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I.R.S. SPECIFICATIONS
1
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 2290, PAGE 1 of 6
PRINTS: HEAD to HEAD
MARGINS: TOP 13mm (1⁄ 2 "), CENTER SIDES.
PAPER: WHITE, WRITING, SUB. 20
INK: BLACK
FLAT SIZE: 648mm (251⁄ 2 ") x 279mm (11") FOLD TO 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: HORIZONTALLY 197mm (73⁄ 4 ") FROM TOP AND ON FOLD
Date
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Action
Date
Signature
O.K. to print
Revised proofs
requested
Changes shown in yellow.
Version B
Ok to print as is □
Deletions shown in blue.
✔
Ok to print as corrected □
Additional changes by TLS shown in red.
Reviewer changes in blue box.
2290
Heavy Highway Vehicle Use Tax Return
Form
(Rev. July 2008)
Keep a copy of this
return for your records.
For the period July 1, 2008, through June 30, 2009
©
Department of the Treasury
Internal Revenue Service
Attach both copies of Schedule 1 to this return.
See the separate instructions.
OMB No. 1545-0143
©
Name
Employer identification number
Type
or Print
FOR IRS
USE ONLY
–
Address (number, street, and room or suite no.)
T
FF
Check here if:
Address
change
I
Insert 1 vertical pica between each line to
increase entry space size.
Final return
Part I
FP
City, state, and ZIP code (For Canadian or Mexican address, see page 45 of the instructions.)
T
Figuring the Tax
Y
Y
Y
Y M M
Was the vehicle(s) reported on this return used on public highways during July 2008? If YES,
©
1
enter 200807 in the boxes to the right. If NO, see the table on page 3 of the instructions
.
2
©
2 Tax. Enter the Total from Form 2290, page 2, column (4)
.
3
©
3 Additional tax from increase in taxable gross weight. See page 54 of the instructions
.
4
©
4 Total tax. Add lines 2 and 3
.
5
©
5 Credits. See page 5 of the instructions
6 Balance due. Subtract line 5 from line 4. This is the amount you owe. If payment through
6
©
EFTPS, check here
.
Part II
Statement in Support of Suspension (Complete the statements that apply. Attach additional sheets if needed.)
1
Insert 1
vertical
pica
between
7 and 8a
Insert 1
vertical
pica
between
8b and 9
7
I declare that the vehicles listed in Part II of Schedule 1 are expected to be used on public highways (check the boxes that
apply):
5,000 miles or less
7,500 miles or less for agricultural vehicles
during the period July 1, 2008, through June 30, 2009, and are suspended from the tax. Complete and attach Schedule 1.
8a I declare that the vehicles listed as suspended on the Form 2290 filed for the period July 1, 2007, through June 30, 2008, were not
subject to the tax for that period except for any vehicles listed on line 8b. Check this box if applicable. ©
b Vehicle identification numbers
9 I declare that vehicle identification numbers
were listed as suspended on the Form 2290 filed for the period July 1, 2007, through June 30, 2008. These vehicles were sold or
transferred to
on
,
.
At the time of the transfer, the vehicles were still eligible for the suspension of the tax. Attach a separate list if needed.
Third
Party
Designee
Sign
Here
Do you want to allow another person to discuss this return with the IRS (see instructions)?
Designee’s
©
name
Phone
©
no.
(
No
)
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and, to the best of my
knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which
preparer has any knowledge.
©
©
Signature
Type or print name below signature.
Paid
Preparer’s
Use Only
Yes. Complete the following.
Personal identification
©
number (PIN)
©
Preparer’s
signature
Firm’s name (or
yours if self-employed),
address, and ZIP code
Date
©
Date
Telephone number (
Check
if selfemployed
)
Preparer’s SSN or PTIN
EIN
Phone no. (
For Privacy Act and Paperwork Reduction Act Notice, see page 9 of the instructions.
Moved Form 2290-V to a separate page.
Cat. No. 11250O
Form
)
2290
(Rev. 7-2008)
(Change page—Mailout)
TLS, have you
transmitted all R
text files for this
cycle update?
I.R.S. SPECIFICATIONS
1
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 2290, PAGE 1 of 6
PRINTS: HEAD to HEAD
MARGINS: TOP 13mm (1⁄ 2 "), CENTER SIDES.
PAPER: WHITE, WRITING, SUB. 20
INK: BLACK
FLAT SIZE: 648mm (251⁄ 2 ") x 279mm (11") FOLD TO 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: HORIZONTALLY 31⁄ 4 " FROM BOTTOM AND ON FOLD
Date
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Action
Date
Signature
O.K. to print
Revised proofs
requested
Version B
2290
Heavy Highway Vehicle Use Tax Return
Form
(Rev. July 2008)
Keep a copy of this
return for your records.
For the period July 1, 2008, through June 30, 2009
©
Department of the Treasury
Internal Revenue Service
Attach both copies of Schedule 1 to this return.
See the separate instructions.
OMB No. 1545-0143
©
FOR IRS
USE ONLY
Cross out any errors
and print the correct
information.
T
Check here if:
FF
Address
change
FP
I
Final return
Part I
Insert 1 vertical pica between each line to
increase entry space size.
Figuring the Tax
T
Y
Y
Y
Y M M
Was the vehicle(s) reported on this return used on public highways during July 2008? If YES,
©
1
enter 200807 in the boxes to the right. If NO, see the table on page 3 of the instructions
.
2
©
2 Tax. Enter the Total from Form 2290, page 2, column (4)
.
3
©
3 Additional tax from increase in taxable gross weight. See page 54 of the instructions
.
4
©
4 Total tax. Add lines 2 and 3
.
5
©
5 Credits. See page 5 of the instructions
6 Balance due. Subtract line 5 from line 4. This is the amount you owe. If payment through
6
©
EFTPS, check here
.
Part II
Statement in Support of Suspension (Complete the statements that apply. Attach additional sheets if needed.)
1
Insert 1
vertical
pica
between
7 and 8a
Insert 1
vertical
pica
between
8b and 9
7
I declare that the vehicles listed in Part II of Schedule 1 are expected to be used on public highways (check the boxes that
apply):
5,000 miles or less
7,500 miles or less for agricultural vehicles
during the period July 1, 2008, through June 30, 2009, and are suspended from the tax. Complete and attach Schedule 1.
8a I declare that the vehicles listed as suspended on the Form 2290 filed for the period July 1, 2007, through June 30, 2008, were not
subject to the tax for that period except for any vehicles listed on line 8b. Check this box if applicable. ©
b Vehicle identification numbers
9 I declare that vehicle identification numbers
were listed as suspended on the Form 2290 filed for the period July 1, 2007, through June 30, 2008. These vehicles were sold or
transferred to
on
,
.
At the time of the transfer, the vehicles were still eligible for the suspension of the tax. Attach a separate list if needed.
Third
Party
Designee
Sign
Here
Do you want to allow another person to discuss this return with the IRS (see instructions)?
Designee’s
©
name
Phone
©
no.
(
No
)
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and, to the best of my
knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which
preparer has any knowledge.
©
©
Signature
Type or print name below signature.
Paid
Preparer’s
Use Only
Yes. Complete the following.
Personal identification
©
number (PIN)
©
Preparer’s
signature
Firm’s name (or
yours if self-employed),
address, and ZIP code
Date
©
Date
Telephone number (
Check
if selfemployed
)
Preparer’s SSN or PTIN
EIN
Phone no. (
For Privacy Act and Paperwork Reduction Act Notice, see page 9 of the instructions.
Moved Form 2290-V to a separate page.
Cat. No. 11250O
Form
)
2290
(Rev. 7-2008)
OTC and MAILOUT
I.R.S. SPECIFICATIONS
1
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 2290, PAGE 2 of 6
PRINTS: HEAD to HEAD
MARGINS: TOP 13mm (1⁄ 2 "), CENTER SIDES.
PAPER: WHITE, WRITING, SUB. 20
INK: BLACK
FLAT SIZE: 648mm (251⁄ 2 ") x 279mm (11") FOLD TO 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON FOLDS
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Version B
Form 2290 (Rev. 7-2008)
Page
2
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
(1)
Annual tax
(vehicles used
during July)
Taxable Gross Weight
(in pounds)
55,000
55,001 – 56,000
56,001 – 57,000
57,001 – 58,000
58,001 – 59,000
59,001 – 60,000
60,001 – 61,000
61,001 – 62,000
62,001 – 63,000
63,001 – 64,000
64,001 – 65,000
65,001 – 66,000
66,001 – 67,000
67,001 – 68,000
68,001 – 69,000
69,001 – 70,000
70,001 – 71,000
71,001 – 72,000
72,001 – 73,000
73,001 – 74,000
74,001 – 75,000
Over 75,000
(a)
Vehicles
Except Logging*
$100.00
122.00
144.00
166.00
188.00
210.00
232.00
254.00
276.00
298.00
320.00
342.00
364.00
386.00
408.00
430.00
452.00
474.00
496.00
518.00
540.00
550.00
(b)
Logging
Vehicles*
$75.00
91.50
108.00
124.50
141.00
157.50
174.00
190.50
207.00
223.50
240.00
256.50
273.00
289.50
306.00
322.50
339.00
355.50
372.00
388.50
405.00
412.50
(2)
Partial-period tax
(vehicles first used after July)
(See the tables on page 10 of
the instructions.)
(a)
Vehicles
Except Logging*
$
(b)
Logging
Vehicles*
(3)
Number of
vehicles
(a)
Vehicles
Except Logging*
(b)
Logging
Vehicles*
$
Totals. Add the number of vehicles in columns (3a) and (3b). Enter the total here
and on Schedule 1, Part III, line a. Add the amounts in column (4). Enter the total
©
here and on Form 2290, line 2
W
(4)
Amount of tax
(col. (1) or (2)
times col. (3))
Category
Category
Tax Computation
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
$
$
Tax-Suspended Vehicles
(See Part II on page 6 of
the instructions.)
Complete both copies of Schedule 1 (Form 2290) and attach them to Form 2290.
* See page 2 of the instructions for information on logging vehicles.
Form
2290
(Rev. 7-2008)
1
(Base — OTC)
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 2290, PAGE 3 of 6
PRINTS: HEAD to HEAD
MARGINS: TOP 13mm (1⁄ 2 "), CENTER SIDES.
PAPER: WHITE, WRITING, SUB. 20
INK: BLACK
FLAT SIZE: 648mm (251⁄ 2 ") x 279mm (11") FOLD TO 218mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON FOLDS
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Version B
SCHEDULE 1
(Form 2290)
(Rev. July 2008)
Department of the Treasury
Internal Revenue Service
Schedule of Heavy Highway Vehicles
For the period July 1, 2008, through June 30, 2009
©
OMB No. 1545-0143
Complete both copies of Schedule 1 and attach them to Form 2290.
© See the Consent to Disclosure of Tax Information on page 2.
Name as shown on Form 2290
Employer identification number
FOR IRS
USE ONLY
–
Type
or
Print
Address (number, street, and room or suite no.)
T
FF
FP
I
T
City, state, and ZIP code (For Canadian or Mexican address, see page 45 of the instructions.)
Caution. You must list all vehicles. Attach a separate list if needed. See page 7 of the instructions.
Part I
Vehicles on Which You Are Reporting Tax. Enter VIN and category.
Category
Vehicles for Which Tax Is Suspended—5,000 Miles or Less (7,500 Miles or Less for
Agricultural Vehicles). Enter VIN.
Category
1
2
3
4
5
Part II
W
1
W
2
Part III
Summary of Reported Vehicles
a Enter the number of taxable vehicles from Form 2290, page 2, column 3, Totals
b Enter the total number of taxable vehicles on which the tax is suspended from Form 2290, page 2, column 3 (category W)
For Privacy Act and Paperwork Reduction Act Notice, see page 9 of the instructions.
Do not cut or separate the forms on this page.
SCHEDULE 1
(Form 2290)
(Rev. July 2008)
Department of the Treasury
Internal Revenue Service
a
b
Schedule 1 (Form 2290) (Rev. 7-2008)
Schedule of Heavy Highway Vehicles
For the period July 1, 2008, through June 30, 2009
OMB No. 1545-0143
This copy will be stamped and returned to you for use as proof of payment when registering
vehicle(s) with a state.
Name as shown on Form 2290
Employer identification number
–
Type
or
Print
Address (number, street, and room or suite no.)
City, state, and ZIP code (For Canadian or Mexican address, see page 5
4 of the instructions.)
Caution. You must list all vehicles. Attach a separate list if needed. See page 7 of the instructions.
Vehicles on Which You Are Reporting Tax. Enter VIN and category.
Part I
Category
1
2
3
4
5
Part II
Vehicles for Which Tax Is Suspended—5,000 Miles or Less (7,500 Miles or Less for
Agricultural Vehicles). Enter VIN.
Category
1
W
2
W
Part III
Summary of Reported Vehicles
a Enter the number of taxable vehicles from Form 2290, page 2, column 3, Totals
b Enter the total number of taxable vehicles on which the tax is suspended from Form 2290, page 2, column 3 (category W)
For Privacy Act and Paperwork Reduction Act Notice, see page 9 of the instructions.
a
b
Schedule 1 (Form 2290) (Rev. 7-2008)
(Change page—Mailout)
I.R.S. SPECIFICATIONS
1
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 2290, PAGE 3 of 6
PRINTS: HEAD to HEAD
MARGINS: TOP 13mm (1⁄ 2 "), CENTER SIDES.
PAPER: WHITE, WRITING, SUB. 20
INK: BLACK
FLAT SIZE: 648mm (251⁄ 2 ") x 279mm (11") FOLD TO 218mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON FOLDS
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Version B
SCHEDULE 1
(Form 2290)
(Rev. July 2008)
Department of the Treasury
Internal Revenue Service
Schedule of Heavy Highway Vehicles
For the period July 1, 2008, through June 30, 2009
©
©
OMB No. 1545-0143
Complete both copies of Schedule 1 and attach them to Form 2290.
See the Consent to Disclosure of Tax Information on page 2.
FOR IRS
USE ONLY
T
FF
FP
I
T
Caution. You must list all vehicles. Attach a separate list if needed. See page 7 of the instructions.
Vehicles on Which You Are Reporting Tax. Enter VIN and category.
Part I
Category
1
2
3
4
5
Part II
Vehicles for Which Tax Is Suspended—5,000 Miles or Less (7,500 Miles or Less for
Agricultural Vehicles). Enter VIN.
W
1
W
2
Part III
Category
Summary of Reported Vehicles
a Enter the number of taxable vehicles from Form 2290, page 2, column 3, Totals
b Enter the total number of taxable vehicles on which the tax is suspended from Form 2290, page 2, column 3 (category W)
For Privacy Act and Paperwork Reduction Act Notice, see page 9 of the instructions.
Do not cut or separate the forms on this page.
SCHEDULE 1
(Form 2290)
(Rev. July 2008)
Department of the Treasury
Internal Revenue Service
a
b
Schedule 1 (Form 2290) (Rev. 7-2008)
Schedule of Heavy Highway Vehicles
For the period July 1, 2008, through June 30, 2009
OMB No. 1545-0143
This copy will be stamped and returned to you for use as proof of payment when registering
vehicle(s) with a state.
Caution. You must list all vehicles. Attach a separate list if needed. See page 7 of the instructions.
Vehicles on Which You Are Reporting Tax. Enter VIN and category.
Part I
Category
1
2
3
4
5
Part II
Vehicles for Which Tax Is Suspended—5,000 Miles or Less (7,500 Miles or Less for
Agricultural Vehicles). Enter VIN.
Category
1
W
2
W
Part III
Summary of Reported Vehicles
a Enter the number of taxable vehicles from Form 2290, page 2, column 3, Totals
b Enter the total number of taxable vehicles on which the tax is suspended from Form 2290, page 2, column 3 (category W)
For Privacy Act and Paperwork Reduction Act Notice, see page 9 of the instructions.
a
b
Schedule 1 (Form 2290) (Rev. 7-2008)
OTC and MAILOUT
I.R.S. SPECIFICATIONS
1
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 2290, PAGE 4 of 6
PRINTS: HEAD to HEAD
MARGINS: TOP 13mm (1⁄ 2 "), CENTER SIDES.
PAPER: WHITE, WRITING, SUB. 20
INK: BLACK
FLAT SIZE: 648mm (251⁄ 2 ") x 279mm (11") FOLD TO 218mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON FOLDS
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Version B
Schedule 1 (Form 2290) (Rev. 7-2008)
Page
2
Consent to Disclosure of Tax Information
For the period July 1, 2008, through June 30, 2009
By signing, dating, and entering my employer identification number below, I hereby
consent to the Internal Revenue Service (IRS) disclosing information about my payment of
the Heavy Highway Vehicle Use Tax (HVUT) for the tax period listed above to the federal
Department of Transportation (DOT), U.S. Customs and Border Protection (CBP), and to
state Departments of Motor Vehicles (DMV). The information disclosed to the DOT, CBP,
and state DMVs will be my Vehicle Identification Number (VIN) and verification that I have
paid the HVUT. The IRS may disclose the information to the DOT, CBP, and to the DMVs
of the 50 states and the District of Columbia who have other taxing, registration, or
information collecting authority.
I understand that the information to be disclosed is generally confidential under the laws
applicable to the IRS and that the agency receiving the HVUT information is not bound by
these laws and may use the information for any purpose as permitted by other federal laws
and/or state law. To be effective, this consent must be submitted to the IRS within 60 days
of the date below.
If signed by a corporate officer or party other than the taxpayer, I certify that I have the
authority to execute this consent to disclosure of tax information.
Sign
Here
©
©
Signature
Type or print name below signature.
©
Date
Employer identification number
Schedule 1 (Form 2290) (Rev. 7-2008)
| File Type | application/pdf |
| Author | OneFormUser |
| File Modified | 2008-04-01 |
| File Created | 2008-04-01 |