Form Wv/ifta-13 - International Fuel Tax Agreement Quarterly Report - 1997 Page 3
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4Section II (Part II)
Tax Account Number:
Filing Period:
Tax Paid
Taxable
Total Miles
Total Due/
Taxable
Net Taxable
Tax/Credit
Gallons in
Gallons
within
Total Credit
Miles within
Gallons
Due
Interest Due
Jurisdiction
(D / MPG)
Jurisdiction
(I + J)
Jurisdiction
Fuel Type
Jurisdiction
(E - F)
Tax Rate
(G x H)
1% per month
(I)
(J)
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(K)
Non-IFTA
States
Non-IFTA
States
Totals:
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