HTML Preview Application Passenger Fee Receipt Card Vehicles page number 1.


KENTUCKYTRANSPORTATIONCABINET
DepartmentofVehicleRegulation
DIVISIONOFMOTORCARRIERS
TC9539
Rev.07/2015
Page1of2
APPLICATIONFORKENTUCKYPASSENGERFEERECEIPTCARDFORYEAR  AddOn  Renewal
MAILTO:POBOX2007,Frankfort,KY406022007 Phone:(502)5641257Fax:(502)5644138
Walkins:8:00am4:00pmEST
http://transportation.ky.gov/motorcarriers


 OfficeUseOnly 
BUSCERTIFICATE#

BUS PlateFee 39 Cert 41 $250.00
TRANSPORTATIONNETWORKCOMPANY#

TNC PlateFee 42 Cert 43$250.00
DISABLEDVEHICLECERTIFICATE#

DPV PlateFee 42 Cert 43 $250.00
LIMOUSINECERTIFICATE#

LIMO PlateFee 42 Cert 43 $250.00
TAXICABCERTIFICATE#

TAXIPlateFee 42 Cert 43$250.00
SECTION1:COMPANYINFORMATION

LegalName: DBAName:
Street:
City: State: Zip:
Phone: Fax: Email:(required)
SECTION2:VEHICLEINFORMATION
UNIT#
VEHICLEIDENTIFICATION#
(Serial#)
MAKE YEAR PLATESTATE PLATE#
FEEPER
VEHICLE
SEATING
CAPATICY
MCPLATE/DECAL
(OfficeUseOnly)
1.


   
  

2.


   
  

3.


   
  

4.


   
  

5.


   
  

6.


   
  

7.


   
  

8.


   
  

9.


   
  

10.


   
  

TOTALFEESSUBMITTED $
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Leadership is the art of getting someone else to do something you want done because he wants to do it. | Dwight Eisenhower