Instructions For Form Mcs-66 - Kansas Department Of Revenue printable pdf download

APPORTIONED SUPPLEMENTAL APPLICATION

INSTRUCTIONS FOR MCS-66

This form is to be used to add and/or delete vehicle(s) for Kansas registration and for change in equivalent weights in other

IRP jurisdictions. DO NOT use this form to request replacement cab card or apportioned plate, etc., on vehicles currently

registered Transfer registration is allowed when deleted vehicle is sold, cancelled or expiration of lease agreement,

repossessed, foreclosed by mechanics lien, title transferred by operation of law on or before date added vehicle in possession

of applicant. The Kansas Apportioned Registration Cab Card of vehicle to be deleted is to be returned with this completed

form.

NAME OF REGISTRANT (DBA, if any): Full name of the fleet applicant.

CONTACT PERSON & PHONE NUMBER: Individual's name and telephone number that is responsible for answering any

questions regarding the supplement.

ACCOUNT NUMBER: Account number assigned by KS Motor Carrier Services Bureau

SUPPLEMENT NUMBER: The next consecutive number of supplements that have been submitted.

WEIGHT GROUP: This registered weight is the same for each vehicle listed on this page.

FAX NUMBER & LOCATION: The fax number & location(city & state) where any material may be faxed.

FLEET NUMBER: If Registrant has more than 1 fleet registered in Kansas.

LICENSE YEAR: Current year of registration.

All vehicles are to be categorized by the combined gross weight and the same equivalent weight for all jurisdictions and

submitted on separate pages according to the different weights. A vehicle having a weight in another jurisdiction(s) not

equivalent to Kansas Combined Gross Weight, will be listed separately on the Apportioned Supplemental Application.

This will allow the weight to be changed, if desired. Requests to change the Kansas Combined Gross Weight, should be

written on your letterhead identifying the vehicle by: year, make, VIN, and listing previous weight and weight increase.

ADDITIONS

COLUMN:

LICENSE PLATE NUMBER If additional unit is replacing deleted unit (transfer)list the plate number assigned to

deleted vehicle. If no transfer, leave blank.

EQUIPMENT NUMBER Show equipment or unit number assigned to vehicle.

YEAR The model year the vehicle was manufactured. Use two characters, such as 93.

MAKE The name of the manufacturer of the vehicle. Make cannot exceed four letters.

COMPLETE VEHICLE IDENTIFICATION NUMBER All of the numbers/letters used to identify the vehicle.

TYPE Show the type of vehicle: TT: Truck Tractor; TK: Truck single; ST: Semi Trailer; or BS: Bus.

AXLES/SEATS Show number of axles under each vehicle listed or show number of passenger seats for a bus.

FUEL TYPE Show type of fuel used in a motor vehicle. D: diesel; G: gas; P: propane.

UNLADEN WEIGHT The actual weight of the vehicle, excluding the weight of any load.

10. DATE OF PURCHASE If the vehicle is owned by the applicant, show the date the vehicle was purchased by month,

day, and year, e.g. 7/31/93.

11. LATEST PRICE The actual purchase price of the vehicle paid by the current owner, excluding trade-in and sales tax,

including accessories and modifications attached to the vehicle.

12. FACTORY PRICE The manufacturer's retail price, excluding trade-in and sales tax, including accessories or

modifications attached to the vehicle.

13. NAME OF OWNER Enter the name as shown on the title. If a vehicle is subject to a lease, show the name and

address of the lessor.

14. DATE OF LEASE If a vehicle is subject to a lease of 30 days or more, show the effective date of the lease, by month,

day and year, e.g. 7/31/93.

Instructions For Form Mcs-66 - Kansas Department Of Revenue