Form 3150 - International Fuel Tax Agreement (Ifta) Return - Sample - 2006
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1
2State of Idaho
Form 3150 – page 1
INTERNATIONAL FUEL TAX AGREEMENT (IFTA) RETURN
IFTAL7
11/20/2006
AMENDED RETURN
1. LICENSE NUMBER:
PERIOD:
Address Change
DUE:
Cancel License
3. MILES & GALLONS DURING THIS QUARTER FOR EACH FUEL
2. LICENSEE NAME
÷
Average MPG
=
Fuel
Total miles traveled
Total gallons used
(See instructions)
÷
=
#
2-Diesel
÷
=
#
÷
1=Gasoline
2=Diesel
3=Gasohol
=
4=Propane
5=LNG
6=CNG7=Ethanol
÷
8=Methanol
9=E-85
0=M-85 A=A55
=
#
Includes Biodiesel and Biodiesel Blends
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
JURIS-
FUEL
TAX
TOTAL
TOTAL
TAXABLE
TAX
NET
TAX
INTEREST
TOTAL DUE/REFUND
DICTION
TYPE
RATE
MILES
TAXABLE
GALLONS
PAID
TAXABLE
DUE/REFUND
DUE
(12 + 13)
(8 ÷ AvgMPG
MILES
GALLONS
GALLONS
(11 X 6)
(See instructions)
from 3)
*
(9 - 10)
( Round to nearest whole mile and gallon )
( Enter negative numbers in brackets i.e. <50> )
TOTALS
SUBTOTAL (columns 12, 13 and 14, page 1)
SUBTOTAL (columns 12, 13 and 14, page(s) 2)
15. TOTAL DUE/REFUND ALL JURISDICTIONS
●
(total of subtotal column 14)
MAIL REPORT WITH PAYMENT
16. PENALTY
TO:
●
(
$50.00 or 10% of total of subtotal column 12, whichever is greater)
Idaho State Tax Commission
Motor Fuels
17. PREVIOUS CREDIT
●
PO Box 76
Boise, Idaho 83707-0076
18a. TOTAL DUE ................................................. ●
18b. TOTAL REFUND ......................................... ●
I certify under penalties of perjury that this report is true, correct and complete to the best of my knowledge.
Within 180 days of receiving this return, the Idaho State Tax Commission may contact the paid preparer to discuss it.
Signature
Title
Phone
Date
* Actual gallons bought in each jurisdiction (including Oregon)
and placed into an IFTA qualified vehicle.
{`q¢}
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