Reset Form
MF 207
Rev. 2/00
License number assigned
P.O. Box 530
Columbus, OH 43216-0530
Registration as a Transporter of Motor Fuel
For sole owner, print individual’s name, address, owner’s SSN and FEIN of the business. For a partnership, print full name,
address and SSN of all partners and the partnership’s FEIN. For an LLC or LLP, print the full name, address and SSN of all
members. For a corporation, print the corporate name, corporation charter number issued by the Secretary of State authorizing
business in Ohio and the corporation’s FEIN. Use a separate piece of paper if necessary.
Under penalties of prosecution, no person shall make a false
or fraudulent statement on this application.
1. Name of registrant
(If you are a corporation, DO NOT use your name, use the corporation name.)
FEIN
SSN
Telephone
Fax
E-mail
2. Trade name if other than above
3. Check whether applicant operates as:
Sole owner
Partnership
Corporation
LLC
LLP
Association
Other (list)
4. If a corporation, date of qualifi cation
List name, address and SSN of all corporate offi cers and directors
5. If a corporation, state name and address of statutory agent
6. If partnership, list name, address and SSN of all partners. If LLC or LLP, list name, address and SSN of all members.
7. Business address (P.O. boxes not acceptable)
8. Mailing address (if other than that shown on line 7)
9. Is your company owned or controlled by any other person or corporation?
Yes
No If yes, give name, address
and FEIN or SSN or the other person/corporation.
Signature of dealer or offi cer of company
Title
Date
Return original application to the Ohio Department of Taxation, Motor Fuel Tax Refund Unit, P.O. Box 530, Columbus, OH
43216-0530. Retain copy for your fi les. Direct any questions to (855) 466-3921 or fax (614) 644-2816.