2019 HM docx-2025

1. Click ‘Get Form’ to open the 2019 HM docx in the editor.
2. Begin by entering your Owner’s Name in the designated field, ensuring you include your last name, first name, and middle initial.
3. Fill in your Account Number and Mailing Address accurately to ensure proper processing of your application.
4. Provide your Daytime Phone Number, City, State, and Zip Code for contact purposes.
5. Enter your Email address for any correspondence regarding your application.
6. Complete the Vehicle details by specifying the Year, Make, Model, License Plate Number, and VIN (Vehicle Identification Number).
7. Indicate whether you are using a FEIN or SS# and provide the Title Number if applicable.
8. Input the Odometer Reading as of January 1 or Purchase Date to verify high mileage eligibility.
9. Review all information for accuracy before signing and dating the application at the bottom of the form.
10. Attach copies of required proof documents such as oil change receipts or detailed mileage logs. Do not send originals.
11. Submit your completed application along with documentation to the Commissioner of the Revenue Office by May 1, 2025.

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