International Fuel Tax Agreement Quarterly Tax Return Form - Arkansas Department Of Finance & Administration Page 4

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INTERNATIONAL FUEL TAX AGREEMENT
ACCOUNT NO. __________________________
QUARTER: ___________________
YEAR ____________
1
2
3
4
5
6
7
8
TAX-PAID
IFTA
TAXABLE
NET GALLONS
TAX DUE
INT
(1%
TOTAL DUE
TAX RATE
TOTAL
TAXABLE
PURCHASES
(total
JURISDICTION
GALLONS
(col.
(subtract col. 4
(col. 5 times tax
per month if
(col. 6 plus col.
MILES
MILES
gallons purchased in
2 divided by line c)
from col. 3)
rate)
late)
7)
state)
New Brunswick
NB
Newfoundland
NL
New Hampshire
NH
New Jersey
NJ
New Mexico
NM
New York
NY
North Carolina
NC
North Dakota
ND
Nova Scotia
NS
Ohio
OH
Oklahoma
OK
Ontario
ON
Oregon
OR
Pennsylvania
PA
Prince Edward Island
PE
Quebec
QC
Rhode Island
RI
Saskatchewan
SK
South Carolina
SC
South Dakota
SD
Tenneesse
TN
Texas
TX
Utah
UT
Vermont
VT
Virginia
VA
VA Surcharge
Washington
WA
West Virginia
WV
Wisconsin
WI
Wyoming
WY
Line 9. →
GRAND TOTALS
Other Miles

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