Form PS2269 "Temporary Registration Authority Cover Sheet" - Minnesota

What Is Form PS2269?

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

Form Details:

  • Released on May 1, 2007;
  • The latest edition provided by the Minnesota Department of Public Safety;
  • 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 printable version of Form PS2269 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Public Safety.

ADVERTISEMENT
ADVERTISEMENT

Download Form PS2269 "Temporary Registration Authority Cover Sheet" - Minnesota

425 times
Rate (4.5 / 5) 30 votes
Temporary Registration Authority Cover Sheet
(This form must accompany each request)
Today’s Date:
To: Minnesota Prorate Office
Fax: 651.215.0027
From:
Phone Number:
Carrier Name:
Prorate Account #:
Carrier Fax Number:
Total Pages:
Temporary Registration Authority (TA) will not be issued without full payment of registration and sales tax,
as required by Minnesota Statutes, sections 168.183, subdivision 3; 168.187, subdivision 11; and 297B.06.
On behalf of the above named carrier, I request the following service (check all that apply):
Fax Temporary Authority and billing invoice (PS2262 EFT Authorization form must be attached).
Note: We cannot guarantee same day service
Fax invoice only. (Allow three business days for processing)
To pick up credentials at Town Square Office. (Allow three business days for processing)
Please check one (required for new purchase):
Titling in Minnesota (sales tax required; see above)
Titling out of state (Non-resident owner)
Already titled in Minnesota
By signing this document, I understand that once a Temporary Authority (TA) is issued on a vehicle, it cannot
be retracted. I may be able to utilize this unit as a deletion on a future transaction.
______________________________________________________
Date: _____________________
(Signature Required)
Minnesota Department of Public Safety Driver and Vehicle Services Division
PS2269-01 Rev. 5/2007
445 Minnesota Street, Saint Paul, Minnesota 55101-5188 Office: (651) 205-4141 or TTY: (651) 282-6555
Temporary Registration Authority Cover Sheet
(This form must accompany each request)
Today’s Date:
To: Minnesota Prorate Office
Fax: 651.215.0027
From:
Phone Number:
Carrier Name:
Prorate Account #:
Carrier Fax Number:
Total Pages:
Temporary Registration Authority (TA) will not be issued without full payment of registration and sales tax,
as required by Minnesota Statutes, sections 168.183, subdivision 3; 168.187, subdivision 11; and 297B.06.
On behalf of the above named carrier, I request the following service (check all that apply):
Fax Temporary Authority and billing invoice (PS2262 EFT Authorization form must be attached).
Note: We cannot guarantee same day service
Fax invoice only. (Allow three business days for processing)
To pick up credentials at Town Square Office. (Allow three business days for processing)
Please check one (required for new purchase):
Titling in Minnesota (sales tax required; see above)
Titling out of state (Non-resident owner)
Already titled in Minnesota
By signing this document, I understand that once a Temporary Authority (TA) is issued on a vehicle, it cannot
be retracted. I may be able to utilize this unit as a deletion on a future transaction.
______________________________________________________
Date: _____________________
(Signature Required)
Minnesota Department of Public Safety Driver and Vehicle Services Division
PS2269-01 Rev. 5/2007
445 Minnesota Street, Saint Paul, Minnesota 55101-5188 Office: (651) 205-4141 or TTY: (651) 282-6555