Form 74 026 001 01 PDF Details

Form 74 026 001 01 is an important form to fill out if you are self-employed. This form is used to report your income and expenses, and it must be filed by April 15th each year. Filling out this form correctly is essential to ensuring that you pay the correct taxes on your income. In this blog post, we will go over exactly what information needs to be included on Form 74 026 001 01. We will also provide some tips for completing the form accurately. Let's get started!

Question	Answer
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 Preview Example

Form 74-026-001-01 Rev 02/2001

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:

City

State

Zip Code

County

Contact Person

Telephone Number:

Fax Number:

Internet E-mail Address:

Mailing Address:

City

State

Zip Code

County

Type of Ownership:

Corporation

Partnership - General

Sole Ownership

S Corporation

Partnership - Limited

Other

LLC

LLP

If C Corp., S Corp, LLC, LLP,

or Partnership, list the names of the officers or partners.

Name

Address

Title

Social Security No.

8. Corporation organized under Laws of State of

9. Date admitted or authorized to do business in Mississippi		Date began business

10. Have you previously held International Fuel Tax Agreement (IFTA) Credentials?
		Yes	No	.

If yes, please indicate the Account No.	and the base jurisdiction

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?

Yes

15.If a Reporting Service completes your fuel tax report, please execute a Power of Attorney.

APPLICATION

FOR INTERNATIONAL FUEL TAX AGREEMENT (IFTA)

	CREDENTIALS
16. IRP (Apportioned Tag) Account No.			IRP Base State
Do you have vehicles based for IRP in states other than Mississippi? No (		) Yes ( ) If yes, which state(s).
		) Yes ( ) If yes, which state(s).

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

Gasoline

Gasohol

	Common		Contract

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.

__	__	AK	Alaska	__	__	Ml	Michigan	__	__	TX	Texas
__	__	AL	Alabama	__	__	MN	Minnesota	__	__	UT	Utah
__	__	AR	Arkansas	__	__	MO	Missouri	__	__	VA	Virginia
__	__	AZ	Arizona	__	__	MS	Mississippi	__	__	VT	Vermont
__	__	CA	California	__	__	MT	Montana	__	__	WA	Washington
__	__	CO	Colorado	__	__	NC	North Carolina	__	__	WI	Wisconsin
__	__	CT	Connecticut	__	__	ND	North Dakota	__	__	WV	West Virginia
__	__	DC	Dist. Columbia	__	__	NE	Nebraska	__	__	WY	Wyoming
__	__	DE	Delaware	__	__	NH	New Hampshire	__	__	AB	Alberta
__	__	FL	Florida	__	__	NJ	New Jersey	__	__	BC	British Columbia
__	__	GA	Georgia	__	__	NM	New Mexico	__	__	LB	Labrador
__	__	IA	Iowa	__	__	NV	Nevada	__	__	MB	Manitoba
__	__	ID	Idaho	__	__	NY	New York	__	__	NB	New Brunswick
__	__	IL	Illinois	__	__	OH	Ohio	__	__	NF	Newfoundland
__	__	IN	Indiana	__	__	OK	Oklahoma	__	__	NS	Nova Scotia
__	__	KS	Kansas	__	__	OR	Oregon	__	__	NT	N W Territory
__	__	KY	Kentucky	__	__	PA	Pennsylvania	__	__	ON	Ontario
__	__	LA	Louisiana	__	__	RI	Rhode Island	__	__	PE	Prince Edward Island
__	__	MA	Massachusetts	__	__	SC	South Carolina	__	__	PQ	Quebec
__	__	MD	Maryland	__	__	SD	South Dakota	__	__	SK	Saskatchewan
__	__	ME	Maine	__	__	TN	Tennessee	__	__	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	Title	Date
Mail the completed application & attachments to:	Mississippi State Tax Commission
	P.O. Box 1140
Telephone: 601-923-7150 Fax 601-923-7165	Jackson, MS 39215-1140

Form 74 026 001 01 – Fill Out and Use This PDF

Form 74 026 001 01 PDF Details

Form Preview Example

Form 74 026 001 01 isn’t the one you’re looking for?

Form 74 026 001 01 – Fill Out and Use This PDF

Form 74 026 001 01 PDF Details

Form Preview Example

Form 74 026 001 01 isn’t the one you’re looking for?

Related Documents