Form Ifta-101-Mn - Ifta Quarterly Fuel Use Tax Schedule - 2002
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1
2Check only one fuel type:
IFTA-101-MN
Georgia Motor Fuel Tax Unit
Code Fuel Type
IFTA Quarterly Fuel Use Tax Schedule
Tax on:
D
(Diesel)
Attach this schedule to Form IFTA-100-MN,
G
(Motor fuel gasoline)
Use this form to report operations for the
IFTA Quarterly Fuel Use Tax Report.
E
(Ethanol)
quarter ending
.
Prepare a separate schedule for each fuel type. Use
Month
Day
Year
P
(Propane)
additional sheets if necessary. Make a copy for your records.
__ ___________
Licensee IFTA identification number
Name
MA
[ ]
Enter credits in brackets (
).
Round to the nearest whole gallon or mile. Read instructions
carefully.
(IFTA-101-I-MN)
(A) Total IFTA Miles
+
(B) Total Non-IFTA Miles =
(C) Total Miles
:
(D) Total Gallons
(E) Average Fleet MPG
=
(all IFTA and Non-IFTA jurisdictions)
(2 decimal places)
(A)
(B)
(C)
(D)
+
=
:
(E)
.
___ ___
___ ___
=
F
G
H
I
J
K
L
M
N
O
P
Q
Rate
Taxable
MPG
Taxable
Tax Paid
Net Taxable
Tax
Tax (Credit) Due
Interest
Jurisdiction
Code
Total Miles
Miles
Gallons
Gallons
Gallons
Rate
Due
Total Due
from E
(col. M x N (Tax))
(col. I
J)
:
above
(col. K - L)
(col. K x N (Surch))
(col. O + P)
Subtotals
Subtotals from back
Totals
Important Note: When listing additional
For Diesel, Motor fuel gasoline, Ethanol and Propane reported, transfer the total
jurisdictions and more space is needed,
amount in Column Q from each schedule to the corresponding line on Form IFTA-100-MN.
use the back of this form.
For all other fuel types, transfer the total amount of Column Q from each schedule to
IFTA-101-MN (12/02)
Column S of the worksheet on the back of Form IFTA-101-I-MN, Instructions for Form IFTA-101-MN.
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