MFUT-15
IFTA Quarterly Return
Account no.: IL __ __ __ __ __ __ __ __ __ __ __
Report quarter
: __ __ __ __ /__ __
____________________________________________________
(year/quarter)
Legal name
Due date
: __ __ /__ __ /__ __ __ __
(month/day/year)
____________________________________________________
Trade (DBA) name
Step 1: Figure your miles per gallon
____________________________________________________
A
B
C
Address
Fuel
Total miles traveled Total fuel consumed
Avg. fleet MPG
____________________________________________________
type
everywhere
everywhere
(2 decimal places)
Address
÷
____________________________________________________
D-Diesel
______________
______________ = ______________
City
State
ZIP
÷
G-Gasoline
______________
______________ = ______________
÷
GH-Gasohol ______________
______________ = ______________
÷
P-Propane
______________
______________ = ______________
÷
NG-Nat. Gas ______________
______________ = ______________
Step 2: Tell us your filing status
(Check all that apply.) You must file a return even if there was no activity.
___ Quarterly filing
___ Amended
___ No operation
___ Cancel fuel license, effective _ _/_ _/_ _ _ _
Step 3: Figure your tax due or credit claimed
(Round to nearest whole gallon and mile. Indicate credit in brackets.)
D
E
F
G
H
I
J
K
L
M
Juris-
Fuel
Total
Taxable
Taxable
Tax-paid
Net taxable
Tax
Tax/credit
Interest
diction
type
miles
miles
gallons
gallons
gallons
rate
due
due
(D, G, P ,
(Column G divided
(Column H minus
(Column J times
GH, NG)
by Column C)
Column I)
Column K)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Subtotal (Side 1)
$
$
Subtotal from all Side 2 copies
Step 4: Figure your totals
1
1
Tax/credit due. Add Column L subtotals together, and write the result.
$______________________
2
2
Penalty (see instructions)
$______________________
3
3
Interest. Add Column M subtotals together, and write the result.
$______________________
4
4
Add Lines 1, 2, and 3. Indicate a credit in brackets.
$______________________
5
5
Balance due or credit carried forward from preceding quarter
$______________________
6
6
Add Lines 4 and 5. This is your cumulative total due or refund claimed.
$______________________
Make your check payable to “Illinois Department of Revenue.”
Step 5: Sign below
Under penalties of perjury, I state that I have examined this return and, to the best of my knowledge, it is true, correct, and complete.
___________________________________________ _______________________ ( ____ ) ______________ _ _/_ _/_ _ _ _
Signature of taxpayer
Title
Telephone
Date
( ____ ) ______________
___________________________________________________________________
_ _/_ _/_ _ _ _
Signature of preparer, if other than taxpayer
Telephone
Date
Side 1
MFUT-15 (R-9/97)