Hsmv 85921 Form – Fill Out and Use This PDF

INSTRUCTIONS FOR COMPLETING TAX RETURN

1.Designate the appropriate fuel type. (For more information, see the Important Note under Instructions for Completing Schedule 1.)

2.Enter total qualified motor vehicle fleet miles in all jurisdictions on Line 2.A for each fuel type used. When entering your total miles traveled, be sure to include both IFTA miles and Non-IFTA miles. On Line 2. B., be sure to include ALL fuel placed in the tanks of qualified vehicles, this means fuel obtained in both IFTA and Non-IFTA jurisdictions. Round to the nearest whole gallon. Divide Line 2. A. by Line 2. B. to find your average miles per gallon for Line 2. C.. Use 2 decimal places (0.00). CAUTION: ERRORS IN THIS SPACE CAN CAUSE OVER PAYMENT OR UNDERPAYMENT OF TAXES AND COULD RESULT IN PENALTY AND INTEREST BEING CHARGED TO YOUR ACCOUNT.

3.Enter the Tax or (Credit) due. (From Schedule 1, Page 2, Column H).

4.This is the current credit balance on your account from previous returns. If the credit is used to offset tax due and the credit is determined through an audit to be invalid, penalty and interest may be assessed.

5.Enter the Net Tax Due. (Subtract Line 4, from Line 3.).

6.Tax due from underpayment of prior tax returns.

7.This is the total tax amount due. (This amount should be added to Line 6, and would be used to calculate penalty, if the return is filed late).

8.PENALTY: If your tax return and all taxes due are not postmarked on or before the Delinquent Date, the penalty is $50.00 or 10% of the total net tax liability, whichever is greater. (the $50.00 minimum penalty is due on ALL LATE tax returns).

9.Enter the total interest due. (This is the total from Schedule 1, Page 2, Column 1).

10.Enter Total Due With This Return by totaling Lines 7 through 9. If you are due a Credit, enter”0”. Complete Line 11.

11.Enter Total Amount of Credit. Please check whether you want the amount of credit applied to the succeeding period or a refund. NO REFUND UNDER $10.00 WILL BE ISSUED.

SIGNATURE: An authorized Owner/Officer must sign the tax return. If the tax return is not signed by an Owner/Officer, a Power of Attorney, form HSMV 96440, MUST be on file in this office.

EMAIL ADDRESS: Enter the business e-mail address.

INSTRUCTIONS FOR COMPLETING SCHEDULE 1

IMPORTANT NOTICE: A separate Schedule 1 MUST BE completed for each type of fuel indicated on Page 1 of this Tax Return.

A.IFTA JURISDICTIONS. If additional space is needed, make a photocopy of the Schedule 1.

NOTE: Calculation of Surcharges – Use two lines for jurisdictions imposing a surcharge. Calculate fuel tax or credit due on the first line. Calculate surcharge due on the second line (next line down). When calculating surcharge, multiply the number of taxable gallons shown in Column D of the first line by the surcharge tax rate. On surcharge line DO NOT complete Columns B, C, E, or F.

B.Enter total miles traveled in each jurisdiction (taxable and non-taxable). Round to the nearest whole mile.

C.Enter the total taxable miles traveled in each jurisdiction. Round to the nearest whole mile.

D.Enter taxable gallons for each jurisdiction. Column C divided by Average Miles per Gallon (Line 2. C. on the Tax Return). Round to the nearest whole gallon.

E.Enter gallons of tax paid fuel placed in qualified motor vehicles for each jurisdiction. Round to the nearest whole gallon. Retain your invoices. If a jurisdiction does not tax the fuel at the pump then there would be no tax paid purchases to claim.

F.Subtract Column E from Column D and enter Net Taxable Gallons. If Column E is greater than Column D, enter credit balance in parentheses (0.00).

G.Enter the current tax rate for the fuel type indicated. Refer to the quarterly tax rate sheet, or the IFTA website at www.IFTACH.org.

H.Multiply Net Taxable Gallons (Column F) by the Tax Rate Column G). Enter credit balance in parentheses (0.00). NOTE: To calculate the surcharge amount, multiply the taxable gallons (Column D) by the surcharge rate (Column G).

I.Multiply Net Tax Due (Column H) by the interest rate of 1% per month. Interest is computed at a rate of 1% per month from the date tax was due for each month or fraction thereof until paid. DO NOT calculate interest on credits.

J.Add Tax Due/Credit (Column H) and Interest Due (Column I).

In the lines provided, explain any difference between TOTAL MILES and TAXABLE MILES for each jurisdiction where there is a difference. Also, explain any other adjustments that you may make to this Tax Return report.

CLOSE ACCOUNT INSTRUCTIONS

To close the account you must first complete and file any outstanding tax return(s) and submit any tax due the State of Florida. Your IFTA credentials must also be returned or a notarized letter stating they have been destroyed will need to be submitted.

REQUESTS FOR CERTIFIED COPIES

A $1.00 per page fee plus a $3.00 certification fee is required for certified copies of documents. DO NOT INCLUDE FEES FOR DOCUMENTS WITH YOUR IFTA TAX RETURN PAYMENT. THIS FEE MUST BE A SEPARATE CHECK AND HANDLED AS FOLLOWS: Make check payable to the Division of Motorist Services, and direct the request for certified copies to the attention of: Registration Records Section, PHOTOCOPY UNIT, Neil Kirkman Building, MS-73, 2900 Apalachee Parkway, Tallahassee, FL 32399-0620.

HSMV 85921 (7/11)

HELP SHEET FOR CARRIERS

FLORIDA SCHEDULE 1 – IFTA FUEL TAX COMPUTATION

Round Amounts in Columns (B through (F) to Nearest Whole Gallon and Mile

(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)
JURISDICTION	TOTAL MILES IN	TOTAL TAXABLE	TAXABLE	TAX PAID	NET TAXABLE	TAX RATE /	TAX DUE /	INTEREST DUE	TOTAL DUE /
	EACH	MILES	GALLONS	GALLONS	GALLONS	SURCHARGE	CREDIT		CREDIT
	JURISDICTION		(Col. C / AMG)	PURCHASED	(Col D – Col. E)	RATE	(Col. F x Col. G)		(Col. H + Col. I)
						(See Tax Rate
						Chart)

			FUEL	FUEL
			USED	PURCHASED
LIST ALL	LIST TOTAL	SHOULD BE	COLUMN C	ALL FUEL YOU	COLUMN D	ENTER	MULTIPLY	1% OF TOTAL	ADD COLUMN
STATES	MILES	THE SAME AS	DIVIDED BY	WERE TAXED	MINUS	SPECIFIC TAX	COLUMN F BY	TAX FOR EACH	H AND I
	TRAVELED	(B) EXCEPT	AVERAGE	ON AT THE	COLUMN E	RATE	COLUMN G	MONTH FROM
		WITH A TRIP	MILES PER	PUMP OR				DELINQUENT
		PERMIT	GALLON	BULK				DATE UNTIL
		*************	(Line 2.C)					DATE TAX IS
		SUBTRACT						PAID
		MILES UNDER
		TRIP PERMIT
CALCULATION	XXXXXXX	XXXXXXX	SAME AS	xxxxxxx	xxxxxxx	SURCHARGE	MULTIPLY	SAME AS	COLUMN (J)
ON			ABOVE			RATE	SURCHARGE	ABOVE	WILL BE THE
SURCHARGE:							RATE (Column		SAME AS
Write the							G) TIMES		COLUMN (H)
jurisdiction							TAXABLE		(Unless
name on two							GALLONS		interest is due
lines and add							(COLUMN D)		in Column (I) –
wording									then add the
“surcharge”									figure to
on the second									Column (H) to
line in Column									obtain Column
(A) – (there									(J) total)
will never be a
credit on a
surcharge)
					FOR MORE DETAILED TAX CALCULATION INFORMATION, CALL 850‐617‐3711,
					AND REQUEST THE BUREAU OF COMMERCIAL VEHICLE AND DRIVER SERVICES
					PUBLICATION, “HOW TO CALCULATE FLORIDA’S INTERNATIONAL FUEL TAX
					AGREEMENT QUARTERLY TAX RETURN”.