Form 4360 - Ifta Bus Schedule - 2009

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Michigan Department of Treasury
4360 (7-09)
IFTA Bus Schedule
(See Instructions on page 2.)
Name
IFTA Account Number
Address
City
State
ZIP Code
Tax Period
Note: This form should be completed by carriers whose entire fleet is comprised of motor coaches. If your fleet is a combination
of motor coaches and other IFTA qualifying vehicles, please call 517-636-4580 for instructions.
1.
Enter the total number of tax paid gallons of diesel fuel purchased at Michigan retail
1.
stations or withdrawn from Michigan bulk storage for the quarter.
2.
2.
Enter the number of Michigan taxable gallons from your IFTA schedule.
3.
3.
Enter the lesser of line 1 or line 2.
4.
4.
Multiply line 3 by .15.
5.
Enter the net Michigan tax due from your IFTA Schedule. If the amount is a negative,
5.
enter in brackets.
6.
6.
Add lines 4 and 5 and enter here.
7.
7.
If the amount on line 6 is a negative, enter the amount here. This is your tax due.
8.
8.
Penalty (5% of tax due per month to a maximum of 25%)
9.
9.
Interest (1% above prime rate set January 1 and July 1 each year)
PAY
10.
10.
Add lines 7, 8 and 9 and enter the amount here.
11.
If the amount on line 6 is positive, enter it here. This is your refund. If you have an
REFUND
11.
amount on line 11, complete line 12.
12.
Divide line 11 by .15 to calculate your gallons eligible for credit. Enter this amount on
12.
line 11, Form 680, Claim for Refund of Motor Fuel Tax
YOU MUST ATTACH A COPY OF THE IFTA SCHEDULE THAT WAS FILED WITH YOUR BASE
JURISDICTION SHOWING THE CREDIT TAKEN IN THE MICHIGAN COLUMN
CERTIFICATION
I declare, under penalty of perjury, that the information in this return, and attachments is true and complete.
I authorize Treasury to discuss my return and attachments with my preparer.
Do not discuss my return with my preparer.
Taxpayer Signature
Date
Title
Telephone Number
I declare, under penalty of perjury, that this return is based on all information of which I have knowledge.
Preparer Signature
Date
Preparer Address
Preparer Telephone Number

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