Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Equipment Registration Form. This is a New Jersey form and can be use in Motor Vehicle Commission Statewide.
Loading PDF...
Tags: Equipment Registration, MCS-IRP-1, New Jersey Statewide, Motor Vehicle Commission
Motor Vehicle
Commission
TRENTON, NEW JERSEY 08666
STATE OF NEW JERSEY
IRP REGISTRATION CERTIFICATION
This form must be completed prior to IRP Registration or Renewal
1. Does the New Jersey address have a physical structure owned, leased or rented by the fleet
registrant?
YES
NO
Proof of this address must be submitted before your application will be processed.
2. Is this location open during normal business hours? (Monday - Friday 8 a.m. to 5 p.m.)
YES
NO
3. Does the location have a telephone or telephones publicly listed in the name of the fleet
registrant, supported by a New Jersey telephone company's billing records?
YES
NO
4. Is there a person or persons conducting the fleet registrant's business in the location during
normal business hours?
YES
NO
5. Are the operational records of the fleet located at this location?
YES
NO
6. If not, can the operational records be made available at the New Jersey location in the event of an
audit?
YES
NO
If no, the registrant must pay all costs of travel and per diem expenses in accordance with the IRP
Agreement, Section 1602.
I/we, the undersigned, do hereby certify, under penalty of perjury, that the statements made herein
are true and correct to the best of my/our knowledge, information and belief. I/we understand that in
the event the established place of business is proven to be outside the State of New Jersey, the
registrant will be suspended and the registration and document fees will not be refunded.
Name of Company
Print Name of Registrant
Signature of Registrant
Date
IRP Account Number
MVC Use Only
IRP-7 (12/03)
New Jersey Is An Equal Opportunity Employer
American LegalNet, Inc.
www.FormsWorkFlow.com
EQUIPMENT REGISTRATION FORM (Instructions On Back Of Form)
NEW JERSEY MOTOR VEHICLE COMMISSION
MOTOR CARRIER SERVICES - IRP SECTION
225 EAST STATE STREET, P.O. BOX 178
TRENTON, NEW JERSEY 08666-0178
(609) 633-9399 FAX: (609) 633-9394
REGISTRATION YEAR
PLEASE CHECK
ONE:
ORIGINAL
RENEWAL
SUPPLEMENT
SUPPLEMENTAL TYPE - VEHICLE:
ADDITION
TRANSFER
CHANGE WEIGHTS
DUPLICATE CAB CARDS
ADDRESS CHANGE
TYPE AND REGISTRATION CODE
DELETION*
REPLACEMENT PLATES
CORRECTION
TOW TRUCK STICKERS
NAME OF REGISTRANT
TYPE
CODE
TK – TRUCK (SINGLE)
11
TT – TRUCK TRACTOR
11
SW – SOLID WASTE VEHICLE
39
CV – CONSTRUCTOR VEHICLE
41
OF
REGISTRANT PHONE
(
)
ACCOUNT NUMBER
BUSINESS ADDRESS WHERE FLEET IS BASED (PROOF REQUIRED)
FLEET NUMBER
MAILING ADDRESS FOR BILLS, CAB CARDS, PLATES
FEDERAL TIN# OR SSN #
LIST WEIGHT WHEN ADDING STATES OR WHEN WEIGHT IS
GREATER THAN THE COMBINED GROSS WEIGHT
CITY, STATE, ZIP CODE
U.S. DOT NUMBER
JURISDICTIONAL WEIGHTS
TELEPHONE NUMBER
(
)
PERSON TO CONTACT:
CITY, STATE, ZIP CODE
FAX NUMBER
(
)
NJ
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
ID
IL
IN
IA
KS
KY
LA
ME
MD
E-MAIL ADDRESS
EQUIPMENT ADDITION SECTION
EQUIPMENT ADDITION SECTION
EQUIPMENT NUMBER:
EQUIPMENT NUMBER:
MODEL YEAR & MAKE:
MODEL YEAR & MAKE:
VIN#
VIN#
NAME OF OWNER:
NAME OF OWNER:
VEHICLE TYPE :
PAGE
TYPE
CODE
HD – HEAVY DUTY TOW TRUCK
33
LD – LIGHT DUTY TOW TRUCK
32
AG – COMMERCIAL AGGREGATE 16
BS – BUS
54
FUEL TYPE:
COMBINED GROSS WEIGHT
REGISTRATION CODE
AXLES:
VEHICLE TYPE:
BUSES ONLY
# OF SEATS
FUEL TYPE:
COMBINED GROSS WEIGHT
UNLADEN WEIGHT:
REGISTRATION CODE
LATEST PURCHASE PRICE:
UNLADEN WEIGHT:
LATEST PURCHASE PRICE:
FACTORY PRICE:
AXLES:
BUSES ONLY
# OF SEATS
FACTORY PRICE:
DATE OF PURCHASE:
DATE OF PURCHASE:
IS DESIGNATED CARRIER RESPONSIBLE FOR SAFETY EXPECTED TO
CHANGE DURING THE REGISTRATION PERIOD?
EXPIRATION
CURRENT PLATE NUMBER:
MONTH:
YES
NO
YES
NO
NAIC INSURANCE CODE NUMBER
U.S. DOT NUMBER RESPONSIBLE FOR SAFETY:
FEDERAL TIN # RESPONSIBLE FOR SAFETY:
TX
UT
VT
VA
WA
WV
WI
WY
AB
BC
MB
NB
NL
NS
NT
ON
PE
QC
SK
YT
MX
NAME OF INSURANCE COMPANY AS SHOWN ON POLICY
IS DESIGNATED CARRIER RESPONSIBLE FOR SAFETY EXPECTED TO CHANGE
DURING THE REGISTRATION PERIOD?
EXPIRATION
CURRENT PLATE NUMBER:
MONTH:
U.S. DOT NUMBER RESPONSIBLE FOR SAFETY:
MA
MI
MN
MS
MO
MT
NE
NV
NH
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
FEDERAL TIN # RESPONSIBLE FOR SAFETY:
POLICY OR BINDER NUMBER
EQUIPMENT DELETION OR TRANSFER SECTION
EQUIPMENT DELETION OR TRANSFER SECTION
EQUIPMENT NUMBER:
EQUIPMENT NUMBER:
MODEL YEAR & MAKE:
MODEL YEAR & MAKE::
VEHICLE IDENTIFICATION NUMBER:
VEHICLE IDENTIFICATION NUMBER:
PLATE NUMBER:
PLATE NUMBER:
COMBINED GROSS WEIGHT
REASON REMOVED:
BUSES ONLY
# OF SEATS
COMBINED GROSS WEIGHT
REASON REMOVED:
BUSES ONLY
# OF SEATS
Insurance: I certify under penalty of law that the vehicle(s) noted on the face
hereof is covered by at least the minimum amount of insurance required by
New Jersey insurance laws, and that this vehicle will be continuously insured
throughout its registration period. This certification may be used for
insurance verification purposes.
Certification: By signing this application I certify knowledge of the Federal
and State motor carrier safety laws and further certify this fleet is maintained
in compliance with the New Jersey Inspection / Maintenance Program.
________________________________
___________
SIGNATURE
(APPLICANT OR AUTHORIZED REPRESENTATIVE)
DATE
MCS-IRP-1 (REV 01/07/09)
American LegalNet, Inc.
www.FormsWorkFlow.com
INSTRUCTIONS FOR COMPLETING THE EQUIPMENT REGISTRATION FORM
REGISTRANT/FLEET INFORMATION
Registration Year
Name of Registrant
Person to Contact
Account Number
-
Business Address
-
Fleet Number
US DOT #
Mailing Address
Federal TIN # or SS #
E-Mail Address
-
Provide month and year of expiration.
Name of person, firm or corporation requesting apportioned registration.
Name of person to be contacted to resolve problems with application. Include phone number.
Enter the IRP account number assigned by the New Jersey Motor Vehicle Commission. If this is your initial IRP application leave this block blank as this
number will be assigned when your original application is filed with MVC.
(Street, city, state and zip code) This would be where applicant has an established place of business and a telephone and will maintain and/or make records
available for audit. Proof of address is required. This address cannot be a post office box.
If more than one fleet is registered under the same company name, indicate to which fleet number (001, 002, etc.) that this application refers.
Must provide US DOT # for you or your company.
(Street, city, state and zip code) The Apportioned registration license plates and correspondence will be sent to this address.
Must provide your Tax Identification Number or your Social Security Number.
Correspondence may be forwarded to this address if applicable.
JURISDICTIONAL WEIGHT INFORMATION
List weight when adding states or when weight is greater than the combined gross weight
EQUIPMENT INFORMATION
Equipment Number
Model Year and Make
Vehicle Identification #
Name of Owner
Vehicle Type
Fuel
Axles
Combined Gross Weight
-
Buses only # of seats
Registration Code
Unladen Weight
Latest Purchase Price of Vehicle
Factory Price
Date of Purchase
Yes/No
Current Plate #
-
Expiration Month
US DOT # Responsible for Safety
Federal TIN # Responsible for Safety
Insurance Information
-
Equipment Number
Model, Year and Make
Vehicle Identification #
Plate Number
Combined Gross Weight
Buses only # of seats
Reason Removed
-
Arbitrary number assigned by applicant to each unit. Number should be unique for each vehicle.
Manufacturer’s model year and make of vehicle.
Complete VIN as shown on vehicle and listed on the manufacturer’s Certificate of Origin or Title.
Name of owner for each vehicle if registrant is not the owner. Signed affidavit from owner must be on file with the Commission.
See vehicle type abbreviations on front of MCS-IRP-1 form at top right.
Diesel (D), Gasoline (G), Propane (P) or Natural Gas (N)
Enter the number of axles for each truck/tractor.
The unladen (empty) weight of a vehicle plus the weight of the load carried on that vehicle. For a tractor this would be the weight of the tractor plus that
part of the weight of a fully loaded semi-trailer resting on the tractor.
Enter the number of seats for each bus.
Vehicle registration code for commercial vehicles and busses – refer to front of MCS-IRP-1 form at top right.
Weight of the vehicle without a load (empty weight).
The actual purchase price of the vehicle (i.e. price paid for the vehicle by the current owner).
Manufacturer’s list price of the vehicle when new, including accessories and modifications.
Month, day and year of purchase.
Must answer yes or no if the Designated Carrier Responsible for Safety is expected to change during the registration period.
If vehicle currently registered in New Jersey, list license plate number. NOTE: If vehicle is not new and has never been titled in New Jersey, you
must title the vehicle prior to registration.
Provide current registration expiration date for each vehicle.
Party responsible for the safety of each vehicle listed.
Party responsible for the safety of each vehicle listed.
Provide the insurance company name, policy or binder number and NAIC insurance code from your insurance card. If your number is not listed on your
I.D. card, contact your insurance agent.
EQUIPMENT DELETION AND TRANSFER SECTION
Arbitrary number assigned by applicant to each unit. Number should be unique for each vehicle.
Manufacturer’s model year and make.
Complete VIN as shown on vehicle and listed on the manufacturer’s Certificate of Origin or Title.
Provide the license plate number of the vehicle you are deleting or transferring.
The unladen (empty) weight of the vehicle plus the weight of the load carried on that vehicle.
Enter the number of seats for each bus.
Enter the reason the vehicle is being deleted (ex. sold, wrecked, junked, fleet transfer, etc.).
PLEASE SIGN THE APPLICATION AFTER COMPLETION
American LegalNet, Inc.
www.FormsWorkFlow.com
MILEAGE SCHEDULE (Instructions On Back Of Form)
NEW JERSEY MOTOR VEHICLE COMMISSION
MOTOR CARRIER SERVICES - IRP SECTION
225 EAST STATE STREET, P.O. BOX 178
TRENTON, NEW JERSEY 08666-0178
(609) 633-9399 FAX: (609) 633-9394
REGISTRATION YEAR
TYPE OF OPERATION:
TYPE OF COMMODITY:
PRIVATE CARRIER
RENTAL
HAUL FOR HIRE
BUS
HOUSEHOLD GOODS MOVER
NAME OF REGISTRANT
ALL
BUSINESS ADDRESS WHERE FLEET IS BASED (PROOF REQUIRED)
FLEET NUMBER
CITY, STATE, ZIP CODE
U.S. DOT NUMBER
MAILING ADDRESS FOR BILLS, CAB CARDS, PLATES
FEDERAL TIN # OR SSN #
SUPPLEMENTAL TYPE
ORIGINAL
RENEWAL
ADD JURISDICTION
Insurance: I certify under penalty of law that the vehicle(s)
noted on the face hereof is covered by at least the minimum
amount of insurance required by New Jersey insurance laws,
and that this vehicle will be continuously insured throughout its
registration period.
This certification may be used for
insurance verification purposes.
TELEPHONE NUMBER
(
)
ACCOUNT NUMBER
GRAVEL
OTHER ________________________
REGISTRANT PHONE
(
)
PERSON TO CONTACT:
LOGS
FAX NUMBER
(
)
CITY, STATE, ZIP CODE
NAME OF INSURANCE COMPANY AS SHOWN ON POLICY
NAIC INSURANCE CODE NUMBER
POLICY OR BINDER NUMBER
E-MAIL ADDRESS
DO NOT SHOW ACTUAL AND ESTIMATED MILES FOR THE SAME STATE (SEE INSTRUCTIONS FOR REPORTING MILEAGE). LIST MILEAGE IN EACH STATE
WHERE THIS FLEET TRAVELED FOR THE PERIOD OF JULY 1 THROUGH JUNE 30 OF THE YEAR PRECEDING THE LICENSE YEAR FOR WHICH
YOU ARE APPLYING. MARK "X" IN SPACE FOR EACH IRP JURISDICTION WHERE YOU ARE FILING FOR PROPORTIONAL REGISTRATION.
(X)
ST
STATE
ESTIMATED
MILEAGE
ACTUAL
MILEAGE
(X)
ST
STATE
ESTIMATED
MILEAGE
ACTUAL
MILEAGE
(X)
ST
STATE
NJ NEW JERSEY
MA MASSACHUSETTS
TX TEXAS
AL ALABAMA
MI MICHIGAN
UT UTAH
AK ALASKA
MN MINNESOTA
VT VERMONT
AZ ARIZONA
MS MISSISSIPPI
VA VIRGINIA
AR ARKANSAS
MO MISSOURI
WA WASHINGTON
CA CALIFORNIA
MT MONTANA
WV WEST VIRGIINIA
CO COLORADO
NE NEBRASKA
WI WISCONSIN
CT CONNECTICUT
NV NEVADA
WY WYOMING
DE DELAWARE
NH NEW HAMPSHIRE
AB ALBERTA
DC DISTRICT OF COLUMBIA
NM NEW MEXICO
BC BRISTISH COLUMBIA
FL FLORIDA
NY NEW YORK
MB MANITOBA
GA GEORGIA
NC NORTH CAROLINA
NB NEW BRUNSWICK
ID
IDAHO
ND NORTH DAKOTA
NL NEWFOUNDLAND / LABRADOR
IL
ILLINOIS
OH OHIO
NS NOVA SCOTIA
IN
INDIANA
OK OKLAHOMA
NT NORTHWEST TERRITORY
IA
IOWA
OR OREGON
ON ONTARIO
KS KANSAS
PA PENNSYLVANIA
PE PRINCE EDWARD ISLAND
KY KENTUCKY
RI
RHODE ISLAND
QC QUEBEC
LA LOUISIANA
SC SOUTH CAROLINA
SK SASKATCHEWAN
ME MAINE
SD SOUTH DAKOTA
YT YUKON
MD MARYLAND
TN TENNESSEE
MX MEXICO
NOTE: Explain the scope of your operation for any Estimated Mileage shown above. You must use the maximum amount listed on the estimated mileage chart for each
state for which you estimate mileage. If you choose to provide your own estimated mileage lower than the chart you must give a detailed explanation of specific location,
GRAND TOTAL
routes of travel, and number of trips anticipated in each jurisdiction for one year.
MILEAGE
TOTAL VEHICLES
REPRESENTED BY
ABOVE FLEET
IMPORTANT: Have you previously been registered in IRP?
YES
NO
Certification: By signing this application I certify knowledge of the Federal and State motor carrier safety laws and
further certify this fleet is maintained in compliance with the New Jersey Inspection / Maintenance Program.
MUST BE SIGNED Ź
ESTIMATED
MILEAGE
ESTIMATED
_______________________________________________________
SIGNATURE (APPLICANT OR AUTHORIZED REPRESENTATIVE)
ACTUAL
MILEAGE
ACTUAL
_________________
DATE
MCS-IRP-2 (REV 01/07/09)
American LegalNet, Inc.
www.FormsWorkFlow.com
INSTRUCTIONS FOR COMPLETING MILEAGE FORM
Type of Operation
- This portion of the form must be completed. Enter all applicable data.
Type of Commodity
- Provide type of commodity.
Supplement Type
- Place an “X” to indicate the type of supplemental application you are submitting.
Registration Year
- Provide month and year of expiration.
Name of Registrant
- Name of the person, firm or corporation requesting apportioned registration.
Person to Contact
- Name of person to be contacted to resolve problems with application. Include phone number.
Account Number
Business Address
- Enter the IRP account number assigned by the New Jersey Motor Vehicle Commission. If this is your initial IRP application, leave this block
blank as this number will be assigned when your original application MCS-IRP-1 is filed with MVC.
- (Street, city, state and zip code) This would be where applicant has an established place of business and a telephone and will maintain and/or
make records available for audit. Proof of address is required. This address cannot be a post office box.
Fleet Number
- If more than one fleet is registered under the same company name, indicate which fleet number (001, 002, etc) that this application refers to.
US DOT #
- Must provide US DOT # for you or your company.
Mailing Address
- (Street, city, state and zip code) The Apportioned registration license plates and correspondence will be sent to this address.
Federal TIN # or SS #
- Must provide your Tax Identification Number or your Social Security Number.
E-Mail Address
- Correspondence may be forwarded to this address if applicable.
Insurance Information
- Provide the insurance company name, policy or binder number and NAIC insurance code from your insurance card. If your number is not
listed on your I.D card, contact your insurance agent.
IRP Jurisdiction
- Place an “X” beside each IRP jurisdiction in which you wish to travel.
Reporting Mileage
- Actual or estimated mileage in every jurisdiction you will be traveling through. (Refer to Carrier Guide or Mileage Chart).
Important
- Important: Have you previously been registered in IRP? (Check box for yes or no)
Signature
- Signature of person authorized to apply for registration
FEDERAL HEAVY VEHICLE USE TAX: - If you are required by Section 4481 of the Internal Revenue Code to pay a Heavy Vehicle Use Tax, (Vehicles registered at 55,000
lbs. and greater) registration must be accompanied by proof of payment as prescribed by the Secretary of the Treasury. Acceptable proofs of payment are:
a. Receipted IRS Form 2290, Schedule 1 (Stamped PAID or RECEIVED by the IRS)
b. Photocopy of the receipted IRS Form 2290, Schedule 1 (Stamped PAID or RECEIVED by the IRS)
c. Photocopy of non-receipted IRS From 2290 with Schedule 1 attached along with a copy of both sides of the cancelled check showing payment of the tax.
d. Photocopy of non-receipted IRS Form 2290 with the Schedule 1 attached along with a copy of original of the IRS Statement Form 4428 or 8488 that shows an installment
has been made.
American LegalNet, Inc.
www.FormsWorkFlow.com
SCOPE OF OPERATION (In Detail)
NEW JERSEY
MOTOR VEHICLE COMMISSION
MOTOR CARRIER SERVICES
IRP SECTION
225 East State Street, P.O. Box 178
Trenton, New Jersey 08666-0178
Phone: (609) 633-9399
Fax: (609) 633-9394
NAME OF REGISTRANT
ACCOUNT NUMBER
JURISDICTION
(NJ) NEW JERSEY
(AL) ALABAMA
(AZ) ARIZONA
(AR) ARKANSAS
(CA) CALIFORNIA
(CO) COLORADO
(CT) CONNECTICUT
(DE) DELAWARE
(DC) DISTRICT OF COLUMBIA
(FL) FLORIDA
(GA) GEORGIA
(ID) IDAHO
(IL) ILLINOIS
(IN) INDIANA
(IA) IOWA
(KS) KANSAS
(KY) KENTUCKY
(LA) LOUISIANA
(ME) MAINE
(MD) MARYLAND
(MA) MASSACHUSETTS
(MI) MICHIGAN
(MN) MINNESOTA
(MS) MISSISSIPPI
(MO) MISSOURI
(MT) MONTANA
(NE) NEBRASKA
(NV) NEVADA
(NH) NEW HAMPSHIRE
(NM) NEW MEXICO
(NY) NEW YORK
FLEET NUMBER
DESCRIPTION OF ROUTE
DISTANCE
# OF
VEHICLES
# OF
TRIPS
JURISDICTION
DESCRIPTION OF ROUTE
DISTANCE
# OF
VEHICLES
# OF
TRIPS
(NC) NORTH CAROLINA
(ND) NORTH DAKOTA
(OH) OHIO
(OK) OKLAHOMA
(OR) OREGON
(PA) PENNSYLVANIA
(RI) RHODE ISLANE
(SC) SOUTH CAROLINA
(SD) SOUTH DAKOTA
(TN) TENNESSEE
(TX) TEXAS
(UT) UTAH
(VT) VERMONT
(VA) VIRGINIA
(WA) WASHINGTON
(WV) WEST VIRGINIA
(WI) WISCONSIN
(WY) WYOMING
(AB) ALBERTA
(BC) BRITISH COLUMBIA
(MB) MANITOBA
(NB) NEW BRUNSWICK
(NL) NEWFOUNDLAND / LABRADOR
(NS) NOVA SCOTIA
(NT) NORTHWEST TERRITORY
(ON) ONTARIO
(PE) PRINCE EDWARD ISLAND
(QC) QUEBEC
(SK) SASKATCHEWAN
(YT) YUKON TERRITORIES
I UNDERSTAND THAT IF I CHOOSE TO PROVIDE MY OWN ESTIMATED TRIPS AND ROUTES, I AM REQUIRED TO COMPLETE THE SCOPE OF OPERATION SECTION ABOVE EXPLAINING HOW THE MILEAGE WAS
DETERMINED IN EACH JURISDICTION. I ALSO UNDERSTAND I CANNOT USE THE SAME ESTIMATED MILEAGE FIGURES FOR EACH JURISDICTION OR UNREASONABLE MILEAGE. IF I DO NOT PROVIDE REASONABLE
ESTIMATED MILEAGE, I UNDERSTAND NEW JERSEY HAS THE AUTHORITY TO CHANGE MY MILEAGE.
I CERTIFY UNDER THE PENALTY OF THE CIVIL AND CRIMINAL LAWS OF THE STATE OF NEW JERSEY THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT AND THAT I AM AUTHORIZED TO EXECUTE AND
FILE DOCUMENTS ON BEHALF OF THIS APPLICANT.
AUTHORIZED SIGNATURE:
DATE:
EXAMINED BY:
DATE:
MCS-IRP-3 (REV 08/09)
American LegalNet, Inc.
www.FormsWorkFlow.com
M ILEAGE CALCULATIONS
When a new account is established or a new jurisdiction added, and there is no history of mileage being accrued, estimated
mileage should be used. This may be done either by using the mileage chart provided below or by providing your own detailed
estimates.
When renewing, list total miles driven by all fleet vehicles during the previous reporting period for each jurisdiction.
“Reporting Period” means the period of twelve consecutive months immediately preceding the beginning of the Registration
Year for which apportioned registration is sought.
If the Registration Year begins on any date in July, August, or
September, the Reporting Period shall be the previous such twelve-month period.
Estimated mileage may be used to add or keep a jurisdiction on your cab card where no actual miles were driven during the
previous fiscal year (July 1st through June 30th). You may use the mileage from the chart below or explain your business
plan or routes of travel and provide your own detailed explanation.
C H AR T M IL ES (Should be mu ltipl ied by th e nu mber of vehi cle s in you r fleet)
These figures are based on actual miles traveled by New Jersey carriers in 2008 and are the average miles per vehicle that
actually traveled in the respective jurisdictions. The chart will change every three years.
C A RR I ER E ST I MA TE S (Should be m u ltip lied b y the numbe r of v ehic les in y o u r fl eet)
If you choose to provide your own estimates you will need to estimate the miles for one year of operation and give a
detailed explanation of how you estimated the operation on your renewal or application form. This should include business
purpose, contracts, and routes. Example: from Elizabeth, NJ to Pittsburgh, PA. NJ routes NJ27, NJ439, NJ82, NJ124, I78,
I81 = 138 miles, and PA routes: I81, US11, I76, I376 = 224 miles, for a total of 362 miles. 5 round trips at 362 miles
each totals 1810 miles.
Please note that first year estimates are calculated within 100 percent.
calculated greater than 100 percent.
Second and subsequent year estimates are
YOUR APPLICATION MAY BE DENIED IF THESES REQUIREMENTS ARE NOT FULFILLED.
JURISDICTION
NJ
AB
AL
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
IA
ID
IL
IN
KS
KY
LA
EST MILE (REV 10/29/2009)
New Jersey
Alberta
Alabama
Arkansas
Arizona
British Columbia
California
Colorado
Connecticut
Dist Of Columbia
Delaware
Florida
Georgia
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Miles
Per
Year
26,146
116
1,303
1,062
1,262
69
2,160
368
2,358
37
883
1,784
2,078
573
185
1,835
2,105
681
957
1,264
JURISDICTION
MA
MB
MD
ME
MI
MN
MO
MS
MT
NB
NC
ND
NE
NL
NH
NM
NS
NV
NY
Massachusetts
Manitoba
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
New Brunswick
North Carolina
North Dakota
Nebraska
Newfoundland /
Labrador
New Hampshire
New Mexico
Nova Scotia
Nevada
New York
Miles
Per
Year
1,872
36
2,026
1,055
885
327
981
869
255
84
2,347
124
440
52
395
1,324
28
319
4,828
JURISDICTION
OH
OK
ON
OR
PA
PE
QC
RI
SC
SD
SK
TN
TX
UT
VA
VT
WA
WI
WV
WY
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Is
Quebec
Rhode Island
South Carolina
South Dakota
Saskatchewan
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Miles
Per
Year
3,113
1,105
290
494
6,307
13
116
347
1,801
121
119
2,219
3,431
400
2,831
221
374
1,209
436
462
American LegalNet, Inc.
www.FormsWorkFlow.com