Form Tc-937 - Utah Ifta Renewal Application And Decal Request

Download a blank fillable Form Tc-937 - Utah Ifta Renewal Application And Decal Request in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Tc-937 - Utah Ifta Renewal Application And Decal Request with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Utah State Tax Commission

93781

TC-937

Utah IFTA Renewal

Rev. 10/08

Application and Decal Request

9998

Name and address

Business name

Telephone no.

CANCEL IFTA License (Cancel date: ____________)

If you have ceased operations, check "CANCEL IFTA License"

IFTA account number

and enter the cancel date and provide explanation on back.

U.S. DOT number

IRP number

Utah State Tax Commission

Year

Enter the calendar year (Jan - Dec) for

IFTA Renewal

which you are renewing.

210 N 1950 W

1. Enter the number of decal sets needed

SLC UT 84134-8135

2. Price per decal set

$4.00

3. Total amount due (multiply line 1 by line 2)

Corrections/Explanations

Applicant agrees to comply with reporting, payment, record keeping, and license display requirements as specified in the International Fuel Tax

Agreement. The applicant further agrees that the base jurisdiction may withhold refunds due if applicant is delinquent on payment of fuel taxes due any

member jurisdiction. Failure to comply with these requirements shall be grounds for revocation of license in all member jurisdictions.

Applicant certifies that to the best of his or her knowledge, the information is true, accurate, and complete and any falsification subjects him or her to

appropriate civil and/or criminal sanction of the base jurisdiction.

Applicant's signature

Date signed

Return ENTIRE form, coupon, and payment to the Utah State Tax Commission

Payment Coupon for IFTA Renewal/Decal Request, TC-937PC

TC-937PC Rev. 10/08

Tax Type

Due Date mmddyyyy

IFTA Account Number

Period Ending mmddyyyy

IFTA

Amount Paid