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Full Fee ITD 3033 (Rev. 04-13) Application for Registration Idaho Transportation Department – Motor Carrier Services PO Box 34, Boise, ID 83731 Counter and Express Mail: 3311 W State St, Boise ID 83703 Carrier Information - Instructions are on Page 2 Idaho Account Number Taxpayer Identification Number USDOT Number Application Effective Date Registration Year Contact Name Phone: 208-334-8611 Fax: 208-334-2006 E-mail: cvs@itd.idaho.gov Web: trucking.idaho.gov Registrant Legal Name Doing Business As (DBA) Name Contact E-mail Physical Street Address (where trucking operation is located) City State Zip Code Contact Phone Mailing Address City State Zip Code Contact Fax Vehicle Information (Sections 11through15 are not applicable for trailers) 1 2 3 4 5 6 7 8 9 10 Action Base Juris. Unit Number Vehicle Year Vehicle Make Complete Vehicle Identification Number (VIN) Vehicle Type Titled Owner Name Idaho Title Number Idaho Plate All Power Units: 11 12 13 All Power Units 14 15 16 Operation Type Fuel Type Combined Gross Weight over 60,000 Mileage (Previous July 1 through June 30) Actual / Estimated Registration Fee pounds: 1 2 3 4 5 6 7 8 9 10 Action Base Juris. Unit Number Vehicle Year Vehicle Make Complete Vehicle Identification Number (VIN) Vehicle Type Titled Owner Name Idaho Title Number Idaho Plate All Power Units: 11 12 13 All Power Units 14 15 16 Operation Type Fuel Type Combined Gross Weight over 60,000 Mileage (Previous July 1 through June 30) Actual / Estimated Registration Fee pounds: 1 2 3 4 5 6 7 8 9 10 Action Base Juris. Unit Number Vehicle Year Vehicle Make Complete Vehicle Identification Number (VIN) Vehicle Type Titled Owner Name Idaho Title Number Idaho Plate All Power Units: 11 12 13 All Power Units 14 15 16 Operation Type Fuel Type Combined Gross Weight over 60,000 Mileage (Previous July 1 through June 30) Actual / Estimated Registration Fee pounds: 1 2 3 4 5 6 7 8 9 10 Action Base Juris. Unit Number Vehicle Year Vehicle Make Complete Vehicle Identification Number (VIN) Vehicle Type Titled Owner Name Idaho Title Number Idaho Plate All Power Units: 11 12 13 All Power Units 14 15 16 Operation Type Fuel Type Combined Gross Weight over 60,000 Mileage (Previous July 1 through June 30) Actual / Estimated Registration Fee pounds: *Column 1, Action Codes Registration Fee Total “A” - Add power unit “C” - Change vehicle information Idaho Base Plate Fees: x $3.00 each, x $6.00 each “R” - Renew a power unit “D” - Delete vehicle registration: Safety and Insurance Fees: x $3.00 each (see instructions) “P” - Add a permanent trailer Sold Wrecked Other Administration Fees: x $4.00 each unit “1YS” - Add/renew 1-year staggered trailer EMS Fees: x $1.25 (power units only) “1YA” - Add/renew 1-year annual trailer Project Choice Fees: x $3.00 (power units 60,000 or less) Applicant’s Signature Date Signed Temporary Vehicle Clearance (TVC) Fees: x $18.00 each X Other Fees (describe) Other Fees (amount) Make checks payable to State of Idaho Total Fees Due Date Processed Processed By Date Mailed Page 1 of 2
