Schedule B "Allocated Perm Fleet" - Arizona

What Is Schedule B?

This is a legal form that was released by the Arizona Department of Transportation - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2009;
  • The latest edition provided by the Arizona Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Schedule B by clicking the link below or browse more documents and templates provided by the Arizona Department of Transportation.

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Download Schedule B "Allocated Perm Fleet" - Arizona

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ALLOCATED PERM FLEET
Arizona - Schedule B
License Year
Reporting Period
July 1,_________ thru June 30,_________
Clear
www.azdot.gov
70-0510 R02/09
Company/Individual Name
Doing Business As (DBA)
Federal EIN
Fleet Account Numbers
Arizona Physical Address Where Business is Located
Mailing Address (if different from physical address)
Contact Person
a.
b.
City
State Zip Code
City
State Zip Code
Contact Phone
c.
(
)
d.
AZ
Gross Revenue
Gross Revenue
Gross Revenue
Gross Revenue
Jurisdiction
%
Jurisdiction
%
Jurisdiction
%
Jurisdiction
%
(In Whole Dollars)
(In Whole Dollars)
(In Whole Dollars)
(In Whole Dollars)
AL – Alabama
LA – Louisiana
PA – Pennsylvania
AB – Alberta
AZ – Arizona – a.
ME – Maine
RI – Rhode Island
BC – British Columbia
AZ – Arizona – b.
MD – Maryland
SC – South Carolina
MB – Manitoba
AZ – Arizona – c.
MA – Massachusetts
SD – South Dakota
NB – New Brunswick
AZ – Arizona – d.
MI – Michigan
TN – Tennessee
NF – Newfoundland
AZ – TTL Gross Rev.
MN – Minnesota
TX – Texas
NS – Nova Scotia
AR – Arkansas
MS – Mississippi
UT – Utah
NT – Northwest Terr.
CA – California
MO – Missouri
VT – Vermont
ON – Ontario
CO – Colorado
MT – Montana
VA – Virginia
PQ – Quebec
CT – Connecticut
NE – Nebraska
WA – Washington
SK – Saskatchewan
DE – Delaware
NV – Nevada
WV – West Virginia
DC – Dist of Columbia
NH – New Hampshire
WI – Wisconsin
FL – Florida
NJ – New Jersey
WY – Wyoming
GA – Georgia
NM – New Mexico
ID – Idaho
NY – New York
IL – Illinois
NC – North Carolina
IN – Indiana
ND – North Dakota
IA – Iowa
OH – Ohio
KS – Kansas
OK – Oklahoma
KY – Kentucky
OR – Oregon
Total – All Jurisdictions
100%
Total Fleet Vehicles
Total Fleet**
% of Total Fleet AZ Veh. To Register
I certify that the information on this application is true and
Class A Vehicles:
correct, and that I am authorized to sign for the company.
List Price $24,999 or less
Acquisitions*
Total Fleet**
% of Total Fleet AZ Veh. To Register
Preparer Name
Class B Vehicles:
$25,000-$39,999
Estimated Total Fleet Vehicles
Total Fleet**
% of Total Fleet AZ Veh. To Register
Preparer Signature
Class C Vehicles:
$40,000 and above
Estimated AZ Fleet Vehicle Total
Title
Date
*Anticipated during the registration year **Total number of fleet vehicles in all jurisdictions
ALLOCATED PERM FLEET
Arizona - Schedule B
License Year
Reporting Period
July 1,_________ thru June 30,_________
Clear
www.azdot.gov
70-0510 R02/09
Company/Individual Name
Doing Business As (DBA)
Federal EIN
Fleet Account Numbers
Arizona Physical Address Where Business is Located
Mailing Address (if different from physical address)
Contact Person
a.
b.
City
State Zip Code
City
State Zip Code
Contact Phone
c.
(
)
d.
AZ
Gross Revenue
Gross Revenue
Gross Revenue
Gross Revenue
Jurisdiction
%
Jurisdiction
%
Jurisdiction
%
Jurisdiction
%
(In Whole Dollars)
(In Whole Dollars)
(In Whole Dollars)
(In Whole Dollars)
AL – Alabama
LA – Louisiana
PA – Pennsylvania
AB – Alberta
AZ – Arizona – a.
ME – Maine
RI – Rhode Island
BC – British Columbia
AZ – Arizona – b.
MD – Maryland
SC – South Carolina
MB – Manitoba
AZ – Arizona – c.
MA – Massachusetts
SD – South Dakota
NB – New Brunswick
AZ – Arizona – d.
MI – Michigan
TN – Tennessee
NF – Newfoundland
AZ – TTL Gross Rev.
MN – Minnesota
TX – Texas
NS – Nova Scotia
AR – Arkansas
MS – Mississippi
UT – Utah
NT – Northwest Terr.
CA – California
MO – Missouri
VT – Vermont
ON – Ontario
CO – Colorado
MT – Montana
VA – Virginia
PQ – Quebec
CT – Connecticut
NE – Nebraska
WA – Washington
SK – Saskatchewan
DE – Delaware
NV – Nevada
WV – West Virginia
DC – Dist of Columbia
NH – New Hampshire
WI – Wisconsin
FL – Florida
NJ – New Jersey
WY – Wyoming
GA – Georgia
NM – New Mexico
ID – Idaho
NY – New York
IL – Illinois
NC – North Carolina
IN – Indiana
ND – North Dakota
IA – Iowa
OH – Ohio
KS – Kansas
OK – Oklahoma
KY – Kentucky
OR – Oregon
Total – All Jurisdictions
100%
Total Fleet Vehicles
Total Fleet**
% of Total Fleet AZ Veh. To Register
I certify that the information on this application is true and
Class A Vehicles:
correct, and that I am authorized to sign for the company.
List Price $24,999 or less
Acquisitions*
Total Fleet**
% of Total Fleet AZ Veh. To Register
Preparer Name
Class B Vehicles:
$25,000-$39,999
Estimated Total Fleet Vehicles
Total Fleet**
% of Total Fleet AZ Veh. To Register
Preparer Signature
Class C Vehicles:
$40,000 and above
Estimated AZ Fleet Vehicle Total
Title
Date
*Anticipated during the registration year **Total number of fleet vehicles in all jurisdictions