Form Tc-937 Utah International Fuel Tax Agreement (Ifta) Renewal Application And Decal Request
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1
2Clear form
If you have ceased operations, check "CANCEL IFTA
License" below and enter the cancel date.
Corrections - please explain
Get forms online - tax.utah.gov
Instructions for Utah IFTA Renewal Application and Decal Request
Renewal Application
IFTA Decals Display
Complete and return the entire renewal application to renew your IFTA license and
Each IFTA-qualified vehicle is required to display two decals, one on each side of
decals.
Return with payment
within 10 days. Account will not be renewed unless
the vehicle cab.
all returns are filed and paid in full.
IFTA Fee Requirement
Enter the number of decal sets needed for the company identified on this IFTA
A fee of $4 per set of decals (2 decals) is required. Please enclose a check for the
renewal. Base the number of decal sets on the number of units owned or leased by
total amount due. Make your check payable to the Utah State Tax Commission
this company and that will be accounted for on this company' s IFTA return. These
and return with this form.
IFTA decals may only be used on units reported on this company’s IFTA return.
Jurisdictions and Bulk Fuel
Additional decals purchased must be tied to additional units purchased or leased
Include jurisdiction and bulk fuel information on the reverse side of this form. Do
by this company or used to replace unusable decals. Additional decals can be
not include dyed bulk fuel.
requested on form TC-934.
If you have any questions about your IFTA renewal or need forms, contact
NOTE:
Federal ID (FEIN/EIN) Use the federal ID number assigned by the federal
:
the Tax Commission by calling (801) 297-7705 or toll-free 1-800-662-4335,
government.
This number is the IFTA/Special Fuel User License number.
Due to
ext. 7-7705 or access the Tax Commission' s web site at
.
motorcarrier.utah.gov
privacy issues, we discourage the use of Social Security Numbers.
Record Statement
* My signature below acknowledges that l understand and will comply with
Changes - Incorrect Information or Business Name or Ownership Changes
If there is a business name change or if the information is incorrect, make the
reporting, payment, record keeping, and license display requirements as specified
corrections above. If there is an ownership change, you must complete a new
in the International Fuel Tax Agreement. l understand that failure to comply with
application, TC-920F.
the provisions shall be grounds for revocation of my IFTA license in all member
jurisdictions. Under penalty of law, l certify that the information contained herein is
Changes - Address and Telephone
If there is an address or telephone number change, make the corrections above.
true, correct and complete.
IFTA License
If you need an accommodation under the Americans with Disabilities Act, contact
When you receive your new IFTA license it will show the mailing address and
the Tax Commission at (801) 297-3811 or Telecommunication Device for the Deaf
business address listed on our IFTA account file. A copy of the license must be
(TDD) (801) 297-2020. Please allow three working days for a response.
kept in the cab of each IFTA-qualified vehicle.
Utah International Fuel Tax Agreement (IFTA) Renewal Application and Decal Request
TC-937 Rev. 10/07
Year
Enter the calendar year (Jan - Dec)
CANCEL IFTA License (Cancel date: ____________)
for which you are renewing.
1. Enter the number of decal sets needed
$4.00
2. Price per decal set
$
3. Total amount due (multiply line 1 by line 2)
Business name
Utah State Tax Commission
IFTA account no., federal ID (FEIN/EIN)
IFTA Renewal
210 N 1950 W
IRP number
U.S. DOT number
SLC UT 84134-8150
Telephone number
*Applicant's signature
Date signed
(see Record Statement above)
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