Form Mf-85 - International Fuel Tax Agreement (Ifta) Tax Return

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INTERNATIONAL FUEL TAX AGREEMENT

Phone Number: (785) 368-8222

(IFTA) Tax Return

On-line filing @

Fax: (785) 296-2703

Kansas I.D. Number

Tax Period

IFTA License Number

FOR OFFICE USE ONLY

Check this box if you would like to cancel your IFTA License

Check this box if this is an amended return

NAME AND MAILING ADDRESS

NAME AND LOCATION ADDRESS

RETURNS MUST BE FILED EVERY TAX PERIOD EVEN THOUGH THERE IS NO TAX DUE

MILES PER GALLON CALCULATION FOR THIS TAX PERIOD BY FUEL TYPE

For each fuel type, calculate average miles per gallon below.

Enter Columns B and C as whole numbers.

Calculate Column D (AMG) to six decimal places, then round to two decimal places. (see instructions on back)

(A)

(B)

(C)

(D)

Total Miles Traveled in All

Fuel Type (Check Each

Total Gallons Purchased & Dispensed Into

Average Miles Per Gallon (AMG)

Type Used This Quarter)

Jurisdictions (IFTA and Non-IFTA)

IFTA Qualified Vehicles in All Jurisdictions

(Column B divided by Column C)

Diesel

Gasoline

Gasohol

Propane

Comp. Natural Gas

Liquid Natural Gas

Ethanol

Methanol

E-85

M-85

A55

READ INSTRUCTIONS; COMPLETE AND ATTACH KANSAS SCHEDULE 85A

Enter data for each IFTA jurisdiction on Kansas Schedule 85A

Tax due or credit (total the amount from each Kansas Schedule 85A, Column H, Line 92 and surcharges)......................................

Penalty (see instructions on reverse side).................................................................................................................................................

Interest (total the amount from each Kansas Schedule 85A, Column I, Line 92 and surcharges).......................................................

Total tax due or credit, penalty, and interest (total of lines 12, 13, and14)............................................................................................

Previous balance due or credit calculated through

BALANCE DUE or CREDIT CLAIMED

If balance due, pay in full with return.............................…………

REFUND REQUESTED (If not checked, any overpayment will be applied to next return)

Under penalties of perjury, I declare that, as taxpayer or preparer, I have examined this return, including accompanying schedules and

statements, and certify that it is correct and complete. I agree to be bound by all of the provisions of the IFTA Agreement. I understand that

if I fail to maintain proper mileage and fuel records for inspection by the Department, the Department may use a standard M.P.G. of four (4)

miles per gallon for any period for which there are inadequate records. I further agree that the Kansas Department of Revenue may withhold

any refunds due if I am delinquent on payment of fuel taxes due any member jurisdiction. I understand that failure to comply with these

provisions shall be grounds for revocation of my license in all member jurisdictions.

sign

here