Navigating the complexities of tax obligations for motor carriers operating across state lines becomes significantly more manageable with the International Fuel Tax Agreement (IFTA). The Mississippi Registration Application for IFTA Credentials, officially known as Form 74-026-001-01, plays a crucial role in this process, providing a streamlined approach for businesses to comply with fuel tax reporting and payment requirements. This form, revised in February 2001, requires detailed information from applicants, including their Federal Identification Number or Social Security Number for sole proprietors, the legal name of the business, and contact details. Apart from basic identification and business information, the application delves into the specifics such as types of ownership, a listing of officers or partners in certain business models, and whether the business has previously held IFTA credentials. Applicants must also detail the operational scope of their vehicles, including whether they are leased, types of fuel used, and the jurisdictions in which they operate or have bulk fuel storage. By accurately completing and submitting this form, motor carriers in Mississippi can obtain the necessary IFTA decals and credentials, ensuring compliance with multi-state fuel tax reporting requirements while potentially streamlining their operational logistics and financial obligations related to fuel usage across different states and provinces.
Question | Answer |
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Form Name | Form 74 026 001 01 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | IRP, Indiana, LLP, MISSISSIPPI |
Form
MISSISSIPPI
Registration Application for International Fuel
Tax Agreement (IFTA) Credentials
1.Enter your Federal I. D. Number if a corporation or partnership or Social Security Number if sole owner.
Federal I D No. ___ ___ - ___ ___ ___ ___ ___ ___ ___ Social Security No. ___ ___ ___- ___ ___ - ___ ___ ___ ___
2.Legal Name Of Applicant Business Name (DBA)
3.Street Address:
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Contact Person |
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Telephone Number: |
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Fax Number: |
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5. |
Mailing Address: |
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6. |
Type of Ownership: |
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Corporation |
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Partnership - General |
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Sole Ownership |
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S Corporation |
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Partnership - Limited |
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Other |
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LLC |
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LLP |
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7. |
If C Corp., S Corp, LLC, LLP, |
or Partnership, list the names of the officers or partners. |
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Name |
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Address |
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Title |
Social Security No. |
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8. Corporation organized under Laws of State of
9. Date admitted or authorized to do business in Mississippi |
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Date began business |
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10. Have you previously held International Fuel Tax Agreement (IFTA) Credentials? |
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Yes |
No |
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If yes, please indicate the Account No. |
and the base jurisdiction |
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11.Complete the following if your vehicles are leased to another motor carrier. Name and address of lessor
Lessor's Phone
12. Who is responsible for reporting Interstate Motor Carrier Fuel Taxes: Lessor Lessee
13. If a Reporting Service completes your fuel tax report, give its Name, Address, and Phone Number.
14. Do you want your Tax Report mailed to the Reporting Service? |
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Yes |
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No |
15.If a Reporting Service completes your fuel tax report, please execute a Power of Attorney.
APPLICATION
FOR INTERNATIONAL FUEL TAX AGREEMENT (IFTA)
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CREDENTIALS |
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16. IRP (Apportioned Tag) Account No. |
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IRP Base State |
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Do you have vehicles based for IRP in states other than Mississippi? No ( |
) Yes ( ) If yes, which state(s). |
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Do you have a farm tag issued by the State of Mississippi ?
Yes
No. If yes, indicate the farm tag No.
17.U. S. DOT Number
18.Indicate fuel type:
Check applicable carrier type.
Diesel Fuel |
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Gasoline |
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Gasohol |
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Common |
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Contract |
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Compressed Gas Natural Gas
Private
19.Complete the schedule below by placing an "X" next to the jurisdictions in which you operate Qualified Motor Vehicles and /or have bulk storage of fuel.
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AK |
Alaska |
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Ml |
Michigan |
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TX |
Texas |
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AL |
Alabama |
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MN |
Minnesota |
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UT |
Utah |
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AR |
Arkansas |
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MO |
Missouri |
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VA |
Virginia |
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AZ |
Arizona |
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MS |
Mississippi |
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VT |
Vermont |
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CA |
California |
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MT |
Montana |
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WA |
Washington |
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CO |
Colorado |
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NC |
North Carolina |
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WI |
Wisconsin |
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CT |
Connecticut |
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ND |
North Dakota |
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WV |
West Virginia |
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DC |
Dist. Columbia |
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NE |
Nebraska |
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WY |
Wyoming |
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DE |
Delaware |
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NH |
New Hampshire |
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AB |
Alberta |
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FL |
Florida |
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NJ |
New Jersey |
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BC |
British Columbia |
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GA |
Georgia |
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NM |
New Mexico |
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LB |
Labrador |
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IA |
Iowa |
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NV |
Nevada |
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MB |
Manitoba |
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ID |
Idaho |
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NY |
New York |
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NB |
New Brunswick |
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IL |
Illinois |
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OH |
Ohio |
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NF |
Newfoundland |
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IN |
Indiana |
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OK |
Oklahoma |
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NS |
Nova Scotia |
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KS |
Kansas |
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OR |
Oregon |
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NT |
N W Territory |
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KY |
Kentucky |
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PA |
Pennsylvania |
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ON |
Ontario |
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LA |
Louisiana |
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RI |
Rhode Island |
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PE |
Prince Edward Island |
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MA |
Massachusetts |
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SC |
South Carolina |
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PQ |
Quebec |
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MD |
Maryland |
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SD |
South Dakota |
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SK |
Saskatchewan |
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ME |
Maine |
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TN |
Tennessee |
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YT |
Yukon Territory |
REQUEST FOR INTERNATIONAL FUEL TAX AGREEMENT DECALS
20. Number of Motor Vehicles requiring IFTA decals.
Additional Decals may be requested by letter stating the number required. Attach a copy of your IFTA License to such letter.
Under the penalties of perjury, the applicant declares the information given is, to the best of his knowledge, true, accurate and complete. The applicant agrees to comply with the reporting, record keeping, and license display requirements of the International Fuel Tax Agreement and/or of the Laws of the State of Mississippi. The applicant further agrees that base jurisdiction may withhold any refunds due if applicant is delinquent on payment of fuel taxes due any member jurisdiction. Failure to comply with these provisions shall be grounds for revocation of license in all member jurisdictions.
Signature |
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Mail the completed application & attachments to: |
Mississippi State Tax Commission |
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P.O. Box 1140 |
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Telephone: |
Jackson, MS |
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