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Get TN International Registration Plan 2014-2024

STATE OF TENNESSEE INTERNATIONAL REGISTRATION PLAN SCHEDULE C APPLICATION FOR REPLACEMENT OF CREDENTIALS SUPPLEMENT NUMBER C A Name of Registrant License Yr. G. Declaration Under penalty of perjury the undersigned declares that the information on this application is true and correct. By Date OFFICE USE ONLY DATE Title VERIFIED KEYED AUDITED CREDENTIALS RELEASED RV-F1309601 Rev. 6-14 INSTRUCTIONS ON REVERSE SIDE INITIALS Schedule C Application Instructions Complete Items A B and C. By Date OFFICE USE ONLY DATE Title VERIFIED KEYED AUDITED CREDENTIALS RELEASED RV-F1309601 Rev. 6-14 INSTRUCTIONS ON REVERSE SIDE INITIALS Schedule C Application Instructions Complete Items A B and C. A street address or road location must be provided in order for license plates to be mailed. The name telephone and fax number of the person who is responsible for completion of this application must be provided. Item D - Temporary Permit Requested Place in the appropriate box. Item E - All columns must be completed. Column 1 - Assigned owner equipment number 1-999999999 Column 2 - Complete vehicle identification number Column 3 - Year of vehicle Column 4 - Make of Vehicle Example Dodge Dodg Ford Ford Freightliner FRHT Column 5 - Type TT Truck Tractor TK Single Truck TR Tractor BS Bus Column 6 - License Plate Number - The license plate number for the vehicle with lost credentials Column 7 - Decal Number - The decal number for the vehicle with lost credentials Item F - Replacement Credentials Requests - Place and X in the appropriate box. IRP Account Doing Business As Name Page of Person to Contact Regarding Application Business Street Address Fleet City County State Telephone No* Fax No* D Zip Code Temporary Permit Requested Please check one B Yes No Mailing Address E* F* OEN V. I. N* YEAR MAKE VEHICLE TYPE LICENSE PLATE NUMBER DECAL NUMBER REPLACEMENT CREDENTIAL REQUESTS REPLACEMENT CAB CARD 2. 00 REPLACEMENT PLATE 12. 75 The original cab card must accompany a lost license plate transaction* If the cab card cannot be returned complete the affidavit for lost cab card Item H on the reverse side. G* Declaration Under penalty of perjury the undersigned declares that the information on this application is true and correct. A street address or road location must be provided in order for license plates to be mailed* The name telephone and fax number of the person who is responsible for completion of this application must be provided* Item D - Temporary Permit Requested Place in the appropriate box. Item E - All columns must be completed* Column 1 - Assigned owner equipment number 1-999999999 Column 2 - Complete vehicle identification number Column 3 - Year of vehicle Column 4 - Make of Vehicle Example Dodge Dodg Ford Ford Freightliner FRHT Column 5 - Type TT Truck Tractor TK Single Truck TR Tractor BS Bus Column 6 - License Plate Number - The license plate number for the vehicle with lost credentials Column 7 - Decal Number - The decal number for the vehicle with lost credentials Item F - Replacement Credentials Requests - Place and X in the appropriate box. .

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