{{ Cognito.resources['order-number-label'] }}: {binding displayValue}

{{ Cognito.resources['order-date-label'] }}: {binding displayValue}

{{ Cognito.resources['order-method-label'] }}: {binding MethodReference}

{binding BillingName}

{binding BillingAddress.FullInternationalAddress}

{binding EmailAddress}

{binding Group}
{binding Name} - {binding Description}	{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}	{binding displayValue}
{binding Name}:	{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}
{{ Cognito.resources['order-amount-paid'] }}:	({binding displayValue})
{{ Cognito.resources['order-balance-due-label'] }}:	{binding displayValue}

Which period are you filing for?

Name of person completing this form {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

FILING STATUS NOTIFICATIONS:

In an effort to provide status updates of your Heavy Vehicle Use Tax filing, we require a working email address and / or cell phone number where you'll receive filing notifications.

This will keep you informed whether your application is pending or it has been processed by the IRS.

Select how would you like to receive notifications: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Enter Cell Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Enter Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Company Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Company Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Has your company address changed in the past 12 months? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If your company address has changed in the previous 12 months you need to update it with the IRS to receive filing confirmations

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

DOT {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

FEIN {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

How many vehicles are you filing the Highway Use Tax for?

Number of Vehicles {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

If you are exempt you do not need to pay the 2290 tax, but you must still file the application with the IRS.

Vehicle Information

Vehicles

Vehicle {binding ItemNumber}

Make {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Model {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Year {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date of Purchase of Vehicle {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

First Used Month and Year {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

How will you provide a VIN number? (please select) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

VIN# (Vehicle Identification Number) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Confirm VIN # {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Registration or Previous 2290 Filing (must clearly show VIN# ) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Is this vehicle use for transporting logs, wood, lumber? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Tax due for this vehicle (non-logging): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Tax due for this vehicle (logging): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Click Add Vehicle to add more vehicles

As an exempt motor carrier, you are not required to provide any banking information. Please continue to the next section. Your Highway Use Tax application will be filed and you will only need to pay the processing fee. You do not need to pay the HUT 2290 Tax due to the IRS.

Select Form of Highway Use Tax payment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Bank Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Bank Account Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Retype Bank Account Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Routing Transit Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

The IRS will debit this bank account on or after July 1st of each filing year.

Important:
At the moment, we are unable to process Canadian and non-U.S. bank institutions' account / routing numbers. If you're using Canadian or non-U.S. banking information for payment processing, please call us at (240) 544-0883 Monday - Friday between 9am - 5pm CST to process the application over the phone.

Please check off consent agreement below.

{binding IHerebyDeclareThatTheBankInformationFurnishedByMeIsTrueToMyKnowledgeAndIAuthorizeHoffenmerToFurnishMyAccountInformationToIRSToCollectHighwayUseTaxForYearHighwayUseTaxPeriod_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

2022 UCR

2022 UCR Selection: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Did you know that you can obtain a certificate of UCR filing?
To obtain the Certificate of UCR filing select Yes to Add UCR Certificate below. Once 2022 UCR filing is complete you'll obtain a mailed certificate and an ID card.

Enter the number of vehicles in your fleet which leave the state: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

2022 UCR Fee + Filing Fee {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Add UCR Certificate(s) ($45+) ? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

2022 UCR Fee + Filing Fee {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

In 2022 UCR registration Certifications and ID cards are offered to motor carriers.

UCR registration Certificates may be kept on file in your company as proof of filing the 2022 UCR. UCR ID cards are 2.5'' x 3.25'' laminated documents that can be carried inside your vehicles as proof of compliance with the 2022 UCR mandate which will be enforced by state troopers and other state agents commencing January 1, 2022.

Both UCR Certificate and UCR ID cards will have your UCR verification code printed on them.

2022 UCR Fee + Filing Fee {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

CONFIRMATION & PROCESSING FEE

1: 2290 FILING FEE

The Processing Fee is collected right now.
The HUT 2290 Tax will be collected by the IRS once your application is approved by the IRS.

Vehicle Processing Fee {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

2: CONFIRMATION OF FILING

Notes {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Filing Confirmation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please select how you would like to receive a confirmation of filing.

3: PROCESSING TIME

Processing time {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please select a processing time. Expedited processing guarantees same-day filing within 4 hours if filed betweem 8 AM and 5 PM Central Time, Monday through Friday.

Asst Agent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Which period are you filing for?

Vehicle Information

Vehicles

Vehicle {binding ItemNumber}

2022 UCR

CONFIRMATION & PROCESSING FEE

1: 2290 FILING FEE

2: CONFIRMATION OF FILING

3: PROCESSING TIME

{~ Payment_Block_Label}

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-billing-info-header'] }}

Which period are you filing for?

Vehicle Information

Vehicles

Vehicle {binding ItemNumber}

2022 UCR

CONFIRMATION & PROCESSING FEE

1: 2290 FILING FEE

2: CONFIRMATION OF FILING

3: PROCESSING TIME

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-billing-info-header'] }}

Which period are you filing for?

Vehicle Information

Vehicles

Vehicle {binding ItemNumber}

2022 UCR

CONFIRMATION & PROCESSING FEE

1: 2290 FILING FEE

2: CONFIRMATION OF FILING

3: PROCESSING TIME