State of Arkansas
Department of Finance and Administration
Registration for State Waste Tire Fee Certificate
(Please Print Or Type)
Certificate Number
Business Name
(Official Use Only)
Federal ID.# or S.S.#
E-Mail Address
Arkansas Sales Tax#
Phone Number
County Where
Business is Located
Fax Number
Street Address
City
State
Zip
Mailing Address
City
State
Zip
List Previous Business Name, if applicable
I do hereby certify that the above information is true and correct.
Printed Name of Owner
Signature of Owner
Opening Date
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WASTE TIRE FEE INFORMATION AND DEFINITIONS
Submittal of this form will register you as a “Waste Tire Fee Collecting Agent.” Make sure all requested information is complete
and accurate. Monthly reporting forms will be mailed to you. All payments and monthly reports must be mailed to the DF&A
Miscellaneous Tax Section with a copy of each monthly report mailed to the applicable Regional Solid Waste Management District.
Definitions:
1. ‘Automobile tire’ means any motor vehicle tire with a load rating of “E” or lower.
2. ‘Motor vehicle’ means an automobile, motorcycle, truck, trailer, semitrailer, truck tractor and semitrailer combination, or any
other vehicle operated primarily on the roads of this State.
3. ‘Tire’ means a continuous solid or pneumatic rubber covering which is used for encircling a wheel.
4. ‘Truck tire’ means any motor vehicle tire with a rim size greater than twenty inches (20”) and a load rating of “E” or higher.
5. ‘Imported waste tire’ means any waste automobile or truck tire brought into the State of Arkansas from another state for
disposition.
Over-Looked Tires which should be taxed:
Motorcycle and Motor Scooter Tires
Boat Trailer Replacement Tires
Warranty Replacement Tires
New Car Take Off Tires
Tires Sold to State and Local Governments
Exempt Sales:
•
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Sales of Off-Road Tires (all types)
Sales of Tires to Registered Tire Retailers for Resale
•
Heavy Equipment
Sales of Tires to the Federal Government
Forklift
Farm Implement
RETURN COMPLETED FORM TO:
ATV
DF&A Miscellaneous Tax Section
Golf Cart
Attn: Phyllis Goodwin
Lawn Mower
P.O. Box 896, Room 2240
th
1816 West 7
Street
Bicycle
Little Rock, AR 72203
Phone: (501) 682-7189
Fax: (501) 683-3699