SS in X
L
box if
Mark temporary plate no.
K Plate number
plate number
State and license (required; see instr.)
Page_______ of _______ pages Social security number State
)
OR
J
Owner number (optional
equipment
Suffix, if any
I or Own Lease Own Lease Own Lease Own Lease Own Lease Own Lease Own Lease Own Lease Own Lease Own Lease
Own lease
for help in completing the information required below.
H
Gross weight
of vehicle
G
weight
Unloaded of vehicle
Employer identification number
F
Year
Instructions for Form TMT-1,
E
Make of vehicle
Taxpayer identification number
CNG Electric Flex Other CNG Electric Flex Other CNG Electric Flex Other CNG Electric Flex Other CNG Electric Flex Other CNG Electric Flex Other CNG Electric Flex Other CNG Electric Flex Other CNG Electric Flex Other CNG Electric Flex Other
D fuel
Type of
Diesel Gas Propane None Diesel Gas Propane None Diesel Gas Propane None Diesel Gas Propane None Diesel Gas Propane None Diesel Gas Propane None Diesel Gas Propane None Diesel Gas Propane None Diesel Gas Propane None Diesel Gas Propane None
C
Type of vehicle Tractor Truck Trailer (AFC) Tractor Truck Trailer (AFC) Tractor Truck Trailer (AFC) Tractor Truck Trailer (AFC) Tractor Truck Trailer (AFC) Tractor Truck Trailer (AFC) Tractor Truck Trailer (AFC) Tractor Truck Trailer (AFC) Tractor Truck Trailer (AFC) Tractor Truck Trailer (AFC)
Department of Taxation and Finance Continuation Sheet for Form TMT-1
Read the line 17 instructions in Form TMT-1-I,
(8/15)
B
TMT-1.1 Manufacturer’s number ( VIN )
vehicle identification
Application for Highway Use Tax (HUT) and Automotive Fuel Carrier (AFC) Certificates of Registration (C of R) and Decals
A HUT AFC HUT AFC HUT AFC HUT AFC HUT AFC HUT AFC HUT AFC HUT AFC HUT AFC HUT AFC
Type
1 2 3 4 5 6 7 8 9
Legal name Type or print your entries in ink. All vehicles with HUT or AFC credentials must display decals. 10