Form Dr 7511 - Ifta Lease Agreement Certificate
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1DR 7511 (04/27/05)
COLORADO DEPARTMENT OF REVENUE
1375 SHERMAN STREET, ROOM 200
DENVER COLORADO 80261
(303) 205-8205
(303) 205-8215 (FAX)
IFTA LEASE AGREEMENT CERTIFICATE
LESSEE
I certify that a written lease agreement exists with the registered owner (lessor) designating me as being respon-
sible for the reporting and payment of IFTA for the duration of the lease agreement.
I also agree to notify the Taxpayer Service Division via fax, phone or mail when this lease agreement expires or
is terminated. (The address, phone number, and fax number is located in the upper left hand corner of this
form.)
Lessee/Tax Account Holder (first, middle, last, suffix)
IFTA Account Number
Mailing Address
City
State
ZIP
Contact Person Name
Phone Number
FAX Number
(
)
(
)
Lessee Signature
Date
Lease Start Date
Expiration or Termination Date
LESSOR
I certify that the agreement indicated above exists and that upon termination of the agreement, I will establish
the required tax accounts or provide a properly executed Lease Agreement Certificate to the Taxpayer Service
Division with another lessee.
I further certify that I will be responsible for any IFTA tax liability accrued in the interim.
Lessor/Registered Owner Name (first, middle, last, suffix)
IFTA Account Number
Mailing Address
City
State
ZIP
Contact Person Name
Phone Number
FAX Number
(
)
(
)
Lessor Signature
Date
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