Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and, to 

knowledge and belief, they are true, correct, and complete.

Signature

Type or print name below signature.

For Privacy Act and Paperwork Reduction Act Notice, see page 8 of the instructions. Cat. No. 11250O Form 2290 

T

FF

FP

I

Check here if:

City, state, and ZIP code (for Canadian or Mexican address, see page 4 of the instructions.)

Address (number, street, and room or suite no.)

 Detach here 

OMB No

Form 2290-V

Department of the Treasury

Internal Revenue Service

Payment Voucher

1

4 Name

Do not staple or attach this voucher or your payment to your return.

Address

(99)

See How To Make Your Payment on page 6 of the instructions.

Employer identification number 2

Send Form 2290, this voucher, and payment to:

Internal Revenue Service

P.O. Box 105421

Atlanta, GA 30348-5421

Telephone number ( )

3 Enter date as shown on line 1 of Form 2290.

(Rev. July 2006)

yp

or Print

Address

change

Final return

YYYM

For the period July 1, 2006, through June 30, 2007

T

Was the vehicle(s) reported on this return used on public highways during July 2006? If YES,

enter 200607 in the boxes to the right. If NO, see the table on page 3 of the instructions 

Tax. Enter the Total from Form 2290, page 2, column (4)

1

Additional tax from increase in taxable gross weight. See page 4 of the instructions 

2

Credits. See page 5 of the instructions 

3

Balance due. Subtract line 5 from line 4. This is the amount you owe. If payment through

EFTPS, check here 

5

6

I declare that the vehicles listed in Part II of Schedule 1 are expected to be used on public highways (check the 

apply):

7

8a I declare that the vehicles listed as suspended on the Form 2290 filed for the period July 1, 2005, through June 30, 20

subject to the tax for that period except for any vehicles listed on line 8b. Check this box if applicable. 

9 I declare that vehicle identification numbers

were listed as suspended on the Form 2290 filed for the period July 1, 2005, through June 30, 2006. These vehicles were sol

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.

5,000 miles or less 7,500 miles or less for agricultural vehicles

during the period July 1, 2006, through June 30, 2007, and are suspended from the tax. Complete and attach Schedu

Part I

Part II

Figuring the Tax

Y 

Statement in Support of Suspension (Complete the statements that apply. Attach additional sheets 

1

2

3

5

6

Y Y

City, state, and ZIP code (for Canadian or Mexican address, see instructions.)

Y M

b Vehicle identification numbers

Sign

Here Date

Enter the amount of your payment.

Dollars 

Third

Party

Designee Designee’s

name 

Do you want to allow another person to discuss this return with the IRS (see instructions)?

Phone

no. ( )

Yes. Complete the fo

Personal identification

number (PIN) 

4 Total tax. Add lines 2 and 3 4
the instructions.)

(b)

Logging 

Vehicles*

(a)

Vehicles 

Except Logging*

(b)

Logging 

Vehicles*

(a)

Vehicles

Except Logging*

(b)

Logging 

Vehicles*

(a)

Vehicles

Except Logging* Taxable Gross Weight

(in pounds)

55,000 $100.00 $75.00 

55,001 – 56,000 122.00 91.50 

56,001 – 57,000 144.00 108.00 

57,001 – 58,000 166.00 124.50 

58,001 – 59,000 188.00 141.00 

59,001 – 60,000 210.00 157.50 

60,001 – 61,000 232.00 174.00 

61,001 – 62,000 254.00 190.50 

62,001 – 63,000 276.00 207.00 

63,001 – 64,000 298.00 223.50 

64,001 – 65,000 320.00 240.00 

65,001 – 66,000 342.00 256.50 

66,001 – 67,000 364.00 273.00 

67,001 – 68,000 386.00 289.50 

68,001 – 69,000 408.00 306.00 

69,001 – 70,000 430.00 322.50 

70,001 – 71,000 452.00 339.00 

71,001 – 72,000 474.00 355.50 

72,001 – 73,000 496.00 372.00 

73,001 – 74,000 518.00 388.50 

74,001 – 75,000 540.00 405.00 

Over 75,000 550.00 412.50 

Tax-Suspended Vehicles

(See Part II on page 5 of

the instructions.)

W

* See page 2 of the instructions for information on logging vehicles. Reduced rates no longer apply to Canadian/Mexican vehicles.

Totals. Add the number of vehicles in columns (3a) and (3b). Enter the total

here and on Schedule 1, Part III, line a. Add the amounts in column (4). Enter

the total here and on Form 2290, line 2

Complete both copies of Schedule 1 (Form 2290) and attach them to Form 2290.

$$ $

$

Form 2290 

Categor

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V
T

FF

FP

I

T

Vehicles on Which You Are Reporting Tax. See page 6 of the instructions.

Vehicle Identification Number Category Vehicle Identification Number 

1 7

2 8

3 9

Vehicles for Which Tax Is Suspended—5,000 Miles or Less (7,500 Miles or Less for Agricultur

Vehicles). See page 6 of the instructions.

Vehicle Identification Number Category Vehicle Identification Number 

1 W 2 

4 10

Summary of Reported Vehicles

Enter the number of taxable vehicles from Form 2290, page 2, column 3, Totals 

Enter the total number of taxable vehicles on which the tax is suspended from Form 2290, page 2, column 3 (category W) 

For Privacy Act and Paperwork Reduction Act Notice, see page 8 of the instructions.

SCHEDULE 1 Schedule of Heavy Highway Vehicles (Form 2290) For the period July 1, 2006, through June 30, 2007 OMB 

(Rev. July 2006)

Vehicles on Which You Are Reporting Tax. See page 6 of the instructions.

Vehicle Identification Number Category Vehicle Identification Number 

1 7

2 8

3 9

Vehicles for Which Tax Is Suspended—5,000 Miles or Less (7,500 Miles or Less for Agricultur

Vehicles). See page 6 of the instructions.

Vehicle Identification Number Category Vehicle Identification Number 

1 W 2 

4 10

Summary of Reported Vehicles

a Enter the number of taxable vehicles from Form 2290, page 2, column 3, Totals

b Enter the total number of taxable vehicles on which the tax is suspended from Form 2290, page 2, column 3 (category W)

For Privacy Act and Paperwork Reduction Act Notice, see page 8 of the instructions.

This copy will be stamped and returned to you for use as proof of payment when registering

vehicle(s) with a state.

Part III

Part I

Part II

Part III

Part I

Part II

Department of the Treasury

Internal Revenue Service

Type

or

Print

Address (number, street, and room or suite no.)

City, state, and ZIP code (for Canadian or Mexican address, see page 4 of the instructions.)

Name as shown on Form 2290 Employer identification number

Type

or

Print

Address (number, street, and room or suite no.)

Do not cut or separate the forms on this page.

a

b

City, state, and ZIP code (for Canadian or Mexican address, see page 4 of the instructions.)

Caution: You must list all vehicles. Attach a separate list if needed.

Caution: You must list all vehicles. Attach a separate list if needed.

5 11

6 12

5 11

6 12

Schedule 1 (Form 2290) 

Schedule 1 (Form 2290)