Form Wv/ifta-13 - International Fuel Tax Agreement Quarterly Report - 1997 Page 2
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4Fuel Summary Report
(Use additional sheets provided if needed)
Section I
Fuel Type
Miles by Fuel Type
Total Gallons Used
Average Fleet MPG
/
=
DI Diesel
/
=
GA Gasoline
/
=
GH Gasohol
/
=
LP Liquid Petroleum
/
=
NG Natural Gas
Section II (Part I)
Tax Paid
Total Miles
Taxable
Taxable
Net Taxable
Tax/Credit
Total Due/
Gallons in
within
Miles within
Gallons
Due
Total Credit
Gallons
Interest Due
Jurisdiction
Jurisdiction Fuel Type
Jurisdiction
Jurisdiction
(D / MPG)
(E - F)
Tax Rate
(G x H)
(I + J)
1% per month
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
(J)
(K)
Non-IFTA
States
Non-IFTA
States
Totals:
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