
EQUIPMENT UNIT NO
VEHICLE IDENTIFICATION NO
VEHICLE TYPE
MODEL YEAR
MAKE
FUEL TYPE
UNLADEN WEIGHT
WEIGHT GROUP
POWER UNIT AXLES
TRAILER UNIT AXLES
SEATS (BUSES ONLY)
DATE OF PURCHASE
PURCHASE PRICE
FACTORY PRICE
TITLE STATE
TITLE NUMBER
IS UNIT LEASED YES NO
NAME OF TITLED OWNER
MOTOR CARRIER RESPONSIBLE FOR SAFETY
IS RESPONSIBLE CARRIER EXPECTED TO CHANGE DURING THE REGISTRATION YEAR? YES NO
USDOT
TAX ID
WEIGHT
EQUIPMENT UNIT NO
VEHICLE IDENTIFICATION NO
VEHICLE TYPE
MODEL YEAR
MAKE
FUEL TYPE
UNLADEN WEIGHT
WEIGHT GROUP
POWER UNIT AXLES
TRAILER UNIT AXLES
SEATS (BUSES ONLY)
DATE OF PURCHASE
PURCHASE PRICE
FACTORY PRICE
TITLE STATE
TITLE NUMBER
IS UNIT LEASED YES NO
NAME OF TITLED OWNER
MOTOR CARRIER RESPONSIBLE FOR SAFETY
IS RESPONSIBLE CARRIER EXPECTED TO CHANGE DURING THE REGISTRATION YEAR? YES NO
USDOT
TAX ID
WEIGHT
MISSOURI DEPARTMENT OF TRANSPORTATION
E-MAIL
contactmcs@modot.mo.gov
MOTOR CARRIER SERVICES
PHONE
1.866.831.6277
PO BOX 270, 830 MODOT DRIVE, JEFFERSON CITY, MO 65102-0270
FAX
573.751.0916
2
USDOT NO
SECTION 3. JURISDICTIONAL WEIGHTS
Do you need a weight higher or lower than the Missouri base weight in another jurisdiction? YES NO
LIST ONLY THE WEIGHTS OF THE IRP JURISDICTIONS THAT WILL BE DIFFERENT THAN THE MISSOURI BASE WEIGHT.
AL
GA
MD
NH
RI
WI
NT
AR
IA
ME
NJ
SC
WV
ON
AZ
ID
MI
NM
SD
WY
PE
CA
IL
MN
NV
TN
AB
QC
CO
IN
MS
NY
TX
BC
SK
CT
KS
MT
OH
UT
MB
YT
DC
KY
NC
OK
VA
NB
AK
DE
LA
ND
OR
VT
NL
MX
FL
MA
NE
PA
WA
NS
SECTION 4. MILEAGE REGISTRATION
DOES THIS FLEET HAVE ACTUAL REPORTABLE DISTANCE?
NO You are indicating that the registrant did not have actual distance accumulated during the distance reporting period. The base jurisdiction
mileage distance chart will apply.
YES You are indicating that the registrant did have actual distance accumulated during the distance reporting period. Actual distance miles will
be reported.
ENTER ALL MILES TRAVELED BY THIS VEHICLE AND CARRIER, BY JURISDICTION, FROM JULY 1 OF THE PREVIOUS CALENDAR YEAR TO JUNE 30 OF THE CURRENT YEAR.
JURISDICTION
ACTUAL MILES
JURISDICTION
ACTUAL MILES
JURISDICTION
ACTUAL MILES
AL - Alabama
MN - Minnesota
UT - Utah
AR - Arkansas
MO - Missouri
VA - Virginia
AZ - Arizona
MS - Mississippi
VT - Vermont
CA - California
MT - Montana
WA - Washington
CO - Colorado
NC - North Carolina
WI - Wisconsin
CT - Connecticut
ND - North Dakota
WV - West Virginia
DC - Dist of Columbia
NE - Nebraska
WY - Wyoming
DE - Delaware
NH - New Hampshire
AB - Alberta
FL - Florida
NJ - New Jersey
BC - British Columbia
GA - Georgia
NM - New Mexico
MB - Manitoba
IA - Iowa
NV - Nevada
NB - New Brunswick
ID - Idaho
NY - New York
NL - New Foundland
IL - Illinois
OH - Ohio
NS - Nova Scotia
IN - Indiana
OK - Oklahoma
NT - Northwest Terr
KS - Kansas
OR - Oregon
ON - Ontario
KY - Kentucky
PA - Pennsylvania
PE - Prince Ed Is
LA - Louisiana
RI - Rhode Island
QC - Quebec
MA - Massachusetts
SC - South Carolina
SK - Saskatchewan
MD - Maryland
SD - South Dakota
YT - Yukon Terr
ME - Maine
TN - Tennessee
AK - Alaska
MI - Michigan
TX - Texas
MX - Mexico
TOTAL ACTUAL MI
SECTION 5. SIGNATURE
DATE
3
IRP REQUIRED DOCUMENTS
The following documents must be included with the Motor Carrier Application in order to
process a new account.
INCOMPLETE OR INCORRECT APPLICATIONS WILL DELAY THE ISSUANCE OF DOCUMENTS
REQUIRED SUPPORTING DOCUMENTS
Missouri title or Validated Titling Receipt
This is obtained at a motor vehicle fee office. Submit a copy showing that the title has either been received or applied for.
Vehicles that are titled in the name of the account holder must have a Missouri title. NO SIGNED OVER TITLES OR TITLE
APPLICATIONS ARE ACCEPTED.
Federal Heavy Vehicle Use Tax (IRS Form 2290)
This is obtained from the Internal Revenue Service. Federal law requires proof of payment (or exemption) of the Federal Heavy
Vehicle Use Tax for power units registered with a gross or combined gross weight of 55,000 pounds or more, by the last day of
the month following the month of first use.
Acceptable receipts include:
A receipted IRS Form 2290/Schedule 1 returned from the IRS listing each vehicle identification number (VIN); or
IRS Form 2290/Schedule 1 listing each vehicle identification number (VIN) with a copy of the front and back of canceled
check, money order, cashier’s check or electronic confirmation if payment was made online at www.irs.gov/filing.
Missouri County Personal Property Receipt or Waiver
This receipt or waiver must be in the account holder’s name, and is obtained from a Missouri County Collectors office. Submit a
copy of the paid tax receipt or a tax waiver for all vehicles. If the receipt does not show the number of vehicles, then a copy of
an assessment list must accompany the receipt.
Lease Agreement
This is required if the vehicle/trailer is involved in a lease, and must identify the unit by year, make and vehicle identification
number (VIN), and include signatures of all applicable parties.
PROOF OF RESIDENCY Three of the following must be included to process a new IRP account.
Three of the following are required:
Missouri Driver’s License
Federal Income Tax filed from an address in Missouri
Missouri Personal/Real Estate Tax Receipt
Utility Bills
Missouri Corporation Papers
Missouri Title or Validated Titling Receipt
THE NAME ON THE ABOVE DOCUMENTS MUST MATCH THE NAME OF THE APPLICANT.
4
IRP REGISTRATION FORM INSTRUCTIONS
SECTION 1. GENERAL INFORMATION
Effective Date – This is the requested date for the account to become active. If the account should become active upon completion of processing,
leave this field blank.
FEIN/SSN – Enter the registrant/motor carrier Federal Identification Number or Social Security Number.
USDOT Number – Enter the USDOT Number of the motor carrier responsible for safety. Motor carriers can obtain a USDOT Number at
www.fmcsa.dot.gov/registration.
Transaction Type – Indicate add, transfer, deletion, etc.
Account Number – Enter the number assigned by Motor Carrier Services (if new, leave blank).
Fleet Number – Enter the number assigned by Motor Carrier Services (if new, leave blank).
Registration Year – Enter all for digits of the registration year (i.e. 2015).
Type of Operation – Check the boxes that describe the registrant’s business.
Commodity Class – Check the boxes that describe the commodities transported.
Legal Name – Enter the name in which plates are being applied for. This name must be the same as the name registered with the FMCSA and the
Missouri Secretary of State.
Doing Business As (DBA) Name – Enter the Doing Business As (DBA) or fictitious name used by the applicant, if applicable.
Business Address – Enter the Missouri address where the registrant/motor carrier has an established place of business.
Business Phone Number – Enter a contact phone number for the company. This must be a Missouri number, not a toll free number.
County – Enter the county where the business address is located.
Person to Contact – Enter the name of the person who will be the contact for the account.
Phone & Fax Numbers – Enter the business telephone and fax numbers of the contact person.
E-mail Address – Enter only one e-mail address of the contact person for account correspondence.
SECTION 2. ADD EQUIPMENT – fill out all sections
Equipment Number – Enter the equipment number or unit number assigned to each power unit or trailer.
Vehicle Identification Number – Enter the complete VIN as listed on the title or application for title.
Vehicle Type – Enter the type of vehicle. (TK-Straight Truck, ST-Semi Trailer, TR-Tractor, FT-Full Trailer, TT-Truck Tractor, BS-Bus, RT-Road Runner,
CG-Converter Gear)
Model Year – Enter all four digits of the model year.
Make – Enter the make of the power unit or trailer.
Fuel Type – Enter the type of fuel (D-Diesel, G-Gas, P-Propane, E-Electric, N-Natural Gas) being used by the power unit (if trailer, leave blank).
Unladen Weight – Enter the empty weight of the power unit or trailer.
Weight Group – (Combined Gross Weight) Select the weight classification in which the vehicle is being licensed (use the Comparable Weight Chart
for assistance).
Power Unit/Trailer Unit Axles – Enter the number of axles of the power unit or trailer (each axle in a tandem group is one axle). When prorating
with Quebec, the combination of both tractor and trailer axles will be shown on the cab card.
Seats – For buses, enter the actual seating capacity including driver.
Date of Purchase – Enter the month, day and year the power unit or trailer was purchased by the current owner.
Purchase/Factory Price – The PURCHASE PRICE is the actual purchase price of the vehicle paid by the current owner, including accessories or
modifications attached to the vehicle. The FACTORY PRICE is ninety percent (90%) of the manufacturers retail price, including accessories or
modifications attached to the vehicle, but excluding trade-in and sales tax.
Title State – Enter the state the title was issued in. This must be Missouri if the vehicle is owned by the motor carrier/registrant.
Title Number – Enter the number shown on the title. If the title has been applied for but not yet received, enter ‘Applied’.
Leased Vehicles – Check yes if the vehicle is leased and enter the name of the titled owner-operator.
Motor Carrier Responsible for Safety – Check if the responsible carrier is expected to change during the registration year, and enter the USDOT and
Tax ID of the responsible carrier.
Department of Revenue Credit – If returning a DOR plate to MCS to obtain credit of the unused portion, check the type of plate and enter the plate
number and weight limit. Apportioned plates will not be sent until MCS receives this plate.
SECTION 3. JURISDICTIONAL WEIGHTS
List only the weights for the IRP jurisdictions that are different than the Missouri combined gross weight.
SECTION 4. MILEAGE REGISTRATION
If the power unit(s) operated in any other jurisdiction with no ownership change in the last reporting period, enter actual miles into the appropriate
jurisdiction. Otherwise leave blank.
SECTION 5. SIGNATURE
The applicant or individual legally authorized to sign on behalf of the applicant must sign and date the IRP Registration Form. If a permit service
signs this section, a Power of Attorney must accompany the completed form.
5
IMPORTANT INFORAMTION & FREQUENTLY ASKED QUESTIONS
WHEN DO I NEED APPORTIONED PLATES (IRP)?
You must have apportioned plates if you operate in two or more jurisdictions and/or if your vehicle(s) meets one or more of the following
requirements:
- the power unit licensing weight is in excess of 26,000 lbs.;
- the power unit has three or more axles, regardless of licensed weight;
- the power unit is used in combination and the said combination exceeds 26,000 lbs.; or
- the power unit performs intrastate movements in a jurisdiction other than Missouri, regardless of licensed weight.
WHEN DO I NEED TO REGISTER WITH THE MISSOURI SECRETARY OF STATE?
Any person(s) wishing to form or conduct business in Missouri as a corporation (including, among others, for profit, non-profit and professional
corporations), limited liability company, limited partnership, limited liability partnership, limited liability limited partnership, or under a fictitious
name must first apply to the Office of the Missouri Secretary of State for authority to do so.
WHY DO I NEED A USDOT NUMBER AND WHEN DO I REGISTER WITH THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION?
Missouri is a member of the Performance Registration and Information Systems Management (PRISM) program that is a federal/state partnership
to improve motor carrier safety by making safe performance a requirement for obtaining and keeping commercial vehicle license plates. The
USDOT number is used to identify the motor carrier responsible for safety. Unfit carriers may be denied the ability to register their vehicles.
Under PRISM, the USDOT number of the motor carrier is responsible for the safety of every vehicle registered and must be identified during the
registration process.
For each power unit, you must report the USDOT number of the motor carrier responsible for the safe operation of the vehicle for the registration
year. The motor carrier responsible for safety is the entity that the FMCSA ultimately holds accountable for things like hours-of-service, compliance,
drug and alcohol testing and vehicle maintenance. In order to accurately identify responsibility for each vehicle, the USDOT number must be
captured at the time of registration.
If you are a registrant leased to a motor carrier, you are required to update your motor carrier responsible for safety when you lease to a new
authority. If you are renting or leasing vehicles in your fleet to an interstate motor carrier you are running under someone else's authority that will
be responsible for the safe operation of the vehicle.
Short Term Lease - the vehicle will be rented or leased for 30 days or less to an interstate motor carrier.
Long Term Lease - the vehicle will be leased for more than 30 days to an interstate motor carrier, enter the USDOT number of the motor carrier
responsible for safety of the vehicle.
The application requests the USDOT number assigned to the power unit and if the safety responsibility of the vehicle will change during the
registration year.
The FMCSA requires a biennial update of all USDOT numbers. You can verify or apply for a USDOT number at www.safer.fmcsa.dot.gov.
WHAT IS AN ACCEPTABLE PROOF OF OWNERSHIP?
We will accept a copy of the issued title or a copy of a validated titling receipt (DOR-108) showing the title has been applied for at the motor vehicle
fee office. In no case will we accept a title that has been signed over on the back. When applying for a title under a name other than your individual
name, the application for the title must match the name on file with the Missouri Secretary of State and FMCSA.
WHEN DO I NEED TO PAY HEAVY HIGHWAY VEHICLE USE TAX (IRS-FORM 2290)?
Any time you license a power unit at 55,000 lbs. or higher.
WHEN DO I NEED TO SUPPLY A COPY OF A LEASE AGREEMENT?
Any time the vehicle is involved in a lease you must submit a lease agreement that identifies the unit(s) involved by year, make and vehicle
identification number (VIN), and must include signatures of all parties.
WHAT IS CONSIDERED A "CURRENT YEAR" COUNTY PERSONAL PROPERTY TAX RECEIPT OR TAX WAIVER FOR MISSOURI?
A current year tax receipt is one year prior to the current license year (i.e. 2015 license year requires a 2014 personal property tax receipt and/or
tax waiver if application is made before January 1, 2015. After January 1, 2015 you must submit a 2014 receipt.)
WHOSE MISSOURI COUNTY PERSONAL PROPERTY TAX RECEIPT IS REQUIRED?
Generally it will be in the name of the registrant/motor carrier who is applying for the license plates. However, in some cases when the unit is
leased, and the owner is a Missouri resident, the tax receipt will be under the owner's name and a copy of the owner's Missouri county personal
property tax receipt must be submitted.
6
HOW LONG IS AN APPORTIONED PLATE GOOD?
IRP requires annual renewal. The registration expiration date is shown on the cab card. There are no grace periods. All vehicles you add to your
account will have the same expiration date. You will receive a reminder postcard approximately 3 to 4 months in advance of the expiration.
WHAT FORMS OF PAYMENT ARE ACCEPTABLE FOR AN APPORTIONED PLATE?
1. Acceptable forms of payment by mail and walk-in:
- Cash, Personal or Company Check, Cashier's Check, Money Order, and Bank-to-Bank Transfer.
2. Acceptable forms of payment online:
- American Express, Visa, MasterCard, Discover, E-Check, and Debit Card.
WHEN DO I NEED AN INTERNATIONAL FUEL TAX LICENSE AND DECAL (IFTA)?
You must have an IFTA license if you operate in two or more jurisdictions and/or if your vehicle(s) meet one or more of the following:
- the power unit has two axles and a gross vehicle weight or registered gross vehicle weight exceeding 26,000 lbs.;
- the power unit has three or more axles regardless of weight; or
- the power unit is used in combination and the said combination exceeds 26,000 lbs.
HOW LONG IS AN IFTA LICENSE AND DECALS GOOD?
Missouri's IFTA license and decals are valid for a calendar year. January 1 - December 31.
HOW MUCH DOES AN IFTA LICENSE AND DECALS COST?
Missouri does not charge for an IFTA license or decals, but the number of decals issued must reconcile with the number of trucks licensed, and are
subject to audit.
HOW DO I ORDER IFTA DECALS FOR ADDITIONAL QUALIFIED VEHICLES?
1. Complete the IFTA Decal Request section on the IRP/IFTA Registration Form when applying for apportioned plates.
2. Order online using MoDOT Carrier Express at www.modot.org/mce.
3. Call Motor Carrier Services at 1-866.831.6277 or 573.751.7100.
HOW OFTEN DO I FILE MY FUEL TAX RETURNS?
Carriers licensed under IFTA must file quarterly fuel tax returns with their base jurisdiction showing all miles traveled, all fuel consumed and all
gallons of fuel purchased tax-paid in each IFTA jurisdiction operated during the quarter.
WHAT ARE THE REPORTING PERIODS AND DUE DATES FOR FUEL TAX RETURNS?
REPORTING PERIOD
DUE DATE
January - March
April 30
April - June
July 31
July - September
October 31
October – December
January 31
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

19799 IRP Registration Form

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document