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IRP Original (Schedule A) and Supplemental (Schedule C) Application                                                                                                     TC-852 Rev. 12/08
                                                        Fleet number                                  License year
Registrant fleet account number                                                                                                                          Application effective date
UT-
Federal ID (FEIN/EIN)                                             U.S. DOT number                                                      Utah IFTA account number


                                                                  D.B.A., if any                                                       Registrant phone no. (must be a Utah number)
Name of registrant


                                                                                                 Person to contact regarding application
Registrant street address (where records are kept - must be a Utah physical address)


City                                                                                                                                                                   Contact's state
                                                       County                                    Contact's city
                                                                  State        ZIP code
                                                                     UT
                                                                                                 Contact's phone no.                             Contact's fax no.
Fleet (situs) permanent address (if different than registrant above)


                                                                  State
City                                                                           ZIP code
                                                       County                                    If previously prorated in another state provide previous state and account number
                                                                     UT                          State:                                      Account no.:
Mailing address                                                                                  Type of operation (check the ONE that applies)
                                                                                                                                                                            only if rental
                                                                                                                                                                     Rental is less than
                                                                                                          For hire                     Private
                                                                                                                                                                            45 days
City                                                              State        ZIP code
                                                                                                          Exempt                       Household goods
Registration period (check one)                                      Is this an organization                                       Do you currently have
                                                                     exempt from property tax?                                                                       Yes
                                                                                                          Yes                      Wyoming intrastate                            No
                                                                                                                     No
       MAR 31                           SEPT 30
                       JUN 30                              DEC 31                                                                  operating authority?
                                                                                                                                             Weight group # Type (B-Bus P-Power T-Trailer)
Registered Weights List below only the units that will operate at the same weight in the IRP jurisdictions.
If traveling in Quebec, list the total combined axles for power units/trailers and the gross weight for buses.
                                                                          MO
AK                                                                                                                                                                          NS
                                                                                                                                                    WI
                        DE                      KS                                              NM                        SC

AL                                              KY
                        FL                                                                      NV
                                                                          MS                                              SD                                                NT
                                                                                                                                                   WV

AR                      GA                      LA                        MT                    NY                                                 WY                       PE
                                                                                                                          TN

AZ                                                                        NC
                        HI                      MA                                              OH                                                 AB
                                                                                                                          TX                                                ON

                        IA
CA                                              MD                                                                     UT
                                                                          ND                    OK                                                                          QC
                                                                                                                                                   BC

                        ID
CO                                                                        NE                    OR
                                                ME                                                                                                 MB                       SK
                                                                                                                          VA

                        IL                      MI                        NH                                                                       NB
CT                                                                                              PA                        VT                                                YT

                                                MN
                        IN                                                NJ                    RI
DC                                                                                                                        WA                       NF                       MX


Equipment Information
Action codes: A - Add vehicle R - Renew vehicle W - Weight change C - Change vehicle (may not add units on a renewal)
Fuel Key: D-Diesel G-Gasoline GH-Gasohol N-Natural P-Propane F-Flex fuel
Type key: BS-Bus C-Cement Pumper CG-Converter Gear CR-Crane DB-Double Bottoms DT-Dump Truck LG-Log Truck
           RT-Road Tractor TK-Truck (single) TL-Full-Trailer or Semi-Trailer TR - Tractor TT-Truck/Tractor W-Wellborer WK-Wrecker/Tow Truck
Action code                                                                                                     Make                Fuel
                Do not FT Equipment number Vehicle identification number                                                    Year
                                                                                                       Type                                  For Office Use Only
                renew
                                                                                                                                         1 Yr. Pro. tax _______
                                                                                                       Unladen weight Decl. comb. gross
Axles/Seats Name of titled owner/lessor
                                                                                                                                         2 Yr. Pro. tax _______
                                                                                                                       wgt
                                                                                                                                                                     HVUT verified _______
Situs of vehicle (physical location of vehicle if different than fleet)
                                                                                                                                                                     I/M # verified _________
                                                                                                                                                                     Inspec # verified _________
City                                                                                      County State ZIP code                Select plate type
                                                                                                                                  LE Skier         LE Arches         Title verified ___________
Owned/Leased Lease start date Lease end date FEIN/EIN of carrier responsible for vehicle safety US DOT number Vehicle safety changed?                                Factory price ____________
                                                                                                                       Yes      No
                                                                                                                                                                     Sales tax Y/N _______
Truck pull trailer? Less than 10K/miles Plate Title Temp. License plate number                                             Purchase price
                                                                                             Purchase date
                                                                                                                                                                     Curr. veh. value___________
                           Yes     No
                                                              Continue equipment information on next page
Registrant account number
                                                                                                                                          UT-
                                                                                                                                          Fleet number


Equipment Information - continued
Action code                                                                                                              Make                     Fuel
                                                                                                               Type                       Year
                                                       Vehicle identification number
                  Do not FT Equipment number                                                                                                                 For Office Use Only
                  renew
                                                                                                                                                         1 Yr. Pro. tax _______
                                                                                                               Unladen weight
Axles/Seats Name of titled owner/lessor                                                                                          Decl. comb. gross
                                                                                                                                                         2 Yr. Pro. tax _______
                                                                                                                                 wgt
                                                                                                                                                         HVUT verified _______
Situs of vehicle (physical location of vehicle if different than fleet
                                                                                                                                                         I/M # verified _________
City                                                                                   County State ZIP code                                             Inspec # verified _________
                                                                                                                      Select plate type
                                                                                                                         LE Skier          LE Arches     Title verified ___________
Owned/Leased Lease start date Lease end date FEIN/EIN of carrier responsible for vehicle safety US DOT number Vehicle safety changed?                    Factory price ____________
                                                                                                                       Yes      No
                                                                                                                                                         Sales tax Y/N _______
Truck pull trailer? Less than 10K/miles Plate Title Temp. License plate number                                        Purchase price
                                                                                          Purchase date
                                                                                                                                                         Curr. veh. value___________
                           Yes     No
Action code                                                                                                               Make
                                                       Vehicle identification number
                   Do not FT Equipment number                                                                  Type                               Fuel
                                                                                                                                          Year               For Office Use Only
                   renew
                                                                                                                                                         1 Yr. Pro. tax _______
Axles/Seats Name of titled owner/lessor                                                                                          Decl. comb. gross
                                                                                                               Unladen weight
                                                                                                                                                         2 Yr. Pro. tax _______
                                                                                                                                 wgt
                                                                                                                                                         HVUT verified _______
Situs of vehicle (physical location of vehicle if different than fleet
                                                                                                                                                         I/M # verified _________
                                                                                                                                                         Inspec # verified _________
City                                                                                   County State ZIP code          Select plate type
                                                                                                                          LE Skier         LE Arches     Title verified ___________
Owned/Leased Lease start date Lease end date FEIN/EIN of carrier responsible for vehicle safety US DOT number Vehicle safety changed?                    Factory price ____________
                                                                                                                       Yes      No
                                                                                                                                                         Sales tax Y/N _______
Truck pull trailer? Less than 10K/miles Plate Title Temp. License plate number                                        Purchase price
                                                                                          Purchase date
                                                                                                                                                         Curr. veh. value___________
                           Yes     No
Action code                                                                                                               Make
                                                       Vehicle identification number                           Type
                   Do not FT Equipment number                                                                                                     Fuel
                                                                                                                                          Year               For Office Use Only
                   renew
                                                                                                                                                         1 Yr. Pro. tax _______
                                                                                                               Unladen weight    Decl. comb. gross
Axles/Seats Name of titled owner/lessor
                                                                                                                                                         2 Yr. Pro. tax _______
                                                                                                                                 wgt
                                                                                                                                                         HVUT verified _______
Situs of vehicle (physical location of vehicle if different than fleet
                                                                                                                                                         I/M # verified _________
                                                                                                                                                         Inspec # verified _________
City                                                                                   County State ZIP code          Select plate type
                                                                                                                          LE Skier         LE Arches     Title verified ___________
Owned/Leased Lease start date Lease end date FEIN/EIN of carrier responsible for vehicle safety US DOT number Vehicle safety changed?                    Factory price ____________
                                                                                                                       Yes      No
                                                                                                                                                         Sales tax Y/N _______
Truck pull trailer? Less than 10K/miles Plate Title Temp. License plate number                                        Purchase price
                                                                                          Purchase date
                                                                                                                                                         Curr. veh. value___________
                           Yes     No




Deletions The original cab card and license plate must be surrendered on all deleted units within 10 business days in order to transfer fee
                            Plate
Equipment number                          Vehicle identification number                                                Plate
                                                                                              Equipment number                         Vehicle identification number


                            Plate
Equipment number                          Vehicle identification number                                                Plate
                                                                                              Equipment number                         Vehicle identification number


                            Plate
Equipment number                          Vehicle identification number                                                Plate
                                                                                              Equipment number                         Vehicle identification number


The State has in effect a requirement that registrants of Commercial Motor Vehicles (CMV) declare their knowledge of the applicable Federal and State
CMV safety laws and regulations. For more information, contact Utah Department of Transportation (UDOT) at 801-965-4000 or go to their website
at udot.utah.gov.
My signature below acknowledges that I understand and will comply with the reporting, payment, record keeping, and license display requirements as
specified in the International Registration Plan. I understand that failure to comply with the provisions shall be grounds for revocation of my registrations
in all member jurisdictions. I have reviewed and verified all information for accuracy and all corrections have been made. Under penalty of law, I certify,
under the penalties of perjury, that the information herein is true, correct, and complete.
                                                                                                                                        Date signed
Signature of person completing application
Instructions For IRP Original (Schedule A) and Supplemental (Schedule C) Application
This form is to be used to add a new account, add and or delete vehicle(s) for Utah registration, to change ownership of
vehicle(s) on an existing fleet, and for change in equivalent weights to other IRP Jurisdictions.

All vehicles are to be categorized by the combined gross weight in the same equivalent weight for all jurisdictions and
submitted on separate pages according to the different weights.

FEIN/EIN: Federal Identification Number (can not be a Social Security Number).
Name of Registrant: Full name of registrant.
Fleet/Situs: Physical address of Fleet.
Contact person and Phone number: Individual's name and telephone number that is responsible for answering any
questions regarding the application.
Registrant Fleet Account Number: Seven character account number assigned by Utah Motor Carrier Services.
Type of Operation: Check one that applies to the type of operation that you have.
Fleet: The fleet number you want the Vehicle(s) placed on.
Registration Period: Check a registration period you would like the fleet to expire in.
Weight Group number: List the weight group number for the weight group you would like the vehicles placed in.
Registered Weights: List the weights for the jurisdictions you want listed on your cab card.
Action Code: A- Add vehicle, R- Renew vehicle, W- Weight change, C-Change vehicle (owner change).
FT Equipment Number: Unit number assigned to the vehicle.
Year: The model year the vehicle was manufactured. Use a 2-digit year (example quot;06quot;).
Make: The first four characters of the vehicle manufacture (example quot;Dodgquot;).
Vehicle Identification number: Complete all the letters and numbers used to identify the vehicle (VIN).
Type: Show the type based on description of the quot;Type key.quot;
Axle/Seats: Show number of axles under each vehicle listed or show number of passengers for a Bus.
Fuel: Show type of fuel vehicle uses based on quot;Fuel Key.quot;
Unladen Weight: The actual weight of the vehicle, excluding the weight of the load.
Declared Combined Gross Weight: The declared gross vehicle weight, including the load.
Purchase Date: The date the vehicle was purchased.
Name of Titled Owner/Lessor: Who is to be listed on the title as the vehicle owner.
Fein/Ein: Enter the Federal Employer Identification number of the person(s) responsible for the safety of the vehicle.
USDOT: Enter the USDOT number for the person(s) responsible for the safety of the vehicle.
Vehicle Safety Change: Will the USDOT and EIN of the person(s) responsible for the safety of the vehicle change during
the registration period?
Less than 10K/Miles: Does the vehicle run less than 10,000 miles annually (individual vehicle miles)?
License Plate Number: Enter the Utah plate number if previously registered in Utah.

Proof of Payment of Federal Heavy Vehicle Use Tax
There is a requirement that the Internal Revenue Service (IRS) form 2290-Schedule 1, quot;Schedule of Heavy Highway
Vehiclesquot; must be submitted for all power units with a registered weight over 54,000 lbs GVW. Return the most current
stamped copy of Schedule 1 (applicable year). Copies of the form 2290 may be obtained at www.irs.gov or from a local
IRS office. The IRS has four locations in Utah for filing and obtaining these forms. Salt Lake Office, 50 S 200 E, SLC, UT
84111; Utah State Tax Commission, 210 N 1950 W, SLC UT 84134; Ogden Office, Federal Building, 25th Washington
Blvd., Ogden, UT 84401; Provo Office, 173 E 100 N, Provo UT 84606; Office hours for all locations 8:30 am - 4:30 PM.

Safety Inspection and Emission Certificate (if required)
Safety inspection certificates for vehicle with a registered weight of less than 26,000 lbs must be dated within the previous
two months. Fleets of 101 vehicles or more, the certificate for safety must be dated within the previous 11 months.
Emissions certificates must be dated within the previous 11 months. Refer to website at http://motorcarrier.utah.gov.

MCS 150
Form MCS 150 included with this renewal packet must be completed and returned with this renewal. Form MCS 150 must
be completed annually to update the U.S. DOT number census information. Please find attached additional notes for
hazardous materials carriers who are required to submit a MCS 150-B instead of the standard MCS 150.
Adding Vehicles to Existing Fleet And
            New Account or Fleet                                                                                    Change Vehicle Owner or                                    Renew Existing Fleet
                                                            Deleting Vehicle, Transfer Fees                      Currently Registered IRP Vehicle                    Have established place of business in Utah.
  FEIN/EIN is required (can not use SSN)                                                                                                                         ●
●
                                                                                                                                                                     - Established place of business means a
                                                                                                             ● Complete IRP application, TC-852.
● Have established place of business in Utah            ● Complete IRP application, TC-852
                                                                                                                                                                       physical structure owned, leased or rented by
  - Established place of business means a                                                                    ● Complete application for Utah Title, TC-656.
                                                        ● To title IRP vehicles.
                                                                                                                                                                       the fleet registrant.
    physical structure owned, leased or rented by                                                            ● Submit original title.
                                                          - Complete application for Utah title, TC-656.
                                                                                                                                                                     - Street address in Utah.
                                                                                                               - Out of state title must have VIN inspection.
    the fleet registrant.                                 - Submit original title or MSO.
                                                                                                                                                                     - Open during business hours and have one or
  - Street address in Utah.                                                                                  ● Complete TC-719 Sales tax affidavit.
                                                          - Out of state title or MSO must have VIN
                                                                                                                                                                       more persons employed on permanent basis
  - Open during business hours and have one or                                                               ● Lease agreement if vehicle not owned by
                                                            inspection.
                                                                                                                                                                       for trucking related business.
                                                                                                               registrant.
    more persons employed on a permanent basis            - Complete sales tax affidavit form TC-719 if
                                                                                                                                                                     - Operational records maintained.
    for trucking related business.                          above 26,000 lb.
  - Operational records maintained.                                                                                                                               ● Review and verify all information on preprinted
                                                        ● To register only an IRP vehicle.
                                                                                                                                                                     renewal packet that was mailed to you.
● Performance Registration Information Systems            - Complete Application for Utah Title, TC-656                      Add Jurisdiction                        - Verify FEIN, DOT #, VIN, Unit #, owner's name,
  Management.                                               marked quot;registrant onlyquot; across top.
                                                                                                             ● Complete IRP application, TC-899B original              purchase price, vehicle value and weight group
  - Must have a US DOT number associated with             - Copy of front and back of current title or
                                                                                                               mileage schedule                                        for each unit on Schedule A.
    each fleet registrant and power unit.                   current registration.
  - MCS 150 must be updated annually.                                                                                                                             ● Delete units not being renewed.
                                                          - Out of state title or registration must have VIN ● Complete IRP application, TC-852 listing
                                                                                                               weights for new jurisdiction and units.            ● Enter total fleet miles from reporting period on
● Have you registered with Dept. of Commerce?               inspection.
                                                                                                               - Submit separate application if jurisdiction have    original mileage Schedule B.
● Complete TC-69MC.                                     ● Lease agreement if vehicle not owned by
                                                                                                                 more than one weight group and list units.          - Enter a quot;Yquot; for yes or quot;Nquot; for no for each
● Complete IRP application, TC-852.                       registrant.
                                                                                                                                                                       jurisdiction apportioned or not apportioned.
● Complete IRP, TC-899B (original mileage sch.).        ● Safety inspection if vehicle is registered under
                                                                                                                                                                     - Enter quot;Aquot; actual miles or quot;Equot; estimated miles.
● To title an IRP vehicle.                                26,000 lb.
                                                                                                                                                                     - Enter detailed explanation for estimated miles.
  - Complete Application for Utah Title, TC-656.                                                                         Weight Group Change
                                                        ● Emissions for vehicles in emissions counties.
  - Submit original title or MSO.                                                                                                                                 ● Performance Registration Information Systems Mgt.
                                                          - MSO, no safety or emissions required.            ● Complete IRP application, TC-852
                                                                                                                                                                     - Must have a US DOT number associated with
  - Out of state title or MSO must have VIN             ● IRS form 2290 for vehicles registered at           ● List new weights for each jurisdiction in boxes
                                                                                                                                                                       each fleet and power unit
    inspection.                                           55,000 lbs or over.                                  and units included in that weight group.
                                                                                                                                                                     - Submit (preprinted) MCS - 150.
  - Complete sales tax affidavit Form TC-719 if         ● Deleted vehicles must surrender cab card and         - Submit separate application for each new
                                                                                                                                                                     - MCS - 150 data must be updated annually.
    above 26,000 lb.                                      plates within 10 business days to transfer fees.       weight group.
                                                                                                                                                                  ● Submit emissions for vehicles in emission counties.
● To Register Only an IRP Vehicle
  - Complete Application for Utah Title, TC-656                                                                                                                   ● Submit safety inspections for vehicles registered
                                                                      Replace Cab Card
                                                                                                                                                                     under 26,000 lbs.
    marked quot;registration onlyquot; across top.              ● Submit IRP application TC-852 with the unit
  - Copy of front and back of current title or                                                                                                                    ● Submit IRS form 2290 (HVUT) showing received
                                                          information.
                                                                                                                                                                     by IRS for vehicles registered at 55,000 lb or more.
    current registration.
  - Out of state title or registration must have VIN                                                                                                              ● Sign and date renewal paperwork and return to
                                                                                                                                                                     Motor Carrier Services.
    inspection.
                                                                                                                                                                  ● Corrections must be made prior to final
● Lease agreement if vehicle is not owned by                            Replace Plate
                                                                                                                                                                     payment.
  registrant.                                           ● Submit IRP application TC-852 with unit
                                                                                                                                                                  After submitting your payment and required
● Safety inspection required if vehicle is registered     information.
                                                                                                                                                                  documents, allow 7 to 10 business days for
  under 26,000 lb.                                      ● Check plate field.
                                                                                                                                                                  processing.
● Emissions for vehicles in emissions counties.
                                                                                                                                                                  It will not be possible to wait for renewal
  - MSO, no safety or emissions required.
                                                                                                                                                                  credentials at the counter. Documents are
● IRS form 2290 for vehicles registered at
  55,000 lbs or over.                                                                                                                                             processed in the order they are received.

           Fleet to Fleet Transfer
  Complete IRP application, TC-852 for vehicle
●
  to be added (list fleet vehicle has moved from)
● Lease agreement if leased vehicle
● Original cab card

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  • 1. Clear form IRP Original (Schedule A) and Supplemental (Schedule C) Application TC-852 Rev. 12/08 Fleet number License year Registrant fleet account number Application effective date UT- Federal ID (FEIN/EIN) U.S. DOT number Utah IFTA account number D.B.A., if any Registrant phone no. (must be a Utah number) Name of registrant Person to contact regarding application Registrant street address (where records are kept - must be a Utah physical address) City Contact's state County Contact's city State ZIP code UT Contact's phone no. Contact's fax no. Fleet (situs) permanent address (if different than registrant above) State City ZIP code County If previously prorated in another state provide previous state and account number UT State: Account no.: Mailing address Type of operation (check the ONE that applies) only if rental Rental is less than For hire Private 45 days City State ZIP code Exempt Household goods Registration period (check one) Is this an organization Do you currently have exempt from property tax? Yes Yes Wyoming intrastate No No MAR 31 SEPT 30 JUN 30 DEC 31 operating authority? Weight group # Type (B-Bus P-Power T-Trailer) Registered Weights List below only the units that will operate at the same weight in the IRP jurisdictions. If traveling in Quebec, list the total combined axles for power units/trailers and the gross weight for buses. MO AK NS WI DE KS NM SC AL KY FL NV MS SD NT WV AR GA LA MT NY WY PE TN AZ NC HI MA OH AB TX ON IA CA MD UT ND OK QC BC ID CO NE OR ME MB SK VA IL MI NH NB CT PA VT YT MN IN NJ RI DC WA NF MX Equipment Information Action codes: A - Add vehicle R - Renew vehicle W - Weight change C - Change vehicle (may not add units on a renewal) Fuel Key: D-Diesel G-Gasoline GH-Gasohol N-Natural P-Propane F-Flex fuel Type key: BS-Bus C-Cement Pumper CG-Converter Gear CR-Crane DB-Double Bottoms DT-Dump Truck LG-Log Truck RT-Road Tractor TK-Truck (single) TL-Full-Trailer or Semi-Trailer TR - Tractor TT-Truck/Tractor W-Wellborer WK-Wrecker/Tow Truck Action code Make Fuel Do not FT Equipment number Vehicle identification number Year Type For Office Use Only renew 1 Yr. Pro. tax _______ Unladen weight Decl. comb. gross Axles/Seats Name of titled owner/lessor 2 Yr. Pro. tax _______ wgt HVUT verified _______ Situs of vehicle (physical location of vehicle if different than fleet) I/M # verified _________ Inspec # verified _________ City County State ZIP code Select plate type LE Skier LE Arches Title verified ___________ Owned/Leased Lease start date Lease end date FEIN/EIN of carrier responsible for vehicle safety US DOT number Vehicle safety changed? Factory price ____________ Yes No Sales tax Y/N _______ Truck pull trailer? Less than 10K/miles Plate Title Temp. License plate number Purchase price Purchase date Curr. veh. value___________ Yes No Continue equipment information on next page
  • 2. Registrant account number UT- Fleet number Equipment Information - continued Action code Make Fuel Type Year Vehicle identification number Do not FT Equipment number For Office Use Only renew 1 Yr. Pro. tax _______ Unladen weight Axles/Seats Name of titled owner/lessor Decl. comb. gross 2 Yr. Pro. tax _______ wgt HVUT verified _______ Situs of vehicle (physical location of vehicle if different than fleet I/M # verified _________ City County State ZIP code Inspec # verified _________ Select plate type LE Skier LE Arches Title verified ___________ Owned/Leased Lease start date Lease end date FEIN/EIN of carrier responsible for vehicle safety US DOT number Vehicle safety changed? Factory price ____________ Yes No Sales tax Y/N _______ Truck pull trailer? Less than 10K/miles Plate Title Temp. License plate number Purchase price Purchase date Curr. veh. value___________ Yes No Action code Make Vehicle identification number Do not FT Equipment number Type Fuel Year For Office Use Only renew 1 Yr. Pro. tax _______ Axles/Seats Name of titled owner/lessor Decl. comb. gross Unladen weight 2 Yr. Pro. tax _______ wgt HVUT verified _______ Situs of vehicle (physical location of vehicle if different than fleet I/M # verified _________ Inspec # verified _________ City County State ZIP code Select plate type LE Skier LE Arches Title verified ___________ Owned/Leased Lease start date Lease end date FEIN/EIN of carrier responsible for vehicle safety US DOT number Vehicle safety changed? Factory price ____________ Yes No Sales tax Y/N _______ Truck pull trailer? Less than 10K/miles Plate Title Temp. License plate number Purchase price Purchase date Curr. veh. value___________ Yes No Action code Make Vehicle identification number Type Do not FT Equipment number Fuel Year For Office Use Only renew 1 Yr. Pro. tax _______ Unladen weight Decl. comb. gross Axles/Seats Name of titled owner/lessor 2 Yr. Pro. tax _______ wgt HVUT verified _______ Situs of vehicle (physical location of vehicle if different than fleet I/M # verified _________ Inspec # verified _________ City County State ZIP code Select plate type LE Skier LE Arches Title verified ___________ Owned/Leased Lease start date Lease end date FEIN/EIN of carrier responsible for vehicle safety US DOT number Vehicle safety changed? Factory price ____________ Yes No Sales tax Y/N _______ Truck pull trailer? Less than 10K/miles Plate Title Temp. License plate number Purchase price Purchase date Curr. veh. value___________ Yes No Deletions The original cab card and license plate must be surrendered on all deleted units within 10 business days in order to transfer fee Plate Equipment number Vehicle identification number Plate Equipment number Vehicle identification number Plate Equipment number Vehicle identification number Plate Equipment number Vehicle identification number Plate Equipment number Vehicle identification number Plate Equipment number Vehicle identification number The State has in effect a requirement that registrants of Commercial Motor Vehicles (CMV) declare their knowledge of the applicable Federal and State CMV safety laws and regulations. For more information, contact Utah Department of Transportation (UDOT) at 801-965-4000 or go to their website at udot.utah.gov. My signature below acknowledges that I understand and will comply with the reporting, payment, record keeping, and license display requirements as specified in the International Registration Plan. I understand that failure to comply with the provisions shall be grounds for revocation of my registrations in all member jurisdictions. I have reviewed and verified all information for accuracy and all corrections have been made. Under penalty of law, I certify, under the penalties of perjury, that the information herein is true, correct, and complete. Date signed Signature of person completing application
  • 3. Instructions For IRP Original (Schedule A) and Supplemental (Schedule C) Application This form is to be used to add a new account, add and or delete vehicle(s) for Utah registration, to change ownership of vehicle(s) on an existing fleet, and for change in equivalent weights to other IRP Jurisdictions. All vehicles are to be categorized by the combined gross weight in the same equivalent weight for all jurisdictions and submitted on separate pages according to the different weights. FEIN/EIN: Federal Identification Number (can not be a Social Security Number). Name of Registrant: Full name of registrant. Fleet/Situs: Physical address of Fleet. Contact person and Phone number: Individual's name and telephone number that is responsible for answering any questions regarding the application. Registrant Fleet Account Number: Seven character account number assigned by Utah Motor Carrier Services. Type of Operation: Check one that applies to the type of operation that you have. Fleet: The fleet number you want the Vehicle(s) placed on. Registration Period: Check a registration period you would like the fleet to expire in. Weight Group number: List the weight group number for the weight group you would like the vehicles placed in. Registered Weights: List the weights for the jurisdictions you want listed on your cab card. Action Code: A- Add vehicle, R- Renew vehicle, W- Weight change, C-Change vehicle (owner change). FT Equipment Number: Unit number assigned to the vehicle. Year: The model year the vehicle was manufactured. Use a 2-digit year (example quot;06quot;). Make: The first four characters of the vehicle manufacture (example quot;Dodgquot;). Vehicle Identification number: Complete all the letters and numbers used to identify the vehicle (VIN). Type: Show the type based on description of the quot;Type key.quot; Axle/Seats: Show number of axles under each vehicle listed or show number of passengers for a Bus. Fuel: Show type of fuel vehicle uses based on quot;Fuel Key.quot; Unladen Weight: The actual weight of the vehicle, excluding the weight of the load. Declared Combined Gross Weight: The declared gross vehicle weight, including the load. Purchase Date: The date the vehicle was purchased. Name of Titled Owner/Lessor: Who is to be listed on the title as the vehicle owner. Fein/Ein: Enter the Federal Employer Identification number of the person(s) responsible for the safety of the vehicle. USDOT: Enter the USDOT number for the person(s) responsible for the safety of the vehicle. Vehicle Safety Change: Will the USDOT and EIN of the person(s) responsible for the safety of the vehicle change during the registration period? Less than 10K/Miles: Does the vehicle run less than 10,000 miles annually (individual vehicle miles)? License Plate Number: Enter the Utah plate number if previously registered in Utah. Proof of Payment of Federal Heavy Vehicle Use Tax There is a requirement that the Internal Revenue Service (IRS) form 2290-Schedule 1, quot;Schedule of Heavy Highway Vehiclesquot; must be submitted for all power units with a registered weight over 54,000 lbs GVW. Return the most current stamped copy of Schedule 1 (applicable year). Copies of the form 2290 may be obtained at www.irs.gov or from a local IRS office. The IRS has four locations in Utah for filing and obtaining these forms. Salt Lake Office, 50 S 200 E, SLC, UT 84111; Utah State Tax Commission, 210 N 1950 W, SLC UT 84134; Ogden Office, Federal Building, 25th Washington Blvd., Ogden, UT 84401; Provo Office, 173 E 100 N, Provo UT 84606; Office hours for all locations 8:30 am - 4:30 PM. Safety Inspection and Emission Certificate (if required) Safety inspection certificates for vehicle with a registered weight of less than 26,000 lbs must be dated within the previous two months. Fleets of 101 vehicles or more, the certificate for safety must be dated within the previous 11 months. Emissions certificates must be dated within the previous 11 months. Refer to website at http://motorcarrier.utah.gov. MCS 150 Form MCS 150 included with this renewal packet must be completed and returned with this renewal. Form MCS 150 must be completed annually to update the U.S. DOT number census information. Please find attached additional notes for hazardous materials carriers who are required to submit a MCS 150-B instead of the standard MCS 150.
  • 4. Adding Vehicles to Existing Fleet And New Account or Fleet Change Vehicle Owner or Renew Existing Fleet Deleting Vehicle, Transfer Fees Currently Registered IRP Vehicle Have established place of business in Utah. FEIN/EIN is required (can not use SSN) ● ● - Established place of business means a ● Complete IRP application, TC-852. ● Have established place of business in Utah ● Complete IRP application, TC-852 physical structure owned, leased or rented by - Established place of business means a ● Complete application for Utah Title, TC-656. ● To title IRP vehicles. the fleet registrant. physical structure owned, leased or rented by ● Submit original title. - Complete application for Utah title, TC-656. - Street address in Utah. - Out of state title must have VIN inspection. the fleet registrant. - Submit original title or MSO. - Open during business hours and have one or - Street address in Utah. ● Complete TC-719 Sales tax affidavit. - Out of state title or MSO must have VIN more persons employed on permanent basis - Open during business hours and have one or ● Lease agreement if vehicle not owned by inspection. for trucking related business. registrant. more persons employed on a permanent basis - Complete sales tax affidavit form TC-719 if - Operational records maintained. for trucking related business. above 26,000 lb. - Operational records maintained. ● Review and verify all information on preprinted ● To register only an IRP vehicle. renewal packet that was mailed to you. ● Performance Registration Information Systems - Complete Application for Utah Title, TC-656 Add Jurisdiction - Verify FEIN, DOT #, VIN, Unit #, owner's name, Management. marked quot;registrant onlyquot; across top. ● Complete IRP application, TC-899B original purchase price, vehicle value and weight group - Must have a US DOT number associated with - Copy of front and back of current title or mileage schedule for each unit on Schedule A. each fleet registrant and power unit. current registration. - MCS 150 must be updated annually. ● Delete units not being renewed. - Out of state title or registration must have VIN ● Complete IRP application, TC-852 listing weights for new jurisdiction and units. ● Enter total fleet miles from reporting period on ● Have you registered with Dept. of Commerce? inspection. - Submit separate application if jurisdiction have original mileage Schedule B. ● Complete TC-69MC. ● Lease agreement if vehicle not owned by more than one weight group and list units. - Enter a quot;Yquot; for yes or quot;Nquot; for no for each ● Complete IRP application, TC-852. registrant. jurisdiction apportioned or not apportioned. ● Complete IRP, TC-899B (original mileage sch.). ● Safety inspection if vehicle is registered under - Enter quot;Aquot; actual miles or quot;Equot; estimated miles. ● To title an IRP vehicle. 26,000 lb. - Enter detailed explanation for estimated miles. - Complete Application for Utah Title, TC-656. Weight Group Change ● Emissions for vehicles in emissions counties. - Submit original title or MSO. ● Performance Registration Information Systems Mgt. - MSO, no safety or emissions required. ● Complete IRP application, TC-852 - Must have a US DOT number associated with - Out of state title or MSO must have VIN ● IRS form 2290 for vehicles registered at ● List new weights for each jurisdiction in boxes each fleet and power unit inspection. 55,000 lbs or over. and units included in that weight group. - Submit (preprinted) MCS - 150. - Complete sales tax affidavit Form TC-719 if ● Deleted vehicles must surrender cab card and - Submit separate application for each new - MCS - 150 data must be updated annually. above 26,000 lb. plates within 10 business days to transfer fees. weight group. ● Submit emissions for vehicles in emission counties. ● To Register Only an IRP Vehicle - Complete Application for Utah Title, TC-656 ● Submit safety inspections for vehicles registered Replace Cab Card under 26,000 lbs. marked quot;registration onlyquot; across top. ● Submit IRP application TC-852 with the unit - Copy of front and back of current title or ● Submit IRS form 2290 (HVUT) showing received information. by IRS for vehicles registered at 55,000 lb or more. current registration. - Out of state title or registration must have VIN ● Sign and date renewal paperwork and return to Motor Carrier Services. inspection. ● Corrections must be made prior to final ● Lease agreement if vehicle is not owned by Replace Plate payment. registrant. ● Submit IRP application TC-852 with unit After submitting your payment and required ● Safety inspection required if vehicle is registered information. documents, allow 7 to 10 business days for under 26,000 lb. ● Check plate field. processing. ● Emissions for vehicles in emissions counties. It will not be possible to wait for renewal - MSO, no safety or emissions required. credentials at the counter. Documents are ● IRS form 2290 for vehicles registered at 55,000 lbs or over. processed in the order they are received. Fleet to Fleet Transfer Complete IRP application, TC-852 for vehicle ● to be added (list fleet vehicle has moved from) ● Lease agreement if leased vehicle ● Original cab card