Form 5095 PDF Details

The purchaser (or individual named in the lease agreement) holds itself out to the public as engaging in “for hire” transportation of exempt commodities, passengers, or property of others.

Lease: if a lease agreement is involved, the lease is for at least 30 days.

Interstate commerce: registered with the Federal Motor Carrier Safety Administration (FMCSA).

Intrastate commerce: registered with the Missouri Division of Motor Carrier Services.

Declaration: under penalties of perjury, I declare that the information I have provided, and any attached supplement, is true, correct, and complete.

QuestionAnswer
Form Name Form 5095
Form Length 1 page
Fillable? Yes
Fillable fields 46
Avg. time to fill out 8 min
Other names 5095, Form 5095, MO 5095, Missouri Form 5095, Sales Tax Exemption Statement For Authorized Common Carriers, common carrier form
Edition06-2026
Where to sendMotor Vehicle Bureau, P.O. Box 100, Jefferson City, MO 65105-0100
Who signsThe purchaser (or authorized agent)
Matches the agency's fileYes, checked October 1, 2026
Official sourceForm 5095 (Rev 06-2026), Missouri Department of Revenue