Fillable BY DEALER, DISTRIBUTOR OR MANUFACTURER APPLICATION FOR DEMONSTRATION (Wisconsin)

Fill Online, Printable, Fillable, Blank BY DEALER, DISTRIBUTOR OR MANUFACTURER APPLICATION FOR DEMONSTRATION (Wisconsin) Form

Use Fill to complete blank online WISCONSIN pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

BY DEALER, DISTRIBUTOR OR MANUFACTURER APPLICATION FOR DEMONSTRATION (Wisconsin)

On average this form takes 9 minutes to complete

The BY DEALER, DISTRIBUTOR OR MANUFACTURER APPLICATION FOR DEMONSTRATION (Wisconsin) form is 2 pages long and contains:

  • 1 signature
  • 9 check-boxes
  • 27 other fields

Country of origin: US
File type: PDF

BROWSE WISCONSIN FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Legal Name
Street Address or RFD, Post Oce Box Number, City, State, ZIP Code
Name of Company Insuring Vehicle (Not Agent Name)
Your Wisconsin Insurance Number - See Insurance below
Business License Number Type of Vehicle to be
Demonstrated
(Area Code) Telephone Number
License Fee
Policy Number
Federal Employer Identication Number (FEIN)
County Where Business Located
Demonstration License Plate Number to Renew
X
Dealer
Distributor
Manufacturer
Truck
Truck-Tractor
Trailer/Semi-Trailer
Wisconsin Department of Transportation
Dealer Section
4822 Madison Yards Way
P.O. Box 7909
Madison, WI 53707-7909
(Authorized Ocial of Firm)
(Date)
INSTRUCTIONS
GENERAL INFORMATION
Limit demonstrations to intrastate operations. All plates
expire December 31 of each year. Use typewriter or print
with ink when completing this application.
Make remittance payable to: Registration Fee Trust.
FEES
Fee for truck or truck-tractor is 1/5 of the annual fee
provided in Chapter 341.25(2) Wisconsin Statutes in the
same weight classication and is prorated as shown in
the schedule on reverse side.
The annual fee for a trailer or semi-trailer is $10.00
regardless of weight and is prorated as shown in the
schedule on reverse side.
INSURANCE
Demonstration license plates cannot be issued or
remain in force unless a blanket certicate of insurance
is led with the motor vehicle division by the insurer
certifying that a policy of insurance has been issued and
is in eect covering the dealer, distributor, or
manufacturer, and the prospective purchaser as
provided in s.194.41 and 341.51(2m) Wisconsin
Statutes.
Please contact your insurance company and have them
mail or FAX an insurance ling, Form E, to the following
address:
Motor Carrier Registration - Insurance
Wisconsin Department of Transportation
P.O. Box 7967
Madison, WI 53707-7967
The number to FAX the insurance ling to is:
(608) 266-6689. "Dealer Demo" and your FEIN must be
written across the top of Form E. If you or your insurance
company have questions, you may contact the Insurance
Unit at (608) 266-1356.
PERMITS
Vehicle is exempt from requirements of for-hire permits
in Chapter 194 Wisconsin Statutes.
USAGE
Vehicle being demonstrated shall be owned by the
dealer, distributor, or manufacturer and the
demonstration period shall not exceed 10 days. At the
time the vehicle is obtained for demonstration, the
prospective purchaser shall sign a receipt showing the
date, time and place the vehicle was obtained. The
dealer shall retain the original copy of such receipt for
demonstration records and shall furnish a copy of such
receipt and the demonstration plate certicate to the
prospective purchaser. A loaded unit may be operated
by the prospective purchaser and the prospective
purchaser may not loan, lease or rent the unit to
another party. A dealer, distributor, or manufacturer
may deliver to or from a prospective purchaser a truck,
trailer, or semi-trailer on which is mounted a machine or
special equipment, providing such entire unit is owned
and oered for sale.
EVIDENCE ON VEHICLE
Carry in the demonstration unit the department
demonstration certicate and a copy of the receipt
signed by the dealer showing the date, time and place
the vehicle was obtained by the prospective purchaser.
(Suggested form shown on reverse side.)
WEIGHT CLASSES
Demonstration plate is required on all loaded trucks and
truck-tractors with weight over 8,000 pounds and loaded
trailers and semi-trailers. Demonstration plates are
issued in all weight classes listed on the reverse side.
In all cases the demonstration plate is issued to the
dealer and upon the sale of any vehicle on which it
has been used, it shall be removed and retained by
the dealer for his/her further usage.
Cut On Above Dotted Line and Retain This Section as Your Information Sheet
Type of Business
Name:
TownVillageCityMaximum Gross Weight of Truck or Truck-Tractor
APPLICATION FOR DEMONSTRATION LICENSE PLATE
BY DEALER, DISTRIBUTOR OR MANUFACTURER
MV2185 3/2018
Application for ____________ License Year. All licenses expire December 31 of each year.
click to sign
signature
click to edit
FEE SCHEDULETRUCK
JAN
$21.20
31.00
41.80
56.60
71.20
95.00
121.80
154.40
184.20
212.60
227.00
241.80
273.40
308.60
351.00
416.20
512.00
FEB
$19.43
28.42
38.32
51.88
65.27
87.08
111.65
141.53
168.85
194.88
208.08
221.65
250.62
282.88
321.75
381.52
469.33
MAR
$17.67
25.83
34.83
47.17
59.33
79.17
101.50
128.67
153.50
177.17
189.17
201.50
227.83
257.17
292.50
346.83
426.67
APR
$15.90
23.25
31.35
42.45
53.40
71.25
91.35
115.80
138.15
159.45
170.25
181.35
205.05
231.45
263.25
312.15
384.00
MAY
$14.13
20.67
27.87
37.73
47.47
63.33
81.20
102.93
122.80
141.73
151.33
161.20
182.27
205.73
234.00
277.47
341.33
JUN
$12.37
18.08
24.38
33.02
41.53
55.42
71.05
90.07
107.45
124.02
132.42
141.05
159.48
180.02
204.75
242.78
298.67
JUL
$10.60
15.50
20.90
28.30
35.60
47.50
60.90
77.20
92.10
106.30
113.50
120.90
136.70
154.30
175.50
208.10
256.00
AUG
$ 8.83
12.92
17.42
23.58
29.67
39.58
50.75
64.33
76.75
88.58
94.58
100.75
113.92
128.58
146.25
173.42
213.33
SEP
$ 7.07
10.33
13.93
18.87
23.73
31.67
40.60
51.47
61.40
70.87
75.67
80.60
91.13
102.87
117.00
138.73
170.67
OCT
$ 5.30
7.75
10.45
14.15
17.80
23.75
30.45
38.60
46.05
53.15
56.75
60.45
68.35
77.15
87.75
104.05
128.00
NOV
$ 3.53
5.17
6.97
9.43
11.87
15.83
20.30
25.73
30.70
35.43
37.83
40.30
45.57
51.43
58.50
69.37
85.33
DEC
$ 1.77
2.58
3.48
4.72
5.93
7.92
10.15
12.87
15.35
17.72
18.92
20.15
22.78
25.72
29.25
34.68
42.67
WEIGHT
8,000
10,000
12,000
16,000
20,000
26,000
32,000
38,000
44,000
50,000
54,000
56,000
62,000
68,000
73,000
76,000
80,000
TRUCK-TRACTOR $18.00 Surcharge Included
JAN
$24.80
34.60
45.40
60.20
74.80
98.60
125.40
158.00
187.80
216.20
230.60
245.40
277.00
312.20
354.60
419.80
515.60
FEB
$27.73
31.72
41.62
55.18
68.57
90.38
114.95
144.83
172.15
198.18
211.38
224.95
253.92
286.18
325.05
384.82
472.63
MAR
$20.67
28.83
37.83
50.17
62.33
82.17
104.50
131.67
156.50
180.17
192.17
204.50
230.83
260.17
295.50
349.83
429.67
APR
$18.60
25.95
34.05
45.15
56.10
73.95
94.05
118.50
140.85
162.15
172.95
184.05
207.75
234.15
265.95
314.85
386.70
MAY
$16.53
23.07
30.27
40.13
49.87
65.73
83.60
105.33
125.20
144.13
153.73
163.60
184.67
208.13
236.40
279.87
343.73
JUN
$14.47
20.18
26.48
35.12
43.63
57.52
73.15
92.17
109.55
126.12
134.52
143.15
161.58
182.12
206.85
244.88
300.77
JUL
$ 12.40
17.30
22.70
30.10
37.40
49.30
62.70
79.00
93.90
108.10
115.30
122.70
138.50
156.10
177.30
209.90
257.80
AUG
$ 10.33
14.42
18.92
25.08
31.17
41.08
52.25
65.83
78.25
90.08
96.08
102.25
115.42
130.08
147.75
174.92
214.83
SEP
$ 8.27
11.53
15.13
20.07
24.93
32.87
41.80
52.67
62.60
72.07
76.87
81.80
92.33
104.07
118.20
139.93
171.87
OCT
$6.20
8.65
11.35
15.05
18.70
24.65
31.35
39.50
46.95
54.05
57.65
61.35
69.25
78.05
88.65
104.95
128.90
NOV
$4.13
5.77
7.57
10.03
12.47
16.43
20.90
26.33
31.30
36.03
38.43
40.90
46.17
52.03
59.10
69.97
85.93
DEC
$ 2.07
2.88
3.78
5.02
6.23
8.22
10.45
13.17
15.65
18.02
19.22
20.45
23.08
26.02
29.55
34.98
42.97
WEIGHT
8,000
10,000
12,000
16,000
20,000
26,000
32,000
38,000
44,000
50,000
54,000
56,000
62,000
68,000
73,000
76,000
80,000
TRAILER OR SEMI-TRAILER
$10.00 $ 9.17 $ 8.33 $ 7.50 $ 6.67 $ 5.83 $ 5.00 $ 4.17 $ 3.33 $ 2.50 $ 1.67 $ 0.83
Dealers are asked to make up their own receipt forms using this as a guide, one copy of which shall be carried by the prospective purchaser and one
copy retained by the dealer.
Street Address, City, State, ZIP Code
Prospective Purchaser Name
Demonstrator Plate Number Hour
Vehicle Make Identication Number
Location at Which Vehicle Turned Over to Prospective Purchaser
Dealer Name
By
Date
USDOT Number LC Number MC Number
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

BY DEALER, DISTRIBUTOR OR MANUFACTURER APPLICATION FOR DEMONSTRATION (Wisconsin)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 12 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document