Form Hsmv 85017 PDF Details

The Hsmv 85017 form serves as a crucial document for Florida-based registrants of the International Registration Plan (IRP) and licensees under the International Fuel Tax Agreement (IFTA), outlining a comprehensive record-keeping agreement. This form mandates the maintenance of detailed records for each jurisdiction where the vehicles operate, to support mileage reported for IRP registration and the mileage and fuel purchases reported on IFTA tax returns. It specifies the necessity of keeping both distance and fuel records, including individual vehicle distance records and evidence of taxes paid on fuel. These records, which can be stored in paper or electronic formats, are crucial for audit purposes and to avoid potential penalties and financial repercussions. Additionally, this document emphasizes the requirement to maintain monthly, quarterly, and yearly summaries to recap miles traveled and fuel purchased across jurisdictions. The retention period extends to four years for both IRP and IFTA records, underscoring the importance of meticulous record-keeping in complying with regulatory standards. Failure to adhere to these requirements can lead to significant penalties, including the suspension or revocation of IRP and IFTA credentials, a scenario the form aims to prevent through its structured guidelines.

QuestionAnswer
Form NameForm Hsmv 85017
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshsmv 85017 rev, florida recordkeeping agreement, 85017 hsmv, record keeping agreement form 85017

Form Preview Example

Division of Motorist Services

Bureau of Commercial Vehicle and Driver Services

RECORD KEEPING AGREEMENT

(Not to be signed by Agents or Powers of Attorney)

As a Florida-based registrant under the International Registration Plan (IRP) or licensee under the International Fuel Tax Agreement (IFTA), you are required to keep detailed records of your operations in each jurisdiction. These records must support the mileage reported for IRP registration purposes and/or the mileage and fuel purchased/placed in propulsion tanks as reported on IFTA tax returns. All information is subject to verification and, if found inadequate, WILL result in additional fees and/or financial penalties. Records may be kept in paper or electronic format, and, if requested, must be made available for audit purposes. More information and specific requirements related to record keeping can be found in Section P500 of the IFTA Procedures Manual and Sections 1000, 1005 and 1010 of the IRP Plan.

DISTANCE RECORDS REQUIRED TO BE MAINTAINED (IFTA & IRP): Driver trip sheets or Individual Vehicle Distance Records (IVDR) for each IFTA qualified vehicle MUST be maintained and MUST INCLUDE the following:

Date(s) of trip (starting and ending)

Trip origin and destination

Route of travel (highway numbers)

Beginning and Ending odometer/hub odometer readings for trip

Distance (trip miles/kilometers) traveled in each jurisdiction

Total Distance (trip miles/kilometers)

Power Unit number or vehicle identification number

Registrant/Licensee name

FUEL RECORDS REQUIRED TO BE MAINTAINED (IFTA Only): Evidence of taxes paid on fuel purchased and pumped into each IFTA qualified vehicle MUST be maintained.

OVER THE ROAD FUEL PURCHASES: Unaltered vendor-generated receipts, invoices, credit card receipts, or automated transaction listings MUST be maintained in order to receive credit on your IFTA tax return for taxes already paid. All fuel receipts/invoices MUST INCLUDE the following:

Date of Purchase

Price per gallon/liter or total amount of sale

Name and Address of seller

Unit number or vehicle identification number

Number of gallons/liters purchased

Driver/purchaser’s name

Type of fuel purchased

PREPAID FUEL RECEIPTS/INVOICES ARE NOT ACCEPTABLE

 

 

 

 

BULK STORAGE FUEL PURCHASES/WITHDRAWALS: Fuel delivery tickets/receipts showing taxes paid, bulk fuel meter readings, inventory measurements, and monthly reconciliations MUST be maintained. In addition, the following information MUST BE INCLUDED:

Date of Withdrawal

Driver/purchaser’ signature

Number of gallons/liters withdrawn

Unit Number or vehicle identification number

SUMMARIES REQUIRED (IFTA and IRP):

Monthly Summaries recapping (by each individual vehicle) the miles/kilometers traveled in each jurisdiction; the total fleet miles/kilometers; and (for IFTA) all tax paid fuel (both over the road and bulk withdrawals) placed in the propulsion tank of each IFTA qualified motor vehicle.

Quarterly Summaries recapping the miles/kilometers traveled in each jurisdiction; total fleet miles/kilometers; and (for IFTA) all tax paid fuel (both over the road and bulk withdrawals) placed in the propulsion tank of all IFTA qualified motor vehicles.

Yearly Summaries (for IRP only) of the distance (mileage) information that was used to prepare your IRP renewal. Use the information from the quarterly recaps. The yearly summary must support your actual miles/kilometers reported for the mileage reporting period.

HOW LONG ARE RECORDS REQUIRED TO BE KEPT?

IRP records supporting a particular registration year must be kept for four (4) years after the end of that registration year.

IFTA records supporting each quarterly tax return must be kept for four (4) years from the tax return due date or filing date, whichever is later.

I certify I have read the above information, and I agree to prepare, maintain, and make available all records required under IRP and IFTA. I understand that failure to keep the required records may result in my owing additional taxes; my being assessed substantial penalties and interest; and/or my IRP and/or IFTA credentials being cancelled, suspended, or revoked.

Carrier Name (Printed):

 

Title:

 

Carrier Signature:

 

 

Date:

 

IFTA Account Number:

 

 

IRP Account Number:

 

STATE OF FLORIDA

COUNTY OF ___________________________________

The above has been sworn to (or affirmed) and subscribed before me this ________ day of _______________, 20____, by:

(Print, Type or Stamp Commissioned) Name of Notary

Signature of Notary

 

____________________________________________________________

 

 

Seal

Personally Known

 

Produced Identification

 

Type of Identification Produced:

 

 

15C-13.013

HSMV 85017 (Rev 2/2021)

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