Indiana > Statewide > Department Of Revenue > Motor Carrier
Unified Carrier Registration BAS-2 - Indiana
| Unified Carrier Registration Form. This is a Indiana form and can be used in Motor Carrier Department Of Revenue Statewide . |
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UNIFIED CARRIER REGISTRATION PROGRAM IMPORTANT NOTICE FOR ALL INTERSTATE MOTOR CARRIERS, FREIGHT FORWARDERS, BROKERS & LEASING COMPANIES If you operate a tractor, truck or bus in interstate or international commerce, the registration requirements of the Unified Carrier Registration Agreement (UCR) apply to your business. The Unified Carrier Registration (UCR) requires individuals and companies that operate commercial motor vehicles in interstate or international commerce to register their business with Indiana and pay an annual fee based on the size of their fleet. Motor private carriers of passengers only are not required to register and pay fees under the UCR. The revenues generated will be used for enforcement of motor carrier safety programs. Companies operating solely as brokers, freight forwarders or leasing companies are also required to register and pay a fee of $76. Companies providing both motor carrier services as well as broker, freight forwarder or leasing services are required to pay the fee level set at the motor carrier level. ***If the carrier only operates small vehicles (gross vehicle weight rating or gross weight rating of less than 10,000 lbs.), its fleet size for UCR purposes would be zero and they would register and pay in the lowest fee category (currently $76). You must register for calendar year by November 30, 2012 in order to be in compliance by January 1st 2013. NOTE: You must maintain a list of vehicles you have excluded for UCR. The form UCR-1 is available online at www.ucr.in.gov. THE FEE BRACKETS FOR MOTOR CARRIERS, FREIGHT FORWARDERS, BROKERS OR LEASING COMPANIES ARE AS FOLLOWS: Fleet Size Fee per Company ----------------------------------------------------------------------0-2 $ 76.00 3-5 $ 227.00 $ 452.00 6 - 20 21 - 100 $ 1,576.00 101 - 1,000 $ 7,511.00 1,001 - Over $ 73,346.00 American LegalNet, Inc. www.FormsWorkFlow.com Example: A broker also offering services as a motor carrier operating four tractors and nine straight trucks has a fleet size of thirteen commercial motor vehicles and pays $452.00. IMPORTANT NOTICE: If you operated in 2011 and/or 2012 you must pay both your 2011 and/or 2012 UCR fees. To avoid delays it is highly recommended that you register on-line at www.ucr.in.gov and follow the step by step instructions. Payments may be made on-line using MasterCard, Visa or E-Check. Please note, if you pay via credit card you will be charged an access fee based on the total bill. If you pay by E-Check you will incur a $1 fee. If you would like to mail in your application you may go to http://www.in.gov/dor/4195.htm or http://www.ucr.in.gov to print out the BAS-2 form. Make checks payable to the Indiana Department of Revenue. If you would like the form mailed to you contact the Indiana Motor Carrier Services Division at (317) 615-7350. Indiana Department of Revenue Motor Carrier Services Division Insurance and Safety Section P. O. Box 6075 Indianapolis, IN 46206-6075 American LegalNet, Inc. www.FormsWorkFlow.com Indiana Department of Revenue UNIFIED CARRIER REGISTRATION FORM -Year 2013 BAS-2 State Form 46139 (R7 / 9-12) Motor Carrier Services Division P. O. Box 6075 Indianapolis, IN 46206-6075 To register online go to: www.ucr.in.gov Telephone Number E-Mail Address SECTION 1. GENERAL INFORMATION USDOT Number Legal Name Doing Business Under The Following Name (DBA) Principal Place Of Business Street Address (See Instructions) Principal Business City Mailing Street Address Mailing City MC or MX Number FF Number Fax Number Principal Business State Zip Code Mailing State Mailing Zip Code SECTION 2. CLASSIFICATION Check All That Apply Motor Carrier Motor Private Carrier Broker Leasing Company SECTION 3. FEES DUE-BROKERS, FREIGHT FORWARDERS AND LEASING COMPANIES ONLY Freight Forwarder Note: If your company is also a motor carrier or motor private carrier, skip this section and go to section 4. Brokers, freight forwarders and leasing companies (not combined with a motor carrier entity), please submit the amount due of $76 in the form of payment acceptable by your base state and go to Section 7. SECTION 4. NO. OF MOTOR VEHICLES MOTOR CARRIER & MOTOR PRIVATE CARRIER Check only one box: Option A Option B LINE NO. 1. The number of vehicles shown below has been taken from section 26 of your last reported MCS-150 form. The number of vehicles shown below is the total number owned and operated for the 12-month period ending June 30, 2012. NUMBER OF STRAIGHT TRUCKS AND TRACTORS (COLUMN A) NUMBER OF MOTOR COACHES, SCHOOL BUSES, MINI-BUSES, VANS AND LIMOUSINES (COLUMN C) See Instructions for additional requirements if you select Option B. (COLUMN B) TOTAL (COLUMN D) 2. 3. Subtract: (A) The number of vehicles on Line 1 in Column C above that has a vehicle capacity of 10 or less passengers, including the driver. (B) (Optional)The number of vehicles on Line 1 in Column A above that are used exclusively in intrastate transportation. You are required to maintain a list of vehicles excluded under this option. See Instructions for additional requirements if you select this option. (Optional) Add a number of vehicles not shown on Line 1 above that are: (A) Commercial motor vehicles operating exclusively in intrastate commerce. (See instructions for definition of commercial motor vehicle.) (B) Used in commerce to transport passengers or property for compensation and have a GVWR or GVW of 10,000 lbs or less, or a passenger capacity of 10 or less, including the driver. ( ) 4. Total Number of Vehicles (Line 1 minus Line 2 plus Line 3) SECTION 5. FEE TABLE Number of Vehicles 0-2 3-5 Amount Due $76 $227 Number of Vehicles 6-20 21-100 Amount Due $452 $1,576 Number of Vehicles 101-1000 1001 or more Amount Due $7,511 $73,346 SECTION 6. FEES DUE MOTOR CARRIER & MOTOR PRIVATE CARRIER Using the number of vehicles in Section 4, Line 4 above, enter the Amount Due from the table above. Note: See last page of this pamphlet for the types of payment your selected base state will accept. SECTION 7. CERTIFICATION Name Of Owner Or Authorized Representative (Printed) Signature $ I, the undersigned, under penalty for false statement, certify that the above information is true and correct and that I am authorized to execute and file this document on behalf of the applicant. (Penalty provisions subject to the laws of the registration state.) Date Title American LegalNet, Inc. www.FormsWorkFlow.com Instruction Sheet for UCR Carrier Registration What is my base state for UCR? (A
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