Form VD-09 Vermont Transporter Application - Vermont

Form VD-09 or the "Vermont Transporter Application" is a form issued by the Vermont Department of Motor Vehicles.

The form was last revised in September 1, 2016 and is available for digital filing. Download an up-to-date Form VD-09 in PDF-format down below or look it up on the Vermont Department of Motor Vehicles Forms website.

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Vermont Transporter Application
Department of Motor Vehicles
120 State Street
Agency of Transportation
Montpelier, Vermont 05603-0001
dmv.vermont.gov
802.828.2038
Registration Fee for Each Plate is $123.00
Company Name
Owner’s Name
Mailing Address
City
State
ZIP Code
Physical Address
Vermont Tax Number
Federal ID / SSN
 Yes  No
1
Do you have facilities at your place of business for the maintenance of records as required by statute?
 Yes  No
Is this a renewal application?
2
Vermont Mandatory “Good Standing” Declarations
Child Support Orders, 15 V.S.A. § 795c: As of the date of this application: (you must check one)
I am not subject to a child support order; OR
I am subject to a child support order and am in good standing or in full compliance with a plan to pay; OR
I am not in good standing or in full compliance with a plan to pay.
Tax Compliance, 32 V.S.A. § 3113b: As of the date of this application: (you must check one)
No taxes are due and payable and all required returns have been filed; OR
I have never lived or worked in Vermont and do not owe Vermont taxes; OR
The liability for any taxes due and payable is on appeal; OR
I am in compliance with a payment plan approved by the Vermont Department of Taxes; OR
I am not in good standing with the Vermont Department of Taxes or in full compliance with a plan to pay.
Unpaid Judgments, 4 V.S.A. § 1110b&c: As of the date of this application: (you must check one)
I do not have any unpaid judgments; OR
I am in good standing with respect to any unpaid judgment issued by the judicial bureau or district court for fines or penalties for a violation or criminal offense; OR
I am not in good standing.
I, the undersigned, declare that I am the owner herein described and hereby apply for registration. I hereby affirm, under penalty of perjury, that the information on this
form is true to the best of my knowledge. This declaration made under penalties of 23 VSA § 202 & § 4110 and 32 VSA § 3113.
Printed Name of Owner
Date
Phone Number
Signature of Owner
Email Address
For Department Use Only
Motor Vehicle Inspector:
Approved By:
Date:
VD-09 1M 09/2016 MTC
Vermont Transporter Application
Department of Motor Vehicles
120 State Street
Agency of Transportation
Montpelier, Vermont 05603-0001
dmv.vermont.gov
802.828.2038
Registration Fee for Each Plate is $123.00
Company Name
Owner’s Name
Mailing Address
City
State
ZIP Code
Physical Address
Vermont Tax Number
Federal ID / SSN
 Yes  No
1
Do you have facilities at your place of business for the maintenance of records as required by statute?
 Yes  No
Is this a renewal application?
2
Vermont Mandatory “Good Standing” Declarations
Child Support Orders, 15 V.S.A. § 795c: As of the date of this application: (you must check one)
I am not subject to a child support order; OR
I am subject to a child support order and am in good standing or in full compliance with a plan to pay; OR
I am not in good standing or in full compliance with a plan to pay.
Tax Compliance, 32 V.S.A. § 3113b: As of the date of this application: (you must check one)
No taxes are due and payable and all required returns have been filed; OR
I have never lived or worked in Vermont and do not owe Vermont taxes; OR
The liability for any taxes due and payable is on appeal; OR
I am in compliance with a payment plan approved by the Vermont Department of Taxes; OR
I am not in good standing with the Vermont Department of Taxes or in full compliance with a plan to pay.
Unpaid Judgments, 4 V.S.A. § 1110b&c: As of the date of this application: (you must check one)
I do not have any unpaid judgments; OR
I am in good standing with respect to any unpaid judgment issued by the judicial bureau or district court for fines or penalties for a violation or criminal offense; OR
I am not in good standing.
I, the undersigned, declare that I am the owner herein described and hereby apply for registration. I hereby affirm, under penalty of perjury, that the information on this
form is true to the best of my knowledge. This declaration made under penalties of 23 VSA § 202 & § 4110 and 32 VSA § 3113.
Printed Name of Owner
Date
Phone Number
Signature of Owner
Email Address
For Department Use Only
Motor Vehicle Inspector:
Approved By:
Date:
VD-09 1M 09/2016 MTC

Download Form VD-09 Vermont Transporter Application - Vermont

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