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Note: The form, instructions, or publication you are looking 
                    for begins after this coversheet.

                    Please review the information below.

This July 2021 revision is for the tax period beginning on July 1, 2021, and ending on June 
30, 2022. Don’t use this revision if you need to file a return for a tax period that began on or 
before June 30, 2021. To obtain a prior revision of Form 2290 and its separate instructions, 
visit                               www.irs.gov/Form2290. 

    Nota: El formulario, las instrucciones o la publicación que 
          busca se encuentra luego de esta portada.

                 Por favor lea la información a continuación.

Esta revisión de julio de 2021 es para el período tributario que comienza el 1 de julio de 
2021 y termina el 30 de junio de 2022. No use esta revisión si necesita presentar una 
declaración para un período tributario que haya comenzado en o antes del 30 de junio de 
2021. Para obtener una revisión anterior del Formulario 2290(SP) y sus instrucciones por 
separado, visite www.irs.gov/Form2290SP.

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Heavy Highway Vehicle Use Tax Return Keep a copy of this
return for your records.
Form 2290 For the period July 1, 2021, through June 30, 2022
(Rev. July 2021) ▶ Attach both copies of Schedule 1 to this return.
OMB No. 1545-0143
Department of the Treasury ▶ Go to www.irs.gov/Form2290 for instructions and the latest information.
Internal Revenue Service (99)
Name Employer identification number (EIN)

–
Address (number, street, and room or suite no.)
Type
or Print
City or town, state or province, country, and ZIP or foreign postal code

Check if applicable:
Address Change VIN Correction
Check this box if you are correcting a vehicle
identification number (VIN) listed on a previously filed
Amended Return Schedule 1 (Form 2290). Attach an explanation to the
Check this box if reporting (a) additional tax from an return. Don’t check this box for any other reason.
increase in taxable gross vehicle weight or (b) suspended
vehicles exceeding the mileage use limit. Don’t check Final Return
this box for any other reason. Check this box if you no longer have taxable vehicles to
report.
Part I Figuring the Tax
Caution: If you purchased a used vehicle from a private seller, see instructions. Y Y Y Y M M
1 Was the vehicle(s) reported on this return used on public highways duringJuly 2021? If “YES, ”
enter 202107 in the boxes to the right. If “NO, ”see the table on page 3 of the instructions . ▶ 1
2 Tax. Enter the Total from Form 2290, page 2, column (4) . . . . . . . . . . . ▶ 2 .
3 Additional tax from increase in taxable gross weight (see instructions) . . . . . . . ▶ 3 .
4 Total tax. Add lines 2 and 3 . . . . . . . . . . . . . . . . . . . . . ▶ 4 .
5 Credits (Attach supporting documentation. See instructions.) . . . . . . . . . ▶ 5 .
6 Balance due. Subtract line 5 from line 4. This is the amount you owe. Check the applicable
box if payment is through: EFTPS Credit or debit card . . . . . . . . ▶ 6 .
Part II Statement in Support of Suspension (Complete the statements that apply. Attach additional sheets if needed.)
7 I declare that the vehicles reported on Schedule 1 as suspended (category W) 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, 2021, through June 30, 2022, and are suspended from the tax. Complete and attach Schedule 1.

8 a I declare that the vehicles listed as suspended on the Form 2290 filed for the period July 1, 2020, through June 30, 2021, 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, 2020, through June 30, 2021. 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 Do you want to allow another person to discuss this return with the IRS? See instructions. Yes. Complete the following. No
Party Designee’s Phone Personal identification
Designee name ▶ no. ▶ number (PIN) ▶
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, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Sign ▲ ▲
Here
Signature Date
Type or print name below signature. Telephone number
Print/Type preparer’s name Preparer’s signature Date
Paid Check if PTIN
self-employed
Preparer ▶ Firm’s EIN ▶
Firm’s name
Use Only Firm’s address ▶ Phone no.
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11250O Form 2290 (Rev. 7-2021)

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Form 2290 (Rev. 7-2021)                                                                                                                             Page 2 
                                                                    Tax Computation
                                                      (1)                             (2)                                 (3)              (4) 
                                         Annual tax                      Partial-period tax                      Number of              Amount of tax 
                                         (vehicles used                  (vehicles first used after July)           vehicles               (col. (1) or (2) 
                                         during July)                    See the tables at the end of                                      multiplied by      
                                                                         the separate instructions.                                        col. (3))
                                         (a)              (b)            (a)              (b)                (a)              (b) 
 Category Taxable gross weight           Vehicles         Logging        Vehicles         Logging            Vehicles         Logging                          Category
                 (in pounds)             except           vehicles*      except           vehicles*          except           vehicles*
                                         logging*                        logging*                            logging*                                              
A                55,000                  $100.00          $75.00 $                    $                                                $                      A
B         55,001 – 56,000                122.00           91.50                                                                                               B
C         56,001 – 57,000                144.00           108.00                                                                                              C
D         57,001 – 58,000                166.00           124.50                                                                                              D
 E        58,001 – 59,000                188.00           141.00                                                                                              E
 F        59,001 – 60,000                210.00           157.50                                                                                              F
G         60,001 – 61,000                232.00           174.00                                                                                              G
H         61,001 – 62,000                254.00           190.50                                                                                              H
 I        62,001 – 63,000                276.00           207.00                                                                                              I
 J        63,001 – 64,000                298.00           223.50                                                                                              J
K         64,001 – 65,000                320.00           240.00                                                                                              K
 L        65,001 – 66,000                342.00           256.50                                                                                              L
M         66,001 – 67,000                364.00           273.00                                                                                              M
N         67,001 – 68,000                386.00           289.50                                                                                              N
O         68,001 – 69,000                408.00           306.00                                                                                              O
 P        69,001 – 70,000                430.00           322.50                                                                                              P
Q         70,001 – 71,000                452.00           339.00                                                                                              Q
R         71,001 – 72,000                474.00           355.50                                                                                              R
 S        72,001 – 73,000                496.00           372.00                                                                                              S
 T        73,001 – 74,000                518.00           388.50                                                                                              T
U         74,001 – 75,000                540.00           405.00                                                                                              U
 V             over 75,000               550.00           412.50                                                                                              V
Totals.   Add the number of vehicles in columns (3)(a) and (3)(b). Enter the total here.  
(This should be the same total of taxable vehicles shown on Schedule 1, Part II, line 
c.) Add the amounts in column (4). Enter the total here and on Form 2290, line 2               .      ▶                                $
          Tax-Suspended Vehicles  
W         (See Part II on page 7 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. 7-2021)

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SCHEDULE 1                   Schedule of Heavy Highway Vehicles
(Form 2290)                  For the period July 1, 2021, through June 30, 2022                                              OMB No. 1545-0143
(Rev. July 2021)            ▶ Complete and file both copies of Schedule 1. One copy will be stamped and returned to 
Department of the Treasury  
Internal Revenue Service     you for use as proof of payment when registering your vehicle(s) with a state.
                 Name                                                                                     Employer identification number (EIN)

                                                                                                                  –
                 Address (number, street, and room or suite no.)
   Type  
 or Print
                 City or town, state or province, country, and ZIP or foreign postal code                                  Month of first use 
                                                                                                                           (see instructions) 
                                                                                                                        Y     Y Y Y M M

                                                                                                                             Category A through W 
Part I   Vehicles You Are Reporting  (enter VIN and category)                                                                (category W for 
                                                                                                                             suspended vehicles)
1 
2 
3 
4 
5 
6
7
8
9
10
11
12
13 
14 
15 
16 
17
18
19
20
21 
22 
23 
24 
Part II  Summary of Reported Vehicles
a Total number of reported vehicles  . . . . .                  . . . . . .               . . . . . . . . . .     . . .  . .   a 
b Enter the total number of taxable vehicles on which the tax is suspended (category W)                 . . .     . . .  . .   b 
c Total number of taxable vehicles. Subtract line b from line a  .        .               . . . . . . . . . .     . . .  . .   c
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.                Cat. No. 11250O   Schedule 1 (Form 2290) (Rev. 7-2021)

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SCHEDULE 1                   Schedule of Heavy Highway Vehicles
(Form 2290)                  For the period July 1, 2021, through June 30, 2022                                              OMB No. 1545-0143
(Rev. July 2021)            ▶ Complete and file both copies of Schedule 1. One copy will be stamped and returned to 
Department of the Treasury  
Internal Revenue Service     you for use as proof of payment when registering your vehicle(s) with a state.
                 Name                                                                                     Employer identification number (EIN)

                                                                                                                  –
                 Address (number, street, and room or suite no.)
   Type  
 or Print
                 City or town, state or province, country, and ZIP or foreign postal code                                  Month of first use 
                                                                                                                           (see instructions) 
                                                                                                                        Y     Y Y Y M M

                                                                                                                             Category A through W 
Part I   Vehicles You Are Reporting  (enter VIN and category)                                                                (category W for 
                                                                                                                             suspended vehicles)
1 
2 
3 
4 
5 
6
7
8
9
10
11
12
13 
14 
15 
16 
17
18
19
20
21 
22 
23 
24 
Part II  Summary of Reported Vehicles
a Total number of reported vehicles  . . . . .                  . . . . . .               . . . . . . . . . .     . . .  . .   a 
b Enter the total number of taxable vehicles on which the tax is suspended (category W)                 . . .     . . .  . .   b 
c Total number of taxable vehicles. Subtract line b from line a  .        .               . . . . . . . . . .     . . .  . .   c
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.                Cat. No. 11250O   Schedule 1 (Form 2290) (Rev. 7-2021)

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Schedule 1 (Form 2290) (Rev. 7-2021)

Consent to Disclosure of Tax Information
For the period July 1, 2021, through June 30, 2022

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 agree that the American Association of Motor
Vehicle Administrators (AAMVA), a third-party nonprofit organization, may be used as an
intermediary to transmit my VIN and payment information from the IRS to the state DMVs.
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 received by the IRS within 120 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 ▶ ▶
Signature Date
Here ▶ –
Type or print name below signature. Employer identification number (EIN)
Schedule 1 (Form 2290) (Rev. 7-2021)

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Form 2290-V, Payment Voucher

Purpose of Form Box 2. Enter the amount paid from Form 2290, line 6.
Complete Form 2290-V if you are making a payment by Box 3. Enter the date as shown on Form 2290, line 1.
check or money order with Form 2290, Heavy Highway Box 4. Enter your name and address as shown on Form
Vehicle Use Tax Return. We will use Form 2290-V to 2290.
credit your payment more promptly and accurately, and
to improve our service to you. • Enclose your check or money order made payable to
“United States Treasury.” Be sure to enter your EIN,
If you have your return prepared by a third party and a “Form 2290,” and the tax period (the date as shown on
payment is required, provide Form 2290-V to the return line 1 of Form 2290) on your check or money order. Don’t
preparer. send cash. Don’t staple Form 2290-V or your payment to
Don’t file Form 2290-V if you are paying the balance Form 2290 (or to each other).
due on Form 2290, line 6, using the Electronic Federal • Detach Form 2290-V and send it with your payment and
Tax Payment System (EFTPS), credit or debit card, or Form 2290 to the address shown in the bottom left corner
electronic funds withdrawal (direct debit). See How To of Form 2290-V.
Pay the Tax in the Instructions for Form 2290.
Private delivery services (PDSs) can’t deliver
Specific Instructions ¶! items to P.O. boxes. You must use the U.S.
Box 1. If you don’t have an EIN, you may apply for one CAUTION Postal Service to mail any item to an IRS P.O.
online. Go to the IRS website at www.irs.gov/EIN. Only box address.
persons with an address in a foreign country, for example
Canada, may apply for an EIN by calling 267-941-1099 If you are using a PDS or sending a payment
(not a toll-free call). You may also apply for an EIN by ¶! that is drawn from an international financial
faxing or mailing Form SS-4, Application for Employer CAUTION institution, see the instructions for details on
Identification Number, to the IRS. where to send the voucher.

▲ Detach here. ▲

Form Payment Voucher
2290-V For the period July 1, 2021, through June 30, 2022 OMB No. 1545-0143
(Rev. July 2021) ▶ See How To Pay the Tax in the Instructions for Form 2290.
Department of the Treasury ▶ Don’t staple or attach this voucher or your payment to your return.
Internal Revenue Service
1 Employer identification number (EIN) 2 Enter the amount of your payment. Dollars Cents
Make your check or money order payable
– to “United States Treasury”
3 Enter date as shown on line 1 of Form 2290. 4 Name
Y Y Y Y M M
Address (number, street, and room or suite no.)
Send Form 2290, this voucher, and payment to:
Internal Revenue Service City or town, state or province, country, and ZIP or foreign postal code
P.O. Box 932500
Louisville, KY 40293-2500

PDF file checksum: 2454785040

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