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If you have ceased operations, check "CANCEL IFTA

License" below and enter the cancel date.

Corrections - please explain

Instructions for Utah IFTA Renewal Application and Decal Request

NOTE: You may want to order enough decal sets for this account to replace lost or damaged decals. If there are no changes to the

account information, sign below and return the completed form with your payment.

Renewal Application

IFTA Fee Requirement

Complete and return the entire renewal application to renew your

A fee of $4 per set of decals (2 decals) is required. Please enclose

IFTA license and decals. Return within 10 days. Account will not be

a check for the total amount due. Make your check payable to the

renewed unless all returns are filed and paid in full.

Utah State Tax Commission and return with this form.

Changes - Incorrect Information or Business Name or

Jurisdictions and Bulk Fuel

Ownership Changes

Include jurisdiction and bulk fuel information on the reverse side of

this form. Do not include dyed bulk fuel.

If there is a business name change or if the information is incorrect,

make the corrections above. If there is an ownership change, you

NOTE:

If you have any questions about your IFTA renewal or need

must complete a new application, TC-920F.

forms, contact the Tax Commission by calling (801) 297-7705 or

Changes - Address and Telephone

toll-free 1-800-662-4335, ext. 7-7705 or access the Tax

If there is an address or telephone number change, make the

Commission's web site at

corrections above.

Record Statement

IFTA License

* My signature below acknowledges that l understand and will

comply with reporting, payment, record keeping, and license display

When you receive your new IFTA license it will show the mailing

requirements as specified in the International Fuel Tax Agreement. l

address and business address listed on our IFTA account file. A

copy of the license must be kept in the cab of each IFTA-qualified

understand that failure to comply with the provisions shall be

vehicle.

grounds for revocation of my IFTA license in all member

jurisdictions. Under penalty of law, l certify that the information

IFTA Decals Display

contained herein is true, correct and complete.

Each IFTA-qualified vehicle is required to display two decals, one

If you need an accommodation under the Americans with

on each side of the vehicle cab.

Disabilities Act, contact the Tax Commission at (801) 297-3811 or

Telecommunication Device for the Deaf (TDD) (801) 297-3819.

Please allow three working days for a response.

Utah International Fuel Tax Agreement (IFTA) Renewal Application and Decal Request

TC-937 Rev. 9/01

Year

Enter the calendar year (Jan - Dec)

CANCEL IFTA License (Cancel date: ____________)

for which you are renewing.

1. Enter the number of decal sets needed

$4.00

2. Price per decal set

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

Business name

Utah State Tax Commission

IFTA account no., federal ID, or SSN

IFTA Renewal

210 N 1950 W

IRP number

U.S. DOT number

SLC UT 84134-8150

Telephone number

*Applicant's signature

Date signed

(see Record Statement above)

Form Tc-937 - Utah International Fuel Tax Agreement (Ifta) Renewal Application And Decal Request - 2001

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