Hsmv 96440 form 2026

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  1. Click ‘Get Form’ to open the hsmv 96440 form in the editor.
  2. Begin with Part 1, Section 1. Enter the Registrant/Licensee Information, including your name and address as shown on your Cab Card or IFTA License. Ensure you sign and date this section.
  3. In Section 2, provide details for your appointed representative. Include their name, address, and contact information. Remember that they must also sign and date this section.
  4. Proceed to Section 3 to list the relevant account numbers and names for IRP and IFTA accounts.
  5. In Section 4, specify any acts authorized for your representative. Clearly outline any limitations if applicable.
  6. Complete Section 6 by signing and dating the document. Ensure all required signatures are obtained for validity.

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