Form Ifta-101-Mn - Ifta Quarterly Fuel Use Tax Schedule
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1
2Check only one fuel type:
New York State Department of Taxation and Finance
IFTA-101-MN
IFTA Quarterly Fuel Use Tax Schedule
Code Fuel Type
Attach this schedule to Form IFTA-100-MN,
Tax on:
D
(Diesel)
IFTA Quarterly Fuel Use Tax Return.
G
(Motor fuel gasoline)
Use this form to report operations for the
Prepare a separate schedule for each fuel type. Use
E
(Ethanol)
quarter ending
.
additional sheets if necessary. Make a copy for your records.
P
(Propane)
Month
Day
Year
__ ___________
Licensee IFTA identification number
Name
NY
Enter credits in brackets (
[ ]
). Round to the nearest whole gallon or mile. Read instructions
(IFTA-101-I-MN)
carefully.
MPG Calculation
(E) Average Fleet MPG
:
(D) Total Gallons
=
(A) Total IFTA Miles
+
(B) Total Non-IFTA Miles =
(C) Total Miles
(all IFTA and Non-IFTA jurisdictions)
(2 decimal places)
(A)
(B)
(C)
=
+
=
:
(D)
(E)
.
___ ___
___ ___
F
G
H
I
J
K
L
M
N
O
P
Q
Rate
Taxable
MPG
Taxable
Tax Paid
Net Taxable
Tax
Tax (Credit) Due
Interest
Total IFTA
Jurisdiction
Code
Miles
Gallons
Gallons
Gallons
Rate
Due
Total Due
Miles
from E
(col. M x N (Tax) )
:
(See Instructions)
(See Instructions)
above
(col. I J)
(See Instructions)
(col. K - L)
(col. K x N (Surch) )
(col. O + P)
Subtotals
Subtotals from back
Totals
For Diesel, Motor fuel gasoline, Ethanol andPropane reported, transfer the total
Important Note: When listing additional
amount in Column Q from each schedule to the
corresponding line on
Form IFTA-100-MN, IFTA Quarterly Fuel Use Tax Return. For all other fuel types, transfer
jurisdictions and more space is needed,
the total amount of Column Q from each schedule to Column S of the worksheet on the
use the back of this form.
IFTA-101-MN (4/08)
back of Form IFTA-101-I-MN, Instructions for Form IFTA-101-MN.
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