Form Mt-903-Mn - Highway Use Tax Return
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MT-903-MN Highway Use Tax Return
Taxpayer ID number
Name
Period covered:
Begin date
End date
(mm/dd/yy)
(mm/dd/yy)
Number and street or PO box
Due date
City, state, ZIP code
(mm/dd/yy)
Change of business information - You can update your address
and other business information by visiting our Web site (see Need
help? in Form MT-903-I). Select the option to change your
address for further instructions. For more information, see
Change of business information in the instructions.
US DOT #
Payment: Make your check or money order payable in U.S. funds to:
Read the instructions
COMMISSIONER OF TAXATION AND FINANCE
(Form MT-903-I) before filling
Write your taxpayer ID number, MT-903, and the period covered by this
out this return.
return on your check or money order.
Enter payment amount . . .
Mark an X in the box if you had no activity in New York State for this period, and enter "0" on line 3 below. No further entries
are necessary; complete the Certification section below and mail.
Enter the total taxable miles traveled in New York State for this period by all vehicles .................................
Enter the total miles (including Thruway miles) traveled in New York State for this period by all vehicles
Mark an X in the box to indicate filing method, which cannot
If no highway use tax is due for this period, mark an X in one of the
be changed during the calendar year:
boxes below or enter "0" on line 3.
All miles reported by another (leased motor vehicles)
All motor vehicles are exempt (example: crane, mail, household
gross weight method
unloaded weight method
goods, etc.)
(First complete Schedule 1 or Schedule 2, or both, on back page and then enter final totals in boxes 1a and 1b below.)
1. Highway use tax schedule totals
Schedule 1 total tax
Schedule 2 total tax
Total highway use tax (
)
add 1a and 1b
.
1b.
1c.
..........................
1a.
2. Prior highway use tax overpayments to be applied (attach a copy of Form MT-927)
.
Note: Fuel use tax credits cannot be used to reduce highway use tax ................................... 2.
.
3. Highway use tax due (subtract line 2 from line 1c) .................................................................. 3.
.
4. Late filing penalty (see instructions) ......................................................................................... 4.
.
5. Late filing interest (see instructions) ......................................................................................... 5.
.
6. Highway use tax due (add lines 3, 4, and 5) ........................................................................... 6.
Certification: I certify that this return and any attachments are to the best of my knowledge and belief true, correct, and complete.
Date
Taxpayer's signature
Official title
Telephone number
(
)
Taxpayer's email address
Paid preparer's email address
Date
Print name of paid individual or firm preparing this return Signature of individual preparing this return Paid preparer's telephone number
(
)
Paid preparer's ID number
Paid preparer's mailing address
For office use only
Preparer's NYTPRIN
NYTPRIN excl. code
•
•
MT-903-MN (5/15)
Please make a copy for your records
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