Form Mfut-15 - Ifta Quarterly Return

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MFUT-15
IFTA Quarterly Return
Account no.: IL __ __ __ __ __ __ __ __ __ __ __
Report quarter ending: __ __ /__ __ /__ __ __ __
_________________________________________________
Due date
: __ __ /__ __ /__ __ __ __
Legal name
(month/day/year)
__________________________________________________
Step 1: Figure your miles per gallon
Trade (DBA) name
A
B
C
Fuel Type
Total miles traveled Total fuel consumed
Avg. fleet MPG
__________________________________________________
(See Fuel
everywhere
everywhere
(2 decimal places)
Address
Type Table)
÷
__________________________________________________
D-Diesel
______________
______________ = ______________
÷
G-Gasoline
______________
______________ = ______________
Address
÷
GH-Gasohol ______________
______________ = ______________
__________________________________________________
÷
P-Propane
______________
______________ = ______________
City
State
ZIP
÷
__________ ______________
______________ = ______________
÷
Check here if you have changed or updated this information.
__________ ______________
______________ = ______________
÷
__________ ______________
______________ =______________
Step 2: Tell us your filing status
(Check all that apply.) You must file a return even if there was no activity.
_ _
_ _
_ _ _
___ Quarterly filing
___ Amended
___ No operation
___ Cancel fuel license, effective
/
/
_
month day
year
Step 3: Figure your tax due or credit claimed
(Round to nearest gallon and mile. Indicate credit in brackets.)
D
E
F
G
H
I
J
K
L
M
Juris-
Fuel
Total
Taxable
Taxable
Tax-paid
Net taxable
Tax
Tax or credit
Interest
diction
type
miles
miles
gallons
gallons
gallons
rate
due
due
(See Fuel
(Divide Column G by
(Subtract Column I
(Multiply Column J
Type Table)
Step 1, Column C)
from Column H)
by Column K)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Total Side 1
$
$
Total Side 2
$
$
Grand Total
Fuel Type Table
Step 4: Figure your total tax due or refund claimed
D - Diesel
G - Gasoline
1
1
Tax or credit due - write the Column L grand total.
_______________
$_
GH - Gasohol
P - Propane
2
2
Penalty (See instructions.)
________________
$
E - Ethanol
E85 - E85
3
3
Interest - write the Column M grand total.
______________
$__
M - Methanol
M85 - M85
4
4
Add Lines 1, 2, and 3. Indicate a credit in brackets.
________________
$
B- Biodiesel
A55 - A55
5
5
Balance due from preceding quarter.
________________
$
LNG - Liquid Natural Gas
6
6
Credit carried forward from preceding quarter
________________
$
CNG - Compressed Natural Gas
7
Add Lines 4, 5, and 6. This is your cumulative total due or refund claimed.
7
Make your check payable to “Illinois Department of Revenue.”
$________________
Step 5: Sign below
Under penalties of perjury, I state that I have examined this return and, to the best of my knowledge, it is true, correct, and complete.
___________________________________________ _______________________ ( ____ ) ______________
Printed name of taxpayer
Title
Telephone
___________________________________________ _ _/_ _/_ _ _ _
Signature of taxpayer
Date
___________________________________________________________________ ( ____ ) ______________ _ _/_ _/_ _ _ _
Signature of preparer, if other than taxpayer
Telephone
Date
*909701110*
Side 1
MFUT-15 (R-04/09)

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