Form 1643 - South Dakota Estimated Mileage Statement

Download a blank fillable Form 1643 - South Dakota Estimated Mileage Statement in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 1643 - South Dakota Estimated Mileage Statement with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

SD EForm - 1643
V2
HELP
Complete and use the button at the end to print for mailing.
ESTIMATED MILEAGE STATEMENT
In Support of Schedule H
Name:
I hereby declare that I have no actual mileage to report and agree to the
estimated mileage used by the Department of Revenue, Prorate Licensing
to calculate my registration fees.
Signature:_______________________________________________________
Title:____________________________________________________________
Date:____________________________________________________________
This form MUST be signed if estimated mileage is being used for any jurisdiction
and you are not using Schedule G (Estimated Mileage Justification Form).
Failure to return this signed form if you are not using Schedule G when
estimating mileage will result in your application not being processed.
PRINT FOR MAILING
CLEAR FORM
PR -IRP- 7

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go