Form 51A160 Application for Truck Part Direct Pay Authorization - Kentucky

Form 51A160 is a Kentucky Department of Revenue form also known as the "Application For Truck Part Direct Pay Authorization". The latest edition of the form was released in March 1, 2005 and is available for digital filing.

Download a PDF version of the Form 51A160 down below or find it on Kentucky Department of Revenue Forms website.

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51A160 (3-05)
APPLICATION FOR TRUCK PART
Commonwealth of Kentucky
DIRECT PAY AUTHORIZATION
DEPARTMENT OF REVENUE
Enter Legal Business Name
Federal Employer Identification No.
Name of
__ __ – __ __ __ __ __ __ __
Applicant
Trade or DBA Name
Business
Location
Principal Location Address
City
County
State
ZIP Code
Mailing
Address
Mailing Address
City
County
State
ZIP Code
(
)
(
)
Telephone Number
Fax Number
E-mail Address
Kentucky Account Numbers
Account
Kentucky Sales Tax*
Kentucky Employer's Withholding
Information
Kentucky Consumers Use Tax*
Kentucky Corporation Income
(*Applicant must have one of these accounts to qualify.)
and License
(1)
Provide a brief description of the Kentucky business activity.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Other
(2)
Provide the applicant's USDOT Number. ____________________
Information
(3)
Indicate below how many motor vehicles the applicant owns or leases that will qualify for the repair and
replacement part exemption provided under KRS 139.480(32). To qualify, the vehicles must be (a) licensed
for highway use at a declared weight with any towed unit of 44,001 pounds or greater, (b) driven
exclusively in interstate routes involving more than one state (nominal intrastate use is allowed), and
(c) for the conveyance of property or passengers for hire.
Truck Tractors ____________
Trailers
____________
Other
____________
(Describe vehicle type) _____________________________________
(4)
Business records must track the amount of truck repair and replacement parts purchased from a Kentucky
vendor or from an out-of-state vendor for storage, use, or other consumption in this state. Attach a detailed
description of the documentation maintained that reflects the proper amount of taxable purchases.
I hereby certify that the above statements are correct to the best of my knowledge and belief and that I am duly authorized to sign this application. I agree
that, in consideration for issuance of this Truck Part Direct Pay Authorization, I will directly report and pay to the Department of Revenue, the sales or
use tax that would have been remitted to the department by my supplier had this Truck Part Direct Pay Authorization not been issued.
Mail to:
KY Department of Revenue
Signature
Title
Sales and Use Tax Division
P.O. Box 181
Print Name
Date
Frankfort, KY 40602-0181
51A160 (3-05)
APPLICATION FOR TRUCK PART
Commonwealth of Kentucky
DIRECT PAY AUTHORIZATION
DEPARTMENT OF REVENUE
Enter Legal Business Name
Federal Employer Identification No.
Name of
__ __ – __ __ __ __ __ __ __
Applicant
Trade or DBA Name
Business
Location
Principal Location Address
City
County
State
ZIP Code
Mailing
Address
Mailing Address
City
County
State
ZIP Code
(
)
(
)
Telephone Number
Fax Number
E-mail Address
Kentucky Account Numbers
Account
Kentucky Sales Tax*
Kentucky Employer's Withholding
Information
Kentucky Consumers Use Tax*
Kentucky Corporation Income
(*Applicant must have one of these accounts to qualify.)
and License
(1)
Provide a brief description of the Kentucky business activity.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Other
(2)
Provide the applicant's USDOT Number. ____________________
Information
(3)
Indicate below how many motor vehicles the applicant owns or leases that will qualify for the repair and
replacement part exemption provided under KRS 139.480(32). To qualify, the vehicles must be (a) licensed
for highway use at a declared weight with any towed unit of 44,001 pounds or greater, (b) driven
exclusively in interstate routes involving more than one state (nominal intrastate use is allowed), and
(c) for the conveyance of property or passengers for hire.
Truck Tractors ____________
Trailers
____________
Other
____________
(Describe vehicle type) _____________________________________
(4)
Business records must track the amount of truck repair and replacement parts purchased from a Kentucky
vendor or from an out-of-state vendor for storage, use, or other consumption in this state. Attach a detailed
description of the documentation maintained that reflects the proper amount of taxable purchases.
I hereby certify that the above statements are correct to the best of my knowledge and belief and that I am duly authorized to sign this application. I agree
that, in consideration for issuance of this Truck Part Direct Pay Authorization, I will directly report and pay to the Department of Revenue, the sales or
use tax that would have been remitted to the department by my supplier had this Truck Part Direct Pay Authorization not been issued.
Mail to:
KY Department of Revenue
Signature
Title
Sales and Use Tax Division
P.O. Box 181
Print Name
Date
Frankfort, KY 40602-0181

Download Form 51A160 Application for Truck Part Direct Pay Authorization - Kentucky

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