Form Wv/ifta-13 - International Fuel Tax Agreement (Ifta) Quarterly Report

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STATE OF WEST VIRGINIA
State Tax Department, Tax Account Administration Div
P. O. Box 1682
Charleston, WV 25326-1682
Name
Address
Account #:
City
State
Zip
WV/IFTA-13
INTERNATIONAL FUEL TAX AGREEMENT (IFTA) QUARTERLY REPORT
rtL271V 7-Web
Taxpayers required to file electronically will no longer receive returns for the tax types subject to the mandatory requirement
by mail. Please visit for additional information.
This report must be filed even if no activity has occurred.
Quarter Ending:
AMENDED
CHECK BOX FOR ADDRESS CHANGE:
NEW ADDRESS, IF CHANGED:
NO OPERATIONS
Due Date:
LICENSE
Cancellation Date:
CANCELLATION
M
M
-
D
D
-
Y
Y
Y
Y
TAX CALCULATION
1.
Tax Due or Credit (Total from Fuel Summary Report Section 2, I)
.
2.
Penalty (If late, 10% of tax due or $50.00, whichever is greater)
.
3.
Interest (Total from Fuel Summary Report, Section 2, J)
.
Total Tax Due or Credit, Penalty and Interest (Total of lines 1, 2 and 3)
4.
.
Previous Credit
5.
.
6.
BALANCE DUE (Pay in full with return)
.
7.
CREDIT DUE
.
REFUND REQUESTED (If not checked, any overpayment will be applied to next quarter)
8.
(Credit amounts totaling less than $20.00 will not be refunded; Credit amount may only be carried for 8 quarters)
Sign Your Return
Under penalties of perjury, I declare that I have examined this return (including accompanying schedules and statements) and to the
best of my knowledge and belief it is true and complete.
(Signature of Taxpayer)
(Name of Taxpayer - Type or Print)
(Title)
(Date)
(Signature of preparer if other than taxpayer)
(Date)
(Telephone Number)
(Person to Contact Concerning this Return)
(Address)
(E-mail Address)
MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT
Tax Account Administration Div
P. O. Box 1682, Charleston, WV 25326-1682
FOR ASSISTANCE CALL (304) 558-3333 TOLL FREE (800) 982-8297
For more information visit our web site at:
O
6
0
0
9
0
9
0
1
W
File online at https://mytaxes.wvtax.gov

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