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');document.write(' Contact Information');document.write('
');document.write(' Please give us accurate contact information to reach you.');document.write('
');document.write(' Your Name *');document.write('	');document.write(' ');document.write('
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');document.write(' Fax');document.write('	');document.write(' ');document.write('
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');document.write(' Equipment Information');document.write('
');document.write(' Please enter your vehicle information with accuracy as permits must be re-issued if in error.');document.write('
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');document.write(' MAKE *');document.write('	');document.write(' ');document.write('
');document.write(' VIN (17 DIGITS) ALL CAPS PLEASE *');document.write('	');document.write(' ');document.write('
');document.write(' TYPE OF VEHICLE *');document.write('	');document.write(' ');document.write('
');document.write(' How Many Axles? *');document.write('	');document.write(' ');document.write('
');document.write(' Are you registered with IFTA?(International Fuel Tax Agreement) *');document.write('	');document.write(' ');document.write('
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');document.write(' License Plate Number *');document.write('	');document.write(' ');document.write('
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');document.write(' Gross Vehicle Weight? *');document.write('	');document.write(' ');document.write('
');document.write(' Is the vehicle Owned or Leased? *');document.write('	');document.write(' ');document.write('
');document.write(' Do you haul automotive fuel? *');document.write('	');document.write(' ');document.write('
');document.write(' ');document.write(' ');document.write('
');document.write(' ');document.write(' Note: Most completed documents will be sent to the email address provided unless otherwise specified.');document.write('

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');document.write(' New York HUT Registration');document.write('
');document.write(' This form must be completed if you have never had a NYHUT permit in your company name before. New York also required the Social Security # of the principle owner/officer IN ADDITION to the TAX ID number(if provided)');document.write('
');document.write(' Officer/Owner's Name *');document.write('	');document.write(' ');document.write('
');document.write(' Officer/Owner's Social Security Number *');document.write('	');document.write(' ');document.write('
');document.write(' Officer/Owners Street Address *');document.write('	');document.write(' ');document.write('
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');document.write(' Officer/Owner's State *');document.write('	');document.write(' ');document.write('
');document.write(' Officer/Owner's Zip *');document.write('	');document.write(' ');document.write('
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');document.write(' Your Name *');document.write('	');document.write(' ');document.write('
');document.write(' Your Company Name *');document.write('	');document.write(' ');document.write('
');document.write(' Fax');document.write('	');document.write(' ');document.write('
');document.write(' Phone');document.write('	');document.write(' ');document.write('
');document.write(' Email *');document.write('	');document.write(' ');document.write('
');document.write(' Business Type *');document.write('	');document.write(' ');document.write('
');document.write(' If Corporation, In what State? *');document.write('	');document.write(' ');document.write('
');document.write(' USDOT NUMBER *');document.write('	');document.write(' ');document.write('
');document.write(' FEIN (Tax ID Number) or Social Sec Number *');document.write('	');document.write(' ');document.write('
');document.write(' Is this an FEIN or Soc Sec Number? *');document.write('	');document.write(' ');document.write('
');document.write(' UNIT # *');document.write('	');document.write(' ');document.write('
');document.write(' YEAR *');document.write('	');document.write(' ');document.write('
');document.write(' MAKE *');document.write('	');document.write(' ');document.write('
');document.write(' VIN (17 DIGITS) ALL CAPS PLEASE *');document.write('	');document.write(' ');document.write('
');document.write(' TYPE OF VEHICLE *');document.write('	');document.write(' ');document.write('
');document.write(' How Many Axles? *');document.write('	');document.write(' ');document.write('
');document.write(' Are you registered with IFTA?(International Fuel Tax Agreement) *');document.write('	');document.write(' ');document.write('
');document.write(' Are you Apportioned? *');document.write('	');document.write(' ');document.write('
');document.write(' License Plate Number *');document.write('	');document.write(' ');document.write('
');document.write(' Type of Fuel? *');document.write('	');document.write(' ');document.write('
');document.write(' Unladen Weight? *');document.write('	');document.write(' ');document.write('
');document.write(' Gross Vehicle Weight? *');document.write('	');document.write(' ');document.write('
');document.write(' Is the vehicle Owned or Leased? *');document.write('	');document.write(' ');document.write('
');document.write(' Do you haul automotive fuel? *');document.write('	');document.write(' ');document.write('
');document.write(' If you have a spreadsheet or electronic documents to assist in your order, feel free to upload them here. *');document.write('	');document.write(' ');document.write('
');document.write(' Officer/Owner's Name *');document.write('	');document.write(' ');document.write('
');document.write(' Officer/Owner's Social Security Number *');document.write('	');document.write(' ');document.write('
');document.write(' Officer/Owners Street Address *');document.write('	');document.write(' ');document.write('
');document.write(' Officer/Owner's City *');document.write('	');document.write(' ');document.write('
');document.write(' Officer/Owner's State *');document.write('	');document.write(' ');document.write('
');document.write(' Officer/Owner's Zip *');document.write('	');document.write(' ');document.write('
');document.write(' Comments');document.write('	');document.write(' ');document.write('
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');document.write('');document.write('');document.write('');

');document.write(' Compliance Information');document.write('
');document.write(' Please provide the following.');document.write('
');document.write(' USDOT NUMBER *');document.write('	');document.write(' ');document.write('
');document.write(' FEIN (Tax ID Number) or Social Sec Number *');document.write('	');document.write(' ');document.write('
');document.write(' Is this an FEIN or Soc Sec Number? *');document.write('	');document.write(' ');document.write('
');document.write(' ');document.write(' ');document.write('
');document.write(' ');document.write(' Note: Most completed documents will be sent to the email address provided unless otherwise specified.');document.write('

');document.write(' Your Operation');document.write('
');document.write(' Please tell us about your operation.');document.write('
');document.write(' If you have a spreadsheet or electronic documents to assist in your order, feel free to upload them here. *');document.write('	');document.write(' ');document.write('
');document.write(' ');document.write(' ');document.write('
');document.write(' ');document.write(' Note: Most completed documents will be sent to the email address provided unless otherwise specified.');document.write('

');document.write(' Comments');document.write('
');document.write(' Provide any comments that would assist us in providing you the best in service.');document.write('
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');document.write(' ');document.write(' Thank you for choosing NYHUT.com');document.write('