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Attach a separate page if needed* SECTION 2 BUSINESS INFORMATION BUSINESS NAME For individual applicants give your full legal name FEDERAL TAX IDENTIFICATION NUMBER/SSN TRADE NAME OR DOING BUSINESS AS if different from Business Name BUSINESS STREET ADDRESS do not give P. O. Box CITY STATE ZIP CODE BUSINESS MAILING ADDRESS if different from above PRIMARY CONTACT PERSON NAME TELEPHONE NUMBER FAX NUMBER SECTION 3 OTHER CARRIER INFORMATION Does your business have an IFTA or an IRP account IFTA LI ...

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