Form 735-9740 - International Fuel Tax Agreement (Ifta) Tax Return - 2007
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4OREGON DEPARTMENT OF TRANSPORTATION
RESET
PRINT
MOTOR CARRIER TRANSPORTATION DIVISION
550 CAPITOL ST NE
SALEM OR 97301-2530
PH (503) 373-1634
INTERNATIONAL FUEL TAX AGREEMENT (IFTA) TAX RETURN
DO NOT WRITE IN SPACE ABOVE
OPERATIONS DURING THE QUARTER:
RETURN DUE:
CHECK THE BOXES BELOW IF THEY APPLY:
OREGON FILE NUMBER
IFTA LICENSE NO.
AMENDED
YOU HAD NO OPERATIONS TO REPORT
YOU HAD OREGON OPERATIONS ONLY
CHANGE OF ADDRESS
IFTA CREDIT REFUND REQUEST
Column 1
2
3
4
5
6
FUEL / MILES SUMMARY
*
OREGON MILES
IFTA JURISD. MILES
NON-IFTA JURISD.
TOTAL MILES
TOTAL GALLONS
AVERAGE FLEET MPG
:
+
+
=
=
FUEL TYPE
(include off-road miles)
(include permit and
MILES
(by fuel type)
(used in all jurisdictions
(2 decimal places)
off-road miles)
including Oregon)
+
+
=
:
=
Diesel
+
+
=
:
=
Gasoline
+
+
=
:
=
OTHER
+
+
=
:
=
OTHER
+
+
=
:
=
OTHER
TOTALS:
+
+
*
ALASKA; HAWAII; WASHINGTON , D.C.; NORTHWEST TERRITORY; YUKON TERRITORY; etc.
(Oregon Miles)
(IFTA Miles)
(Other Miles)
E
F
G
B
C
D
H
I
J
K
A
FUEL
TOTAL MILES
TAXABLE
TAXABLE
TAX PAID
NET TAXABLE
TAX
TAX DUE
INTEREST
TOTAL DUE
TYPE
JURIS.
IN
MILES IN
GALLONS
GALLONS
GALLONS
RATE
OR (CREDIT)
DUE
OR (CREDIT)
(D, G,
JURISDICTION
JURISDICTION
(D : avg mpg)
(E minus F)
(I plus J)
ETC)
CA
ID
WA
AL
AZ
AR
CO
CT
DE
FL
GA
IL
IN
IN
SURCHARGE
IA
KS
SUB TOTALS
(FRONT PAGE)
SUB TOTALS
(BACK PAGE)
GRAND
TOTAL
7
TOTAL FUEL TAX AND INTEREST
I CERTIFY UNDER PENALTY OF PERJURY, THAT THIS RETURN IS TRUE, CORRECT, AND
DUE OR (CREDIT)
COMPLETE TO THE BEST OF MY KNOWLEDGE.
8
PREVIOUS BALANCE DUE
SIGNATURE OF OWNER, PARTNER, CORP. OFFICER OR EMPLOYEE
TITLE
DATE
9
PREVIOUS CREDIT
10
PENALTY
NAME OF PERSON TO CONTACT ABOUT THE RETURN
TELEPHONE
(
)
11
REINSTATEMENT FEE
FORM 735-9740 (6-07)
12
TOTAL BALANCE DUE
JURISDICTIONS CONTINUED ON REVERSE
OR (CREDIT)
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