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Fillable Printable Irp Credential Replacement Application

Fillable Printable Irp Credential Replacement Application

Irp Credential Replacement Application

Irp Credential Replacement Application

For validation only
Fees
Prorate identification replacement
Validation tab ............... $ 2.00 set
Cab card ................... $ 2.00 each
WA apportioned plate replacement
Power unit .................. $12.00 (Cab cards and decals included)
For permanent plates for trailing units contact a licensing agent.
X
For office use only
Date mailed Apportioned plates
Cab cards Validation tabs By
IRP Credential Replacement Application
Use this form to apply for replacement International Registration Plan (IRP)
tabs, cab cards, and license plates. When completed, send this form and your
total fees payable to the Department of Licensing, and any attachments to:
Prorate and Fuel Tax, Department of Licensing, PO Box 3777,
Seattle, WA 98124-3777.
If you have questions, call us at (360) 664-1858 or fax to (360) 570-7829.
IRP/Prorate account number Fleet number Supplement number Registration year IFTA account number
Name of firm or person
Email address (Area code) Telephone number (Area code) Fax number
Mailing address
City State ZIP code
Owner's
equipment
number
Vehicle identification number
(VIN)
Year Make Vehicle type
Current
plate
number
Office use
only
New plate
number
WA
apportioned
plate
Validation
tab
Cab card Total
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
Check appropriate boxes: name change (attach new registrations for all vehicles) lost/stolen
destroyed/mutilated correction of information contained (specify)
I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.
Contact person name and title
Date and place Signature
PR-450-106 (R/8/16)WA
Click here to START or CLEAR, then hit the TAB button
When you have completed this form, please print it out and sign here.
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