Docstoc

Vehicle Lease Form Florida

Document Sample
Vehicle Lease Form Florida Powered By Docstoc
					PRORATE VEHICLE APPLICATION FORM 2                                                                                                                PRINT CLEARLY OR TYPE                                           EXCEL FORMS ARE AVAILABLE ELECTRONICALLY

Client's MVID                                                                  Account No. AB                         Effective Date                                          Fleet Year                  Supp. No.                           Fleet No.
Client's Name                                                                                                        Contact's Name
O/A (If applicable)                                                                                                  Contact's Phone Number                                                                Contact's Fax No.
TYPE of TRANSACTION (Tx)                                                                 VEHICLE TYPE                                                                            WEIGHT INFORMATION                                   Weight Group No.
AV - Add Vehicle                                                                         TR - Truck                                                                              Weights in Canada to be in kilograms. Weights for U.S. to be in pounds.
TR - Transfer Vehicle                                                                    TT - Truck and Trailer
CV - Change Vehicle / Plate Information                                                  TP - Triple Trailer Combo                                                               JUR                     Code      GVW         JUR                  Code   GVW
WC - Weight Change                                                                       BS - Bus
                                                                                                                                                                                  Alberta                 AB                   Maine                 ME
 Vehicles listed below must be in the same weight group as indicated at right. Use a separate form for units with a different weight group.                                       British Columbia        BC                   Michigan              MI
VEHICLE INFORMATION                                                                                                                                                               Manitoba                MB                   Minnesota             MN
Section A                                                                                                                                                                         New Brunswick           NB                   Missouri              MO
Line Type      Vehicle Identification Number                                Unit                                                     Fuel     Vehicle        Odometer             Newfoundland            NL                   Mississippi           MS
 No. of Tx         VIN (Serial) Number                                     Number           Colour     Year            Make          Type      Type          Reading              Nova Scotia             NS                   Montana               MT
  1                                                                                                                                                                               Ontario                 ON                   North Carolina        NC
  2                                                                                                                                                                               Prince Edward Isl.      PE                   North Dakota          ND
  3                                                                                                                                                                               Quebec                  QC            ax     Nebraska              NE
  4                                                                                                                                                                               Saskatchewan            SK                   New Hampshire         NH
                                                                                                                                                                                                                               New Jersey            NJ
Section B                                                     (IRP U.S. Exchange Rate)                                                                                            Alabama                 AL                   New Mexico            NM
Line                     Tare              Plate             Purchase Amount                             Date of              Commodity           Mounted              Bus        Arkansas                AR                   Nevada                NV
 No. Axles              Weight            Number           CDN $         US $                        Purchase/Lease             Code             Equipment            Seats       Arizona                 AZ                   New York              NY
  1                                                                                                                                                                               California              CA                   Ohio                  OH
  2                                                                                                                                                                               Colorado                CO                   Oklahoma              OK
  3                                                                                                                                                                               Connecticut             CT                   Oregon                OR
  4                                                                                                                                                                               District of Columbia    DC                   Pennsylvania          PA
                                                                                                                                                                                  Delaware                DE                   Rhode Island          RI
LEASING COMPANY AND/OR OWNER/OPERATOR (if other than Client)                                                   If unit is owned/leased jointly, record all names.                 Florida                 FL                   South Carolina        SC
Line                                                                                                     If owner is not a company a date of birth must be provided               Georgia                 GA                   South Dakota          SD
 No. Leasing Company Name                          MVID                                        Owner / Operator Name(s)                                       Date of Birth       Iowa                    IA                   Tennessee             TN
  1                                                                                                                                                                               Idaho                   ID                   Texas                 TX
  2                                                                                                                                                                               Illinois                IL                   Utah                  UT
  3                                                                                                                                                                               Indiana                 IN                   Virginia              VA
  4                                                                                                                                                                               Kansas                  KS                   Vermont               VT
                                                                                                                                                                                  Kentucky                KY                   Washington            WA
                                                    DELETE VEHICLE INFORMATION                                                                  Is Insurance the same             Louisiana               LA                   Wisconsin             WI
Line            Vehicle Identification Number            Vehicle            Unit                                                                    as your Form 1?               Massachusetts           MA                   West Virginia         WV
No.                  VIN (Serial Number)                  Year     Plate  Number                       For Cancels, exchanges and                  Yes          No                Maryland                MD                   Wyoming               WY
  1                                                                                                      transfers ensure "Delete
  2                                                                                                       Vehicle Information" is                                                 DECLARATION: (Explanation required if weights have a 10% difference)
  3                                                                                                             completed.
  4

Authorized Signature                                                                                            Date
Prorate Services / Revised: August 2009            Printed: 14-Nov-10                                                                                        "We are on the Web"       http:\\www.transportation.alberta.ca/
PRORATE VEHICLE APPLICATION FORM 2                                                                                                                 PRINT CLEARLY OR TYPE                                          EXCEL FORMS ARE AVAILABLE ELECTRONICALLY

Client's MVID                 101-567489                                       Account No. AB 12345                   Effective Date             April 1, 2006                Fleet Year    2006          Supp. No. 1                         Fleet No.    001
Client's Name                 Doe, John                                                                              Contact's Name Doe, Sister
O/A (If applicable)           Tinsel Town Climate                                                                    Contact's Phone Number 1-780-678-6789                                                 Contact's Fax No. 1-780-798-7989
TYPE of TRANSACTION (Tx)                                                                 VEHICLE TYPE                                                                            WEIGHT INFORMATION                                   Weight Group No.      1
AV - Add Vehicle                                                                         TR - Truck                                                                              Weights in Canada to be in kilograms. Weights for U.S. to be in pounds.
TR - Transfer Vehicle                                                                    TT - Truck and Trailer
CV - Change Vehicle / Plate Information                                                  TP - Triple Trailer Combo                                                               JUR                     Code      GVW         JUR                  Code   GVW
WC - Weight Change                                                                       BS - Bus
                                                                                                                                                                                  Alberta                 AB        63500      Maine                 ME
 Vehicles listed below must be in the same weight group as indicated at right. Use a separate form for units with a different weight group.                                       British Columbia        BC        63500      Michigan              MI
VEHICLE INFORMATION                                                                                                                                                               Manitoba                MB                   Minnesota             MN
Section A                                                                                                                                                                         New Brunswick           NB                   Missouri              MO
Line Type      Vehicle Identification Number                                Unit                                                      Fuel    Vehicle        Odometre             Newfoundland            NL                   Mississippi           MS
 No. of Tx         VIN (Serial) Number                                     Number           Colour     Year            Make           Type     Type          Reading              Nova Scotia             NS                   Montana               MT
  1      AV 2FUY3TEST49H16794                                                  3            Rust          97           Frht            D         TT          203000               Ontario                 ON                   North Carolina        NC
  2                                                                                                                                                                               Prince Edward Isl.      PE                   North Dakota          ND
  3                                         SAMPLE                                                                                                                                Quebec                  QC           ax      Nebraska              NE
  4                                         FORM 2                                                                                                                                Saskatchewan            SK        62500      New Hampshire         NH
                                                                                                                                                                                                                               New Jersey            NJ
Section B                                                     (IRP U.S. Exchange Rate)   0.632                                                                                    Alabama                 AL                   New Mexico            NM
Line                     Tare              Plate             Purchase Amount                             Date of              Commodity           Mounted              Bus        Arkansas                AR                   Nevada                NV
 No. Axles              Weight            Number           CDN $         US $                        Purchase/Lease             Code             Equipment            Seats       Arizona                 AZ                   New York              NY
  1        3            7256              New        $144,311.20           $91,161.39                 1999/06/01                  A                                               California              CA                   Ohio                  OH
  2                                                                          $0.00                                                                                                Colorado                CO                   Oklahoma              OK
  3                                                                          $0.00                                                                                                Connecticut             CT                   Oregon                OR
  4                                                                          $0.00                                                                                                District of Columbia    DC                   Pennsylvania          PA
                                                                                                                                                                                  Delaware                DE                   Rhode Island          RI
LEASING COMPANY AND/OR OWNER/OPERATOR (if other than Client)                                                   If unit is owned/leased jointly, record all names.                 Florida                 FL                   South Carolina        SC
Line                                                                                                     If owner is not a company a date of birth must be provided               Georgia                 GA                   South Dakota          SD
 No. Leasing Company Name                          MVID                                          Owner / Operator Name(s)                                     Date of Birth       Iowa                    IA                   Tennessee             TN
  1 HBC Leasing Company                        245-16879                                         Doe, John (79/10/01)            & Doe, Sister                 80/12/15           Idaho                   ID                   Texas                 TX
  2                                                                                                                                                                               Illinois                IL                   Utah                  UT
  3                                                                                                                                                                               Indiana                 IN                   Virginia              VA
  4                                                                                                                                                                               Kansas                  KS                   Vermont               VT
                                                                                                                                                                                  Kentucky                KY                   Washington            WA
                                                    DELETE VEHICLE INFORMATION                                                                   Is Insurance the same            Louisiana               LA                   Wisconsin             WI
Line            Vehicle Identification Number            Vehicle            Unit                                                                     as your Form 1?              Massachusetts           MA                   West Virginia         WV
No.                  VIN (Serial Number)                  Year     Plate  Number                       For Cancels, exchanges and                   Yes          No               Maryland                MD                   Wyoming               WY
  1                                                                                                      transfers ensure "Delete
  2                                                                                                       Vehicle Information" is                                                 DECLARATION: (Explanation required if weights have a 10% difference)
  3                                                                                                             completed.
  4

Authorized Signature                                                                                            Date
Prorate Services / Revised: August 2009            Printed: 14-Nov-10                                                                                        "We are on the Web"       http:\\www.transportation.alberta.ca
ONICALLY

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:19
posted:11/14/2010
language:English
pages:3
Description: Vehicle Lease Form Florida document sample