International Fuel Tax Agreement Tax Return Form Page 2

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License Number: ___________________________________
1
2
3
4
5
6
7
8
9
10
Total Taxable
Tax Paid
Interest Due
Taxable Gallons
Net Gallons
Tax Due/Credit
Tot Due/Credit
Jurisdiction
Total Miles
Tax Rate
Miles
Gallons
.0100
(Col 3/Line C)
(Col 4- Col 5)
(Col 6 x Col 7)
(Col 8 + Col 9)
MD
0.2425
ME
0.3120
MI
0.3570
MN
0.2800
MO
0.1700
MS
0.1800
0.2775
MT
NB
0.7427
NC
0.3500
ND
0.2300
NE
0.2630
NL
0.6382
NH
0.1800
NJ
0.1750
NM
0.2100
NS
0.5957
NV
0.2700
NY
0.3925
OH
0.2800
OK
0.1300
ON
0.5532
OR
0.0000
PA
0.3810
PE
0.7814
QC
0.7040
RI
0.3200
SC
0.1600
SK
0.5803
TN
0.1700
TX
0.2000
UT
0.2450
VA
0.1750
V2
0.0350
VT
0.2900
WA
0.3750
WI
0.3290
WV
0.3220
WY
0.1400
TOTAL OF COLUMN 10 Page 2
Total IFTA Miles Page 2
Page 2

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