Form D-2mcp - Salvage Dealer'S Major Component Part Quarterly Report
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1
2Dealer #
Folder#
Kansas Department Of Revenue
Dealer Licensing Bureau
SALVAGE DEALER'S
Dealership Name
PO Box 2369
MAJOR COMPONENT PART
Topeka, KS 66601-2369
QUARTERLY REPORT
Dealer Address:
Telephone: (785) 296-3621
Fax: (785) 296-5854
Telephone:
Fax
D-2MCP www(4-03)
Quarterly Report for:
(Check One)
January thru March
April thru June
July thru September
October thru December
1
Date of Sale
Purchaser:
Name
Address
City
County
State
Zip
Title Number:
Vehicle Information:
Year
Make
Style
VIN
State Issuing Title
List Only the last major componenet part(s) sold from vehicle:
Farm Use
Amount of Sales Tax collected
No Sales Tax Collected
Wholesale
Other-Explain
2
Date of Sale
Purchaser:
Name
Address
City
County
State
Zip
Title Number:
Vehicle Information:
Year
Make
Style
VIN
State Issuing Title
List Only the last major componenet part(s) sold from vehicle:
Amount of Sales Tax collected
Wholesale
Farm Use
Other-Explain
No Sales Tax Collected
3
Date of Sale
Purchaser:
Name
Address
City
County
State
Zip
Title Number:
Vehicle Information:
Year
Make
Style
VIN
State Issuing Title
List Only the last major componenet part(s) sold from vehicle:
Farm Use
Amount of Sales Tax collected
No Sales Tax Collected
Wholesale
Other-Explain
4
Date of Sale
Purchaser:
Name
Address
City
County
State
Zip
Title Number:
Vehicle Information:
Year
Make
Style
VIN
State Issuing Title
List Only the last major componenet part(s) sold from vehicle:
No Sales Tax Collected
Amount of Sales Tax collected
Wholesale
Farm Use
Other-Explain
5
Date of Sale
Purchaser:
Name
Address
City
County
State
Zip
Title Number:
Vehicle Information:
Year
Make
Style
VIN
State Issuing Title
List Only the last major componenet part(s) sold from vehicle:
Amount of Sales Tax collected
No Sales Tax Collected
Wholesale
Farm Use
Other-Explain
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Parent category: Financial