Form Dr 0122 - International Fuel Tax Agreement Tax Report October 2006
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2DR 0122 (10/16/06)
Departmental Use Only
COLORADO DEPARTMENT OF REVENUE
DENVER CO 80261-0009
INTERNATIONAL FUEL TAX AGREEMENT
TAX REPORT
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own records.
Colorado Account Number
IFTA Account No. (FEIN or SSN)
Period
Due Date
5600-100
1. Miles/gallon during this quarter
A. Total miles traveled in all jurisdictions\
_______
(Line A divided by Line B equals
B. Total fuel consumed in all jurisdictions\
_______
Line C; use two decimal places 0.00)
C. Average miles per gallon
_______
2. Fuel Type
1. Diesel
2. LPG
3. Gasoline
4. Gasohol
5. LNG (Natural Gas)
6. CNG
7. Ethanol
8. Methanol
9. E-85
10. M-85
11. A55
IFTA TAX COMPUTATIONS (round to the nearest whole gallon and mile) - Continued on the Reverse Side
5.
6.
7.
10.
3.
4.
8.
9.
11.
12.
Juris-
Total
Total
Taxable
Tax
Tax
Total
Net Taxable
Tax
Interest
diction
Miles
Taxable
Gallons
Paid
Gallons
Rate
(8 x 9)
Due
(10 + 11)
Miles
Gallons
(6-7)
(per gallon)
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