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H a contract) the routes of travel and the estimated number of trips are known. Name Account Number FEIN USDOT# Physical Address Street City State Zip Street City State Zip Mailing Address E-mail Address Business Phone ( ) Other Phone ( ) Prior to the issuance of your registration, the Motor Carrier Division requires the following questions to be completed in full: 1. Indicate how these vehicles were registered previously (includes those under your ownership and leased to anot.

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