Form 309-A - Application For Transporters License - 2006
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Form 309-A
Application for Transporters License
Revised 6-2006
Oklahoma Tax Commission
Post Office Box 26920
Oklahoma City, OK 73126-0920
Registrant Information
License Fee:
$150.00
FEIN/SSN
Operator Number
(includes one cab card)
Additional Cab Cards:
Registrant Name
(Individual, Partnership, Corporation)
______@ $5.00 each =$
Mailing Address
(Street and number, post office box, or rural route box)
$
Total:
Business Address
(Street and Number, post office box, or rural route box)
Please Submit Full
Payment with Application
City
State
Zip
Telephone Number
Transport Information
License Information
“Petroleum transporter” means any person of firm owning, leasing or
New License
Start Date
otherwise controlling the operation of any vehicle or conveyance, other
than railroad cars or pipelines, used in the transportation of measurable
Renewal
License Number
amounts (1% or more by volume) of any product subject to the Gross
Cancel License
Cancel Date
Production Tax.
Gross Production Surety Required (Form BT-158). Contact (405) 521-
Add/Cancel Cab Cards ($5.00 per Card)
3647, or download Form BT-158 from our website @
Location
Storage Tanks
County
Tank
Tank
Product
(Give specific directions from nearest city or town)
Number
Capacity
Type
Truck Information:
list all trucks, owned or leased
Make
Unit
Type
Model
Vehicle Identification
License
Tag
Trailer
Number
of Truck
Year
Number
Tag Number
Year
Capacity
Please attach schedule if more space is needed on either list above.
I declare under penalty of perjury that to the best of my knowledge the above information is true and correct. I also understand that I
must submit changes when any of the above information changes.
Signature
Title
Date
Office Use Only
License Number
Amount of Surety
Type of Surety
Expiration
Amount
Approved
DLN Number
Date
of Fee
By
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Parent category: Financial