Excise Tax Division - Contact Information Update Form

In an effort to ensure taxpayer's contact information is valid and up to date, the Department of Revenue Excise Tax Division is requesting that registered Motor Carriers submit their updated contact information.  This information includes changes to the legal name, trade name, physical address, mailing address , contact phone number, and email address.


Please complete the form below to submit these changes:

Physical Address
Mailing Address
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