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Kentucky Weight Distance Tax
(WDT) Form
Step 1.
Form
Step 2.
Payment
USDOT# Number:
Email address:
Business Phone Number:
Who is Filing the Form?
Legal name:
DBA:
Physical country:
Physical state:
Physical city:
Physical address:
Physical zip code:
Mailing Address is the Same as Physical Address.
Mailing country:
Mailing state:
Mailing city:
Mailing address:
Mailing zip code:
Billing Address is the Same as Physical Address.
Billing country:
Billing state:
Billing city:
Billing address:
Billing zip code:
Are You the Owner of the Company?
Company owner name:
Carrier Tax ID type:
FEIN - US
SSN - US
EIN - Canadian
SIN - Canadian
Carrier Tax ID:
Business Type:
Sole Proprietor
Corporation
Partnership
Limited Liability Company (LLC)
Other
Other Business Type:
KYU permit:
KIT permit:
Have you ever had a KIT licence issued to you in another name?
KIT licence another name:
KIT number:
Was the license cancelled in good standing?
I certify that I am the authorized holder and signer of the credit card reference above. I certify that all information above is complete and accurate.
I hereby authorize collection of payment for all charges as indicated above. Charges may not exceed the amount listed above in the “TOTAL COST” field. I understand this is only for up to this amount on the date listed below in the "DATE SIGNED" field. If additional charges are going to be authorized a new form will have to be completed.
The “TOTAL COST” includes all Federal, State and Local Government fees.
I hereby, acknowledge and agree that after the charges are authorized a DOT OPERATIONS INC agent is assigned in 15 minutes to run the order. Once the agent is assigned the charges become non-refundable.
IFTA - The fee for this permit is $95:
KIT - The fee for this permit is $95:
KYU - The fee for this permit is $95:
IRP < 55,000 lbs. - The fee for this permit is $95:
IRP > 55,000 lbs. - The fee for this permit is $95:
Signature:
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