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Form E-211 Transporters Registration Application Supplement

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Form Instructions

INSTRUCTIONS: CONNECTICUT TRANSPORTER'S REGISTRATION APPLICATION SUPPLEMENT (Form E-211)

When registering as a Connecticut transporter, a form E-211 is filed as a supplement to the main registration form. This document can be obtained from the website of the government of Connecticut.

Connecticut Transporter's Registration Application Supplement E-211 Step 1: Enter the name of the applicant in the first blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 2: Enter the name of a contact person in the second blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 3: Enter the street address, city or town, state and zip code of the business in the third blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 4: Enter the type of business in the fourth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 5: Enter the federal employer identification number in the fifth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 6: Enter the business telephone number in the sixth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 7: Enter the annual anticipated frequency of use of the transporter's registration in the seventh blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 8: Enter the sales tax number in the eighth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 9: Enter the registration plates of all other current transporter's registrations in the applicant's name in the ninth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 10: List the types of vehicles for which the transporter's registration will be used in the tenth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 11: In the next section, provide a written explanation of the intended use by the registrant of the plate for periodic use on motor vehicles owned by or in the legal custody of the applicant.

Connecticut Transporter's Registration Application Supplement E-211 Step 12: Print your name in the first blank box at the bottom of the page.

Connecticut Transporter's Registration Application Supplement E-211 Step 13: Enter your position with the business in the second blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 14: Enter your signature in the third blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 15: Enter the date in the fourth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 16: Return the form to the address given at the top of the page.

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