Form Tmt-1 - Application For Highway Use Tax (Hut) And Automotive Fuel Carrier (Afc) Certificates Of Registration (C Of R) And Decals Page 2

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Page 2 of 2 TMT-1 (8/15)
Legal name
Taxpayer
Employer identification number
Suffix, if any
Social security number (SSN)
identification
SS
number
OR
17 Credentials are requested for the following vehicles. List each vehicle separately. Group trucks, tractors, and automotive fuel carrier trailers separately. For additional vehicles, use Form TMT-1.1,
Continuation Sheet for Form TMT-1. All vehicles with HUT or AFC credentials must display decals.
Type or print your entries in ink.
A
B
C
D
E
F
G
H
I
J
K
L
Type
Manufacturer’s
Type of
Type of
Make of
Year
Unloaded
Gross
Own
Owner
State and license
Mark X in
vehicle identification
vehicle
fuel
vehicle
weight
weight
or
equipment
plate number
box if
(required; see instr.)
number ( VIN )
of vehicle
of vehicle
lease
number
temporary
( optional )
plate no.
State
Plate number
Diesel
CNG
Tractor
Own
Gas
Electric
Truck
Propane
Flex
Lease
Trailer (AFC)
None
Other
Diesel
CNG
Tractor
Own
Gas
Electric
Truck
Propane
Flex
Lease
Trailer (AFC)
None
Other
Diesel
CNG
Tractor
Own
Gas
Electric
Truck
Propane
Flex
Lease
Trailer (AFC)
None
Other
Diesel
CNG
Tractor
Own
Gas
Electric
Truck
Propane
Flex
Lease
Trailer (AFC)
None
Other
Diesel
CNG
Tractor
Own
Gas
Electric
Truck
Propane
Flex
Lease
Trailer (AFC)
None
Other
Diesel
CNG
Tractor
Own
Gas
Electric
Truck
Propane
Flex
Lease
Trailer (AFC)
None
Other
Diesel
CNG
Tractor
Own
Gas
Electric
Truck
Propane
Flex
Lease
Trailer (AFC)
None
Other
Diesel
CNG
Tractor
Own
Gas
Electric
Truck
Propane
Flex
Lease
Trailer (AFC)
None
Other
Diesel
CNG
Tractor
Own
Gas
Electric
Truck
Propane
Flex
Lease
Trailer (AFC)
None
Other
Diesel
CNG
Tractor
Own
Gas
Electric
Truck
Propane
Flex
Lease
Trailer (AFC)
None
Other

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