Form Ifta-21-V - Payment Voucher And Instructions For International Fuel Tax Agreement (Ifta) Licenses And Decals Renewed Electronically
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1IFTA-21-V
Department of Taxation and Finance
Payment Voucher and Instructions for
(6/15)
International Fuel Tax Agreement (IFTA)
Licenses and Decals Renewed Electronically
Who must use this form?
Make your check or money order payable in U.S. funds to
Commissioner of Taxation and Finance.
You must submit the voucher below (Form IFTA-21-V)
with your payment when you have a balance due and
Detach and mail your voucher along with your payment to
you use the One Stop Credentialing and Registration
this address:
(OSCAR) system to renew your IFTA licenses and decals.
NYS TAX DEPARTMENT
PSSB — IFTA RENEWAL UNIT
If you require help completing this voucher, call
W A HARRIMAN CAMPUS
(518) 457-4322, or visit our Web site (at ).
ALBANY NY 12227-0863
Mailing instructions
Private delivery services
Attach check or money order payable in U.S. funds to
See Publication 55, Designated Private Delivery Services.
Commissioner of Taxation and Finance. Include on
your check or money order your identification number,
Privacy notification
Form IFTA-21-V, and your IFTA renewal transaction
See our Web site or Publication 54, Privacy Notification.
number.
Note: Include a fee of $8 per set of decals and a license
for each qualified motor vehicle.
Detach (cut) along the dotted line and submit bottom portion with payment
IFTA-21-V
Department of Taxation and Finance
Payment Voucher for IFTA Licenses and Decals
(6/15)
Renewed Electronically
Employer identification number or social security number
IFTA renewal transaction number
Transaction date
NY
Taxpayer name
Telephone number
(
)
Number of sets
Amount due
Remittance amount
Order
information
$
$
Signature
Title
Date
For office use only
Total fee
Deposit number
$
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