Free MV2438 - School Bus Charter Application - Wisconsin

SCHOOL BUS CHARTER APPLICATION
MV2438 3/2008 s.341.26(7) Wis. Stats.

Wisconsin Department of Transportation

Use this form for a school bus registered with a school bus plate, which requires a charter bus gross weight registration.
Please print or type all information. See information and fee schedule on reverse.
NOTE: Full name must be given. If more than one owner, list as the last owner, the name associated with the address given.

Owner Names Last First Middle Initial Fein - Social Security Number - Driver License #

Fein - Social Security Number - Driver License #

Fein - Social Security Number - Driver License #

Fein - Social Security Number - Driver License #

Owner Street or Rural Route

City

State

ZIP Code

Area Code - Telephone Number

Lessee Names

Last

First

Middle Initial

Fein - Social Security Number - Driver License #

Fein - Social Security Number - Driver License #

Fein - Social Security Number - Driver License #

Fein - Social Security Number - Driver License #

Lessee Street or Rural Route

City

State

ZIP Code

Area Code - Telephone Number

Registration Period Annual (Jul - Jun) Quarterly 1st (Jul - Sep) 2nd (Oct - Dec) 3rd (Jan - Mar) 4th (Apr - Jun)

Carrier Class - Check One Private (No permit fee required)

Authority Number

Present School Bus License Number

Intrastate - For Hire Only ($5.00 annual permit fee)

Fee Amount Submitted

Vehicle Identification Number (1955 or later)

Year

Make

Fleet No.

Vehicle Type

SC BS
Total Inches of Seating (Include driver seat) Adult Capacity (Lbs/Pass) Adult Wt Capacity Empty Bus Wt GROSS WEIGHT

Divided by 20 =

X 150 =

+

=

NOTE: Gross weight charter bus registration fees are required for each quarter of operation or for the balance of months in the current quarter which have not fully expired on the application date. EXAMPLE: 2nd quarter (Oct, Nov & Dec) - application date = Nov 1st - registration fees needed for 2 months of operation (Nov & Dec).

I (We) certify that the above information is true.

X X

FEE SCHEDULE


GROSS WEIGHT 8,000 10,000 12,000 16,000 20,000 26,000 32,000 38,000 44,000 50,000

ANNUAL $ 106.00 155.00 209.00 283.00 356.00 475.00 609.00 772.00 921.00 1,063.00

QUARTERLY N/A $ 38.75 52.25 70.75 89.00 118.75 152.25 193.00 230.25 265.75

The QUARTERLY FEE is one-fourth the annual fee plus $5.00 per application.

INSURANCE

Proof of insurance must be filed with the Divsion of Motor Vehicles.

GENERAL INSTRUCTIONS

Remittance:

Make money order, check or bank draft payable to: Registration Fee Trust One remittance may be used to cover total fee due. If applicant resides outside Wisconsin, personal checks must be certified. Wisconsin Department of Transportation Vehicle Registration and Titling P. O. Box 7926 Madison, WI 53707-7926

Mail to:

If you need assistance completing this form, please call 608-266-1466.