Form Ifta-101 - Ifta Quarterly Fuel Use Tax Schedule Page 3
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1
2
3
4Subtotals 2
Transfer the subtotal amounts to page 1 of this schedule.
NOTE: Please photocopy this return for your records. Please use black ink.
IFTA-101 (page 3)
IFTA Account Number:
Account Name:
F
G
H
I
J
K
L
M
N
O
P
Jur.
Total IFTA Miles
Taxable Miles
MPG
Taxable
Tax Paid Gallons
Net Taxable
Tax
Tax (Credit) Due
Interest
Total Due
(see instructions)
(see instructions)
From E
Gallons
(see instructions)
Gallons
Rate
(col. L x M (Tax))
Due
(col. N + O)
above
(col. J x M (Surch))
÷
(col. J - K)
(col. H
I)
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