Fillable Form 2290 - Heavy Highway Vehicle Use Tax Return (Page 9 of 10) in pdf

Form 2290 - Heavy Highway Vehicle Use Tax Return Page 9

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Schedule 1 (Form 2290) (Rev. 7-2017)

Consent to Disclosure of Tax Information

For the period July 1, 2017, through June 30, 2018

By signing, dating, and entering my employer identification number below, I hereby consent to the

Internal Revenue Service (IRS) disclosing information about my payment of the heavy highway

vehicle use tax (HVUT) for the tax period listed above to the federal Department of Transportation

(DOT), U.S. Customs and Border Protection (CBP), and to state Departments of Motor Vehicles

(DMV). The information disclosed to the DOT, CBP, and state DMVs will be my vehicle identification

number (VIN) and verification that I have paid the HVUT. The IRS may disclose the information to the

DOT, CBP, and to the DMVs of the 50 states and the District of Columbia who have other taxing,

registration, or information collecting authority. I agree that the American Association of Motor

Vehicle Administrators (AAMVA), a third-party nonprofit organization, may be used as an

intermediary to transmit my VIN and payment information from the IRS to the state DMVs.

I understand that the information to be disclosed is generally confidential under the laws

applicable to the IRS and that the agency receiving the HVUT information is not bound by these laws

and may use the information for any purpose as permitted by other federal laws and/or state law. To

be effective, this consent must be received by the IRS within 120 days of the date below.

If signed by a corporate officer or party other than the taxpayer, I certify that I have the authority to

execute this consent to disclosure of tax information.

Sign

▶

Signature

Date

Here

–

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Type or print name below signature.

Employer identification number

Schedule 1 (Form 2290) (Rev. 7-2017)

Form 2290 - Heavy Highway Vehicle Use Tax Return Page 9

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