Mvd-11263 4/04 - Ifta Quarterly Tax Return Form - State Of New Mexico - Motor Vehicle Division

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MVD-11263
For Assistance Call:
State of New Mexico
REV. 4/2004
1-888-MVD INFO
Motor Vehicle Division - Commercial Vehicle Bureau
1-888-683-4636 or
1100 South St. Francis Drive
(505) 827-0392
PO Box 5188, Santa Fe, NM 87504-5188
Fax: (505) 827-0135
IFTA QUARTERLY TAX RETURN
REPORT PERIOD DUE DATES
Name
Period
Due Date
Address
1st
JAN - MAR
APR 30
2nd
APR - JUN
JUL 31
3rd
JUL - SEP
OCT 31
City, State, Zip Code
4th
OCT - DEC
JAN 31
ANNUAL
JAN - DEC
JAN 31
2. Is this an amended return?
1. MTD No.:
Report Period
´ YES Enter period ____________
FEI Number:
3. ´ Check if no operations
4. ´ Check if you wish to cancel
Due Date:
(For Department Use Only)
this period
your license Date _________
FUEL SUMMARY
FUEL TYPE
A
B
C
Total Miles Travelled
Total Gallons Used in
Average Fleet MPG
ALL Jurisdictions
ALL Jurisdictions
(2 decimal places)
-
DI - DIESEL
=
-
GA - GASOLINE
=
-
LP - PROPANE
=
-
GH - GASOHOL
=
-
NG - NATURAL GAS
=
TOTAL DUE
Enter here and on
Line 15 of MVD-11264

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