Indiana M-219

Here is a step-by-step guide to understanding and completing the Indiana Permit Fee Bond Form M-219 for motor carriers.

If you are a motor carrier operating in Indiana and need to secure a Permit Fee Bond, the Indiana Form M-219 is the essential legal document you must complete to obtain Quarterly Billing Authorization for moving oversize loads over state and federal highways. This form serves as a financial guarantee between the Principal (the transporting company), the Surety (the insurance company), and the Indiana Department of Revenue, ensuring that all permit fees are paid within 20 days after each calendar quarter ends. By filing this bond, carriers demonstrate financial responsibility in accordance with Title 9 of the Indiana Code, allowing them to operate under a streamlined billing process rather than paying for each permit individually at the time of issuance. Whether you are a new carrier establishing your authority or an existing company renewing your bond, understanding the specific line-by-line requirements of this document is critical to avoid processing delays with the Motor Carrier Services and OSOW Section.

What Is Indiana Form M-219?

The Indiana Form M-219, officially titled the Permit Fee Bond (State Form 41528), is a legal contract required by the Indiana Department of Revenue for companies that wish to pay for their oversize/overweight load permits on a quarterly basis. Instead of paying for every single trip permit upfront, this bond acts as a credit guarantee. It protects the state by ensuring that if the trucking company (the Principal) fails to pay the accumulated fees at the end of the quarter, the insurance company (the Surety) will cover the debt up to the bond’s penal sum. The bond is valid for a five-year period unless cancelled earlier, and it requires strict adherence to notification rules if the company undergoes any ownership, name, or address changes.

How To File Form M-219

Once the form is fully completed, signed, and notarized, you must submit the original document to the state authorities. Do not send it to a general tax address; it must go to the specific division handling oversize loads.

Mail the completed form and a copy of the bond to:
Indiana Department of Revenue
Motor Carrier Services / OSOW Section
7811 Milhouse Road, Suite M
Indianapolis, IN 46241-9612

How To Complete Form M-219

How To Complete Form M-219

To ensure your bond is accepted, you must fill out every field accurately. Below are the specific instructions for each section of the document.

Header And Parties Involved

  • Surety bond given by: Enter the full legal name of the Principal (the trucking company or individual applying for the bond) followed by their Street Address.
  • City/Town of: Enter the city or town where the Principal is located.
  • County of: Enter the county where the Principal is located.
  • State of: Enter the state where the Principal is located.
  • Name of Surety: Enter the full legal name of the insurance company acting as the Surety.
  • Address of Surety: Enter the Street Address, City, State, and ZIP Code of the Surety company.
  • Bond Amount: On the line reading “in the sum of,” write the total dollar amount of the bond coverage (the penal sum).

Principal Agreement

  • Principal Name: On the line beginning with “If the above principal,” re-enter the full name of the Principal (the trucking company). This clause confirms that the company agrees to pay all permit fees within 20 days of the quarter’s end.

Term Of The Bond

  • Effective Date: Locate the paragraph stating “This bond is a continuing bond…” and enter the day, month, and year that the bond coverage begins. The bond remains valid for five years from this date unless cancelled.

Execution And Signatures

  • Date of Signing: In the “IN WITNESS WHEREOF” section, enter the day, month, and year that the document is being signed.
  • Principal Signature:
    • Attest: The Secretary of the Corporation should sign on the line labeled “By” under the Attest section.
    • Principal Signer: The Owner or President of the trucking company must sign on the line labeled “By” and print their title.
  • Surety Signature:
    • President: The President of the Surety company signs on the designated line.
    • Resident Agent: The authorized Resident Agent for the Surety must also sign on the appropriate line.

Notary Acknowledgement
This section serves to verify the identity of the person signing the bond. It must be completed by a licensed Notary Public.

  • State Of / County: Enter the State and County where the notarization is taking place.
  • Date: Enter the day, month, and year the individual appeared before the Notary.
  • Personally Appeared: Write the name of the person (Principal or Surety representative) who is signing the document in front of the Notary.
  • Witness Hand and Seal: The Notary Public must sign their name and affix their official seal.
  • Commission Expires: The Notary must enter the date their notary commission expires.
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