Form 96-0166 "Transporter Plate Order" - Arizona

What Is Form 96-0166?

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 September 1, 2021;
  • 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 printable version of Form 96-0166 by clicking the link below or browse more documents and templates provided by the Arizona Department of Transportation.

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Download Form 96-0166 "Transporter Plate Order" - Arizona

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Mail Drop 532M
Motor Carrier Commercial Services
TRANSPORTER PLATE ORDER
Motor Vehicle Division
PO Box 2100
Phoenix AZ 85001-2100
azdot.gov
96-0166 R09/21
Transporter Account Number
Business Name
Business Address
City
State Zip
Contact Name (first, middle, last, suffix)
Contact Phone Number
E-mail Address
(
)
*All plates will be mailed to the mailing address on file
**Annual Certification Fee and first two
Fee
Amount
**This fee applies to all new accounts and renewals
(XP) plates being renewed
x $375.00
QTY =
Additional (XP) plates being renewed
Fee
Amount
(excluding the first two plates)
x $ 30.00 =
QTY =
Postage Fee for each tab being renewed
Fee
Amount
x $ 0.58 =
QTY =
***Motor Carrier Fee per applicable plate
Fee
Amount
QTY =
x $ 80.00 =
Fee
Amount
Additional (XP) plates ordered
x $ 30.00 =
QTY =
Replacement (XP) plates ordered
Fee
Amount
x $ 30.00 =
QTY =
Additional copies of Certificate ordered
Fee
Amount
x $ 7.50 =
QTY =
Postage Fee for each additional plate or
Fee
Amount
replacement plate ordered
x $ 1.52 =
QTY =
Total
***Motor Carrier Fee is required for all vehicles with a combined GVW of 26,001 lbs or more. Provisions for Motor Carrier
Fees are defined in Chapter 16, Article 4.
If you are deleting a Transporter plate, you must complete a Plate Notice Form
#48-3302
for each plate deleted. Note:
Transporter plates do not qualify for a plate refund.
I hereby certify that my assigned transporter certificate, plates, and tabs will not be transferred to any other person. The business to be
carried on, if application is approved, will be conducted in compliance with the laws of the State of Arizona (A.R.S. §§ 28-5867(A)(3)
and Chapter 10, Article 9 and 10).
I consent to comply with the financial responsibility verification conducted by the Motor Vehicle Division, or submit to the suspension of
the transporter certificate and number plates.
I fully understand that it is mandatory to carry evidence in the vehicle of current financial responsibility applicable to that motor vehicle,
when the motor vehicle is being operated on any public road in this state.
Every certificate or tab issued expires at midnight on December 31st of each year.
Printed Name of Owner, Partner or Authorized Agent
Title
Signature of Owner, Partner or Authorized Agent
Date
Mail Drop 532M
Motor Carrier Commercial Services
TRANSPORTER PLATE ORDER
Motor Vehicle Division
PO Box 2100
Phoenix AZ 85001-2100
azdot.gov
96-0166 R09/21
Transporter Account Number
Business Name
Business Address
City
State Zip
Contact Name (first, middle, last, suffix)
Contact Phone Number
E-mail Address
(
)
*All plates will be mailed to the mailing address on file
**Annual Certification Fee and first two
Fee
Amount
**This fee applies to all new accounts and renewals
(XP) plates being renewed
x $375.00
QTY =
Additional (XP) plates being renewed
Fee
Amount
(excluding the first two plates)
x $ 30.00 =
QTY =
Postage Fee for each tab being renewed
Fee
Amount
x $ 0.58 =
QTY =
***Motor Carrier Fee per applicable plate
Fee
Amount
QTY =
x $ 80.00 =
Fee
Amount
Additional (XP) plates ordered
x $ 30.00 =
QTY =
Replacement (XP) plates ordered
Fee
Amount
x $ 30.00 =
QTY =
Additional copies of Certificate ordered
Fee
Amount
x $ 7.50 =
QTY =
Postage Fee for each additional plate or
Fee
Amount
replacement plate ordered
x $ 1.52 =
QTY =
Total
***Motor Carrier Fee is required for all vehicles with a combined GVW of 26,001 lbs or more. Provisions for Motor Carrier
Fees are defined in Chapter 16, Article 4.
If you are deleting a Transporter plate, you must complete a Plate Notice Form
#48-3302
for each plate deleted. Note:
Transporter plates do not qualify for a plate refund.
I hereby certify that my assigned transporter certificate, plates, and tabs will not be transferred to any other person. The business to be
carried on, if application is approved, will be conducted in compliance with the laws of the State of Arizona (A.R.S. §§ 28-5867(A)(3)
and Chapter 10, Article 9 and 10).
I consent to comply with the financial responsibility verification conducted by the Motor Vehicle Division, or submit to the suspension of
the transporter certificate and number plates.
I fully understand that it is mandatory to carry evidence in the vehicle of current financial responsibility applicable to that motor vehicle,
when the motor vehicle is being operated on any public road in this state.
Every certificate or tab issued expires at midnight on December 31st of each year.
Printed Name of Owner, Partner or Authorized Agent
Title
Signature of Owner, Partner or Authorized Agent
Date