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Get Michigan Fuel And Trip Permits

IMPORTANT Only current Michigan IFTA Licensees are eligible for this Temporary Permit Service. This permit is valid for thirty 30 days pending receipt of permanent decals. Reset Form Michigan Department of Treasury 2873 Rev. 03-11 Temporary Michigan IFTA Permit Issued under authority of Public Act 119 of 1980 as amended. INSTRUCTIONS Complete Parts 1 2 and 3. Temporary permits are vehicle specific. You must provide the vehicle identification number VIN for each vehicle for which you are requesting a decal. You must write the application confirmation number in Part 3 if filed from www. michigan.gov/ifta or attach a copy of Form 3014 Additional Decal when faxing or mailing this permit. PART 1 APPLICANT INFORMATION PART 2 VEHICLE INFORMATION Michigan IFTA Account Number Vehicle Information Number VIN Temporary Permit Number Name Mailing Address Current Year IFTA License Number City State Telephone Number Fax Number Authorized Signature ZIP Code Title Mail completed form to PART 3 ONLINE CONFIRMATION NUMBER Special Taxes Division P. Temporary permits are vehicle specific* You must provide the vehicle identification number VIN for each vehicle for which you are requesting a decal* You must write the application confirmation number in Part 3 if filed from www. michigan*gov/ifta or attach a copy of Form 3014 Additional Decal when faxing or mailing this permit. If replacing a decal Form 2824 Application for Replacement Claiming Lost Destroyed Undelivered or Stolen State of Michigan IFTA Fuel Decal s must be attached to this permit. This permit must be carried in the vehicle along with a copy of the current IFTA license. Any alterations or erasure renders this permit void* If you are requesting a permit for more than one vehicle it is your responsibility to make copies of this permit and place it in the vehicles specified below. O. Box 30474 Lansing MI 48909 Additional Decal Request Confirmation Number Forms can be faxed to 517 636-4593. If you have questions call 517 636-4580. OFFICE USE ONLY Date Issued Beginning Date Expiration Date Certification Approved by. michigan*gov/ifta or attach a copy of Form 3014 Additional Decal when faxing or mailing this permit. If replacing a decal Form 2824 Application for Replacement Claiming Lost Destroyed Undelivered or Stolen State of Michigan IFTA Fuel Decal s must be attached to this permit. O. Box 30474 Lansing MI 48909 Additional Decal Request Confirmation Number Forms can be faxed to 517 636-4593. If you have questions call 517 636-4580. OFFICE USE ONLY Date Issued Beginning Date Expiration Date Certification Approved by.

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