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picture1_Lease Agreement Template 201336 | 70 0901


 175x       Filetype PDF       File size 0.06 MB       Source: apps.azdot.gov


File: Lease Agreement Template 201336 | 70 0901
mail drop 527m motor carrier services ifta lease agreement po box 2100 phoenix az 85001 2100 certificate 70 0901 r10 19 www azdot gov mvdmcs azdot gov year make vehicle ...

icon picture PDF Filetype PDF | Posted on 10 Feb 2023 | 2 years ago
Partial capture of text on file.
                                        Mail Drop 527M 
                                        Motor Carrier Services                 IFTA LEASE AGREEMENT 
                                        PO Box 2100 
                                        Phoenix AZ  85001-2100                          CERTIFICATE 
        70-0901 R10/19 www.azdot.gov    mvdmcs@azdot.gov 
         Year           Make               Vehicle Identification Number                Fuel Type      Gross Vehicle Weight 
        Lessee (IFTA Account Holder) 
        I certify that a written lease agreement exists with the registered owner (lessor) designating me as being responsible for 
        payment of all excise taxes, etc. (e.g., IFTA taxes) accrued by the vehicle for the duration of the lease agreement. 
        I further certify that I will maintain a copy of the lease agreement for a period of at least three years from termination of the 
        lease agreement and that I am responsible for all tax liability until a letter of the lease termination has been received and 
        acknowledged by the Motor Vehicle Division. 
         Lessee (IFTA Account Holder)                                                                Tax ID Number 
         Physical Address                                            City                            State  Zip 
         Owner, Partner, Officer Name (Print)                                                   Phone 
                                                                                                (         ) 
         Owner, Partner, Officer Signature                           Title                          Date 
        Lessor (Registered Owner of Vehicle) 
        I certify that the agreement indicated above exists and that upon termination of the agreement, I will establish the required tax 
        accounts or provide a properly executed Lease Agreement Certificate to the Motor Vehicle Division with another lessee. 
        I further certify that I will be responsible for any tax liability accrued in the interim. 
         Lessor (Registered Owner of Vehicle) 
         Physical Address                                            City                            State  Zip 
         Registered Owner of Vehicle Name (Print)                                               Phone 
                                                                                                (         ) 
         Lessor Signature                                            Title                          Date 
The words contained in this file might help you see if this file matches what you are looking for:

...Mail drop m motor carrier services ifta lease agreement po box phoenix az certificate r www azdot gov mvdmcs year make vehicle identification number fuel type gross weight lessee account holder i certify that a written exists with the registered owner lessor designating me as being responsible for payment of all excise taxes etc e g accrued by duration further will maintain copy period at least three years from termination and am tax liability until letter has been received acknowledged division id physical address city state zip partner officer name print phone signature title date indicated above upon establish required accounts or provide properly executed to another be any in interim...

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