Preview Application Passenger Fee Receipt Card Vehicles

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KENTUCKYTRANSPORTATIONCABINET

DepartmentofVehicleRegulation

DIVISIONOFMOTORCARRIERS

TC95‐39

Rev.07/2015

Page1of2

APPLICATIONFORKENTUCKYPASSENGERFEERECEIPTCARDFORYEAR  AddOn  Renewal

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MAILTO:POBOX2007,Frankfort,KY40602‐2007 Phone:(502)564‐1257Fax:(502)564‐4138

Walk‐ins:8:00am–4:00pmEST

http://transportation.ky.gov/motor‐carriers



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

 OfficeUseOnly 

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BUSCERTIFICATE#



BUS PlateFee 39 Cert 41 $250.00



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TRANSPORTATIONNETWORKCOMPANY#



TNC PlateFee 42 Cert 43 $250.00

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DISABLEDVEHICLECERTIFICATE#



DPV PlateFee 42 Cert 43 $250.00

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

LIMOUSINECERTIFICATE#



LIMO PlateFee 42 Cert 43 $250.00





TAXICABCERTIFICATE#



TAXI PlateFee 42 Cert 43 $250.00

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

SECTION1:COMPANYINFORMATION

     

LegalName: DBAName:

Street:

City: State: Zip: 

Phone: Fax: Email:(required)

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SECTION2:VEHICLEINFORMATION

 UNIT#

VEHICLEIDENTIFICATION#

(Serial#)

MAKE YEAR PLATESTATE PLATE#

FEEPER

VEHICLE

SEATING

CAPATICY

MCPLATE/DECAL

(OfficeUseOnly)









   



  

    







   



  

    







   



  

    







   



  

    



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   



  

    



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   



  

    







   



  

    



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   



  

    



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   



  

    

10.







   



  

    



TOTALFEESSUBMITTED $

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