PRINT FORM
CLEAR FIELDS
Use a separate Form 56-102
56-102
(Rev.11-06/7)
Instructions in English
b.
for each fuel type.
IFTA FUEL TAX
You have certain rights under Ch.
REPORT SUPPLEMENT
559, Government Code, to review,
56100
a. T Code
request, and correct information we
have on file about you. Contact us
c. Texas taxpayer number
d. IFTA number
at the address or toll-free number
TX
listed on the IFTA Fuel Tax Report,
Form 56-101.
f.
g. Taxpayer name
e. Filing period
h. Due date
DO NOT WRITE IN SHADED AREAS
Please read instructions on back
TYPE OR PRINT
1. Indicate the appropriate fuel type for this supplement
(
- Use a separate IFTA Report Supplement, Form 56-102, for each fuel type.)
CHECK ONLY ONE
OTHER (See instructions)
01 - DIESEL
02 - GASOLINE
03 - ETHANOL
04 - PROPANE (LPG)
Fuel type
Fuel code
A.
B.
C.
D.
E.
Total IFTA miles
Total Non-IFTA miles
Total miles
Total gallons consumed
Average fleet MPG
.
.
(Whole miles)
(Whole miles)
(Item A + Item B)
(IFTA and non-IFTA)
(Item C
Item D)
.
+
=
=
.
F.
G.
H.
I.
J.
K.
L.
M.
N.
O.
P.
Q.
Total
Taxable
Taxable
Tax Paid
Net Taxable
Tax/<Credit>
Interest
Juris.
IFTA Miles
Gallons
Gallons
Gallons
Tax Rate
Due
Due
Total Due
Miles
Tax Rate
.
.
ID
(I
E)
(K
L)
(M x N)
(O + P)
(Whole miles)
(Whole miles)
(Whole gallons) (Whole gallons) (Whole gallons)
(Dollars & cents) (Dollars & cents) (Dollars & cents)
CODES
2.
3.
4.
TOTALS FOR THIS PAGE ONLY
* Indicates surcharge
** Indicates mid-quarter rate change