Transcription of OREGON COMMERCIAL REGISTRATION APPLICATION
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OREGON COMMERCIAL REGISTRATION APPLICATION
plate NUMBER (IF ANY)VTMAKEYEARCOMPLETE VEHICLE IDENTIFICATION NUMBERFUELUNIT NUMBEROWNEDLEASEDLESSORTAX DECLARED WEIGHTS:SOLOAXLCOMB #1 AXLCOMB #2 AXLCOMB #3 AXLCOMB #4 AXLODOMETERHUBKMFEE BASISBODYREGISTRATION WEIGHTANNUAL JAN 1-DEC 311ST QTR JAN 1-MAR 312ND QTR APR 1-JUN 303RD QTR JUL 1-SEP 30 VEHICLE AMENDMENT:UNIT NUMBERWEIGHTVEHICLE TYPEOTHER:ODOTONLY USE REGISTRATION FEE4TH QTR OC 1-DEC 31 HEAVY VEHICLE USE TAX (ATTACH PROOF OF PAYMENT)DEQ (ATTACH CERTIFICATE)CREDENTIAL FEEYESNOIF NO, ENTER THE USDOT OF THE CARRIER RESPONSIBLE FOR SAFETY OF THE ABOVE NUMBERFAX NUMBER OR EMAILCCD ACCOUNT NUMBERSUBBUSINESS NAMEEFFECTIVE DATEADDRESSCITYSTATEZIP CODEPLATE MAILING ADDRESS (IF DIFFERENT FROM ABOVE)CITYSTATEZIP CODEOREGON REGISTRATION DISCONTINUED OR CANCELLEDDO NOT WRITE IN SPACE ABOVEOREG
plate, cab card, c sticker. total paid. form 735-9691 (11-20) enter the tin/ fein assigned to this usdot. plate number (if any) vt year make complete vehicle identification number fuel unit number owned. leased lessor. tax declared weights: solo axl comb #1 axl comb #2 axl comb #3 axl comb #4 axl odometer hub km. fee basis body registration ...
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