Utah State Application For Ifta Sfu And Irp Tc69mc Page 3
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Business name
Account number (FEIN/EIN)
Section 3 - SFU
Special Fuel Users are not required to file a quarterly return, unless any of the following conditions apply.
1. If you have exempt use of Utah tax paid fuel, you may file for a refund on a quarterly basis using form TC-922, IFTA/SFU Tax Return.
2. If you are anticipating a refund or you have bulk storage, maintain detailed mileage records and summaries, detailed fuel purchase
records and bulk disbursement records for vehicles traveling in Utah.
3. If you purchase fuel without the proper Utah tax paid, you will be required to file a return, form TC-922, due and payable at the Tax
Commission on or before the last day of the month following the reporting period.
There is no charge for SFU decals.
Enter the number of qualified vehicles
needing SFU decals.
You are required to read and sign this application in Section 5.
Section 4 - IFTA
Mark all IFTA jurisdictions in which you will travel and/or have bulk fuel storage.
OP = Jurisdictions in which you plan to operate
BF = Jurisdictions in which you have bulk fuel storage
OP
BF
OP
BF
OP
BF
OP
BF
AK - Alaska
KS - Kansas
NM - New Mexico
WI - Wisconsin
AL - Alabama
KY - Kentucky
NV - Nevada
WV - West Virginia
AR - Arkansas
LA - Louisiana
NY - New York
WY - Wyoming
AZ - Arizona
MA - Massachusetts
OH - Ohio
AB - Alberta
CA - California
MD - Maryland
OK - Oklahoma
BC - British Columbia
CO - Colorado
ME - Maine
OR - Oregon
MB - Manitoba
CT - Connecticut
MI - Michigan
PA - Pennsylvania
NB - New Brunswick
DC - Dist. of Columbia
MN - Minnesota
RI - Rhode Island
NL - Newfoundland
DE - Delaware
MO - Missouri
SC - South Carolina
NS - Nova Scotia
FL - Florida
MS - Mississippi
SD - South Dakota
NT - NW Territories
GA - Georgia
MT - Montana
TN - Tennessee
ON - Ontario
HI - Hawaii
NC - North Carolina
TX - Texas
PE - Prince Ed.-IS
IA
- Iowa
ND - North Dakota
UT - Utah
QC - Quebec
ID - Idaho
NE - Nebraska
VA - Virginia
SK - Saskatchewan
IL
- Illinois
NH - New Hampshire
VT - Vermont
YT - Yukon Territory
IN - Indiana
NJ - New Jersey
WA - Washington
MX - Mexico
USTC Use
Only
A and B
1. Number of qualified vehicles
Check all
needing IFTA decals
that apply
A
B
2. Decal cost per set
$4.00
Amount due (multiply line 1 by line 2)
Make check or money order payable to
$
the Utah State Tax Commission.
You are required to read and sign this application in Section 5.
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