Form 2290 (Rev. July 2017)

Attention: You must file this form 2290 (Rev. july 2017 ) for the tax period beginning on july 1, 2017 , and ending on June 30, 2018. Don't use this revision if you need to file a return for a tax period that began on or before June 30, 2017 . To obtain a prior revision of form 2290 and its separate instructions, visit . PAGE INTENTIONALLY LEFT 2290(Rev. july 2017 )Department of the Treasury internal revenue Service (99)Heavy Highway Vehicle Use Tax ReturnFor the period july 1, 2017 , through June 30, 2018 Attach both copies of Schedule 1 to this return. Information about form 2290 and its separate instructions is at a copy of this return for your No. 1545-0143 Type or PrintNameEmployer identification number Address (number, street, and room or suite no.)City or town, state or province, country, and ZIP or foreign postal codeCheck if applicable:Address ChangeVIN Correction Check this box if you are correcting a vehicle identification number (VIN) listed on a previously filed Schedule 1 ( form 2290).

Form 2290 (Rev. July 2017) Department of the Treasury Internal Revenue Service (99)

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