Get Irp Form T 141

Form T-141 Rev. 07-2005 Georgia Department of Revenue Motor Vehicle Division International Registration Plan IRP Name IRP Account Street Address IRP License Year City State Zip Record Evaluation Mileage Detail Source Document Your mileage schedule reflects unreasonable actual and/or estimated distance i.e. actual distances ending in zeros. Please justify estimates as to your proposed method of operation* Please note on your Schedule B the scope of operation giving us detail miles by jurisdictions and attach source document s maintained in support of miles. Please indicate your source documents by checking the appropriate boxes listed below Classification Activity Common Carrier Exempt from Hire Carrier Private Carrier Property Carrier Household Goods Carrier Rental or Leasing Company Source Document s Maintained in Support of Miles Driver Trip Reports I. V. M. R* s Driver Pay Records Driver Logs Receiving Contract Freight Bills or Manifest Other Item s Reflected in Mileage Source Document s Date of Trip Beginning Ending Dates Trip Origin Destination Routes of Travel Beginning Ending Odometer Reading Total Trip Miles Miles by Jurisdiction Vehicle Unit Number Fleet Number Carrier Name Driver Name Summaries Maintained in Support of Mileage Monthly Summaries by Vehicle Quarterly Summaries by Vehicle Annual Summaries by Vehicle. Please justify estimates as to your proposed method of operation* Please note on your Schedule B the scope of operation giving us detail miles by jurisdictions and attach source document s maintained in support of miles. Please indicate your source documents by checking the appropriate boxes listed below Classification Activity Common Carrier Exempt from Hire Carrier Private Carrier Property Carrier Household Goods Carrier Rental or Leasing Company Source Document s Maintained in Support of Miles Driver Trip Reports I. Please indicate your source documents by checking the appropriate boxes listed below Classification Activity Common Carrier Exempt from Hire Carrier Private Carrier Property Carrier Household Goods Carrier Rental or Leasing Company Source Document s Maintained in Support of Miles Driver Trip Reports I. V. M. R* s Driver Pay Records Driver Logs Receiving Contract Freight Bills or Manifest Other Item s Reflected in Mileage Source Document s Date of Trip Beginning Ending Dates Trip Origin Destination Routes of Travel Beginning Ending Odometer Reading Total Trip Miles Miles by Jurisdiction Vehicle Unit Number Fleet Number Carrier Name Driver Name Summaries Maintained in Support of Mileage Monthly Summaries by Vehicle Quarterly Summaries by Vehicle Annual Summaries by Vehicle. Please justify estimates as to your proposed method of operation* Please note on your Schedule B the scope of operation giving us detail miles by jurisdictions and attach source document s maintained in support of miles. Please indicate your source documents by checking the appropriate boxes listed below Classification Activity Common Carrier Exempt from Hire Carrier Private Carrier Property Carrier Household Goods Carrier Rental or Leasing Company Source Document s Maintained in Support of Miles Driver Trip Reports I. V. M. R* s Driver Pay Records Driver Logs Receiving Contract Freight Bills or Manifest Other Item s Reflected in Mileage Source Document s Date of Trip Beginning Ending Dates Trip Origin Destination Routes of Travel Beginning Ending Odometer Reading Total Trip Miles Miles by Jurisdiction Vehicle Unit Number Fleet Number Carrier Name Driver Name Summaries Maintained in Support of Mileage Monthly Summaries by Vehicle Quarterly Summaries by Vehicle Annual Summaries by Vehicle.