Form Dr 0735 - Individual Vehicle Distance Record And Fuel Report
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1*130735==19999*
DR 0735 (07/19/13)
Individual Vehicle Distance
COLORADO DEPARTMENT OF REVENUE
Record and Fuel Report
Denver, CO 80261-0009
(IRP and IFTA Vehicles Only)
Record the odometer reading: (1) At the beginning of each day or trip; (2) When leaving each jurisdiction; and (3) At the end of each day or trip
Power Unit Vehicle Identification Number
AL
Power Unit Fleet Number
Fuel Type
Name IFTA Registrant
Fuel User Name if other than Registrant
Names of Owner(s)
AK
AZ
AR
Trip Information
Mileage Information
Fuel Information
CA
CO
Jurisdiction Miles
Odometer
CT
Highways
Jurisdiction
Gallons
Trip Date
Origin
Destination
Reading
Vendor Name
IFTA Tax
DE
IFTA
Used
Name
Recieved
DC
Begin
Taxable
Exempt
FL
GA
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WI
WA
WV
WY
MX
AB
BC
NB
NK
NL
NS
ON
PE
QC
SK
YT
Photocopy and submit additional pages as needed
Total Trip Miles
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Parent category: Financial