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00 I hereby certify that the highway use tax and/or automotive fuel carrier credentials have been lost mutilated or destroyed for the vehicles listed. Date Signature Title Carriers should immediately order a duplicate highway use tax and/or automotive fuel carrier certificate of registration to replace one that has been lost mutilated or destroyed. Instructions Complete and submit this form TMT-334 and remit 2. TMT-334 New York State Department of Taxation and Finance Application for Duplicate and/or Replacement Highway Use Tax and/or Automotive Fuel Carrier Certificate s of Registration and/or Decals 9/12 For office use only Number of Total amount Deposit number You can request duplicate certificate s of registration C of R online at www. oscar. ny. gov. Federal employer identification number FEIN Social security number SSN or U*S* DOT number Legal name Telephone number Mailing address Current highway use tax and/or automotive fuel carrier certificate number City License Plate State ZIP code Check item Manufacturer s serial number Duplicate C of R Replacement C of R and decal 4. 00 for each duplicate certificate of registration C of R. Make your check or money order payable in U*S* funds to Commissioner of Taxation and Finance. Mail application and payment to NYS TAX DEPARTMENT HUT/IFTA APPLICATION DEPOSIT UNIT W A HARRIMAN CAMPUS ALBANY NY 12227 You must report any changes in your business name and certain other information on Form DTF-95 Business Tax Account Update. If only your address has changed you may change it online or on Form DTF-96 Report of Address Change for Business Tax Accounts. Privacy notification Need help Visit our Web site at www. tax. ny. gov for information forms and online services Miscellaneous Tax Information Center 518 457-5735 To order forms and publications Text Telephone TTY Hotline for persons with hearing and speech disabilities using a TTY The Commissioner of Taxation and Finance may collect and maintain personal information pursuant to the New York State Tax Law including but not limited to sections 5-a 171 171-a 287 308 429 475 505 697 1096 1142 and 1415 of that Law and may require disclosure of social security numbers pursuant to 42 USC 405 c 2 C i. This information will be used to determine and administer tax liabilities and when authorized by law for certain tax offset and exchange of tax information programs as well as for any other lawful purpose. Information concerning quarterly wages paid to employees is provided to certain state agencies for purposes of fraud prevention support enforcement evaluation of the effectiveness of certain employment and training programs and other purposes authorized by law. Failure to provide the required information may subject you to civil or criminal penalties or both under the Tax Law. TMT-334 New York State Department of Taxation and Finance Application for Duplicate and/or Replacement Highway Use Tax and/or Automotive Fuel Carrier Certificate s of Registration and/or Decals 9/12 For office use only Number of Total amount Deposit number You can request duplicate certificate s of registration C of R online at www. oscar. ny. gov. Federal employer identification number FEIN Social security number SSN or U*S* DOT number Legal name Telephone number Mailing address Current highway use tax and/or automotive fuel carrier certificate number City License Plate State ZIP code Check item Manufacturer s serial number Duplicate C of R Replacement C of R and decal 4.

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