Form Preview Example

COMMONWEALTH OF KENTUCKY

Transportation Cabinet

Division of Motor Carriers

Frankfort, KY 40622

2Q/2011IFTA-100-MN

Use this form to report operations for the

quarter ending

6/30/2011

This report must befiledby thelast day of themonthfollowingtheendof thequarter.

Date Rec'd/Processed

Licensee IFTA Identification number

Name

Street address

City

State

Zip Code

Address change No operation in any jurisdiction Cancel license Amended report

IFTA Quarterly Fuel Use Tax Return

File this report even if there is no tax due.

Usethis form for filingyour Quarterly Fuel UseTax Returnas requiredunder theInternational Fuel Tax agreement (IFTA). Readinstructionscarefully. Makeacopyfor your records.

	Attach check or money order payable to:				Enter the amount of
	KY STATE TREASURER				your payment here
	See Mailing Instructions.			$
Enter theTotal Duefrom columnQof Form IFTA-101-MN, IFTAQuarterly Fuel UseTax Schedule, for eachfuel type.
Enter any credit amounts inbrackets. AttachaForm IFTA-101-MNfor eachfuel typereportedbelow.
1	Diesel
1	Diesel	. . . . . . . . . . . . . .	. . . . . . . . . . . . . . . . . . . . . .	1
2	Motor fuel gasoline	. . . . . . . . . . . . . .	. . . . . . . . . . . . . . . . . . . . . .	2
3	Ethanol/gasohol		. . . . . . . . . . . . . . . . . . . . . .	3
4	. . . . . . . . . . . . . .Propane (LPG)		. . . . . . . . . . . . . . . . . . . . . .	4
5	. .All other fuel types not listed in lines 1 thru 4 (from worksheet onback of IFTA-101-I)			5
	Subtotal of amount due or (credit) (add lines 1 through 5)
6	Subtotal of amount due or (credit) (add lines 1 through 5)			6
7	. . . . . . . . . . . . . .Penalty (see instructions)		. . . . . . . . . . . . . . . . . . . . . .	7
8	. .Total balance due or (credit) (add lines 6 and 7)		. . . . . . . . . . . . . . . . . . . . . .	8
9	Credits to be applied	. . . . . . . . . . . . . .	. . . . . . . . . . . . . . . . . . . . . .	9
10	. .Balance due/(credit) (subtract line 9 from line 8)		. . . . . . . . . . . . . . . . . . . . .	10
11	Refund amount requested		. . . . . . . . . . . . . . . . . . . . . .	11
I certify that this business is duly licensedandthat this report, includingany schedules, is tothebest of my
knowledgeandbelief true, correct andcomplete.

					For OfficeUseOnly

Authorizedsignature		Date	Taxpayer's phonenumber	Sig	Corr

Official title			Paidpreparer's EIN	Name/ID/Address

Paidpreparer's nameor firm (if other thantaxpayer)			Paidpreparer's phone#

Paidpreparer's address
				KY
Paidpreparer's signature			Date
					Date Received
Pleasemakeacopyof thisreport for your records.
IFTA-100-MN(4/06)			SeeMailingInstructions.
		http://transportation.ky.gov/dmc

Kentucky Transportation Cabinet

2Q/2011

	IFTA Quarterly Fuel Use Tax Schedule
Tax on Fuel Type: D (Diesel)	Attach this schedule to Form IFTA-100,
	IFTA Quarterly Fuel Use Tax Return.
	Prepare a separate schedule for each fuel type. Use
	additional sheets if necessary. Make a copy for your records.

	IFTA-101
Use this form to report operations
for the quarter ending	6/30/2011
Date due	7/31/2011
Date Processed

Licensee IFTA Identification number

Name

Round to the nearest whole gallon or mile. Read instructions (IFTA-101-I) carefully.

Total

Average

(A)

IFTA Miles

+ (B)

Non-IFTA Miles =

(D)

Total Gallons

(E)

Fleet MPG

(all IFTA and Non-IFTA jurisdictions)

(2 decimal places)

(A)

(B)

(C)

(D)

(E)

Enter credits in brackets([ ]).

Rate

Taxable

MPG

Taxable

Tax Paid

Net Taxable

Tax

Tax (Credit) Due

Interest

Jurisdiction

Code

IFTA Miles

Miles

from E

Gallons

Rate

(col. M x N (Tax))

Due

Total Due

above

(col. I / J)

(col. K - L)

(col. K x N (Surch))

(col. O + P)

Subtotals

Subtotalsfrom continuation

Totals

IFTA Quarterly Fuel Use Tax Schedule

Use this form to report operations

for the quarter ending

6/30/2011

DIESEL - Continuation-2

Date due

7/31/2011

Date Processed

Licensee IFTA Identification number

Name

Total

Average

(A) IFTA Miles

(B) Non-IFTA Miles

(D)

Total Gallons

(E)

Fleet MPG

(all IFTA and Non-IFTA jurisdictions)

(2 decimal places)

(A)

(B)

(C)

(D)

(E)

Enter credits in brackets([ ]).

Rate

Taxable

MPG

Taxable

Tax Paid

Net Taxable

Tax

Tax (Credit) Due

Interest

Jurisdiction

Code

IFTA Miles

Miles

from E

Gallons

Rate (col. M x N (Tax))

Due

Total Due

above

(col. I / J)

(col. K - L)

(col. K x N (Surch))

(col. O + P)

Totals

IFTA Quarterly Fuel Use Tax Schedule

Use this form to report operations

for the quarter ending

6/30/2011

DIESEL - Continuation-3

Date due

7/31/2011

Date Processed

Licensee IFTA Identification number

Name

Total

Average

(A) IFTA Miles

(B) Non-IFTA Miles

(D)

Total Gallons

(E)

Fleet MPG

(all IFTA and Non-IFTA jurisdictions)

(2 decimal places)

(A)

(B)

(C)

(D)

(E)

Enter credits in brackets([ ]).

Rate

Taxable

MPG

Taxable

Tax Paid

Net Taxable

Tax

Tax (Credit) Due

Interest

Jurisdiction

Code

IFTA Miles

Miles

from E

Gallons

Rate (col. M x N (Tax))

Due

Total Due

above

(col. I / J)

(col. K - L)

(col. K x N (Surch))

(col. O + P)

Total

Kentucky Transportation Cabinet

2Q/2011

	IFTA Quarterly Fuel Use Tax Schedule
Tax on Fuel Type: G (Gasoline)	Attach this schedule to Form IFTA-100,
	IFTA Quarterly Fuel Use Tax Return.
	Prepare a separate schedule for each fuel type. Use
	additional sheets if necessary. Make a copy for your records.

		IFTA-101
Use this form to report operations
for the quarter ending		6/30/2011
Date due		7/31/2011
Date Processed

Licensee IFTA Identification number

Name

Round to the nearest whole gallon or mile. Read instructions (IFTA-101-I) carefully.

Total

Average

(A)

IFTA Miles

(B) Non-IFTA Miles

(D)

Total Gallons

(E)

Fleet MPG

(all IFTA and Non-IFTA jurisdictions)

(2 decimal places)

(A)

(B)

(C)

(D)

(E)

Enter credits in brackets([ ]).

Rate

Taxable

MPG

Taxable

Tax Paid

Net Taxable

Tax

Tax (Credit) Due

Interest

Jurisdiction

Code

IFTA Miles

Miles

from E

Gallons

Rate

(col. M x N (Tax))

Due

Total Due

above

(col. I / J)

(col. K - L)

(col. K x N (Surch))

(col. O + P)

Sub totals

Subtotals from continu

Total

IFTA Quarterly Fuel Use Tax Schedule

Use this form to report operations

for the quarter ending

6/30/2011

GASOLINE - Continuation-2

Date due

7/31/2011

Date Processed

Licensee IFTA Identification number

Name

Total

Average

(A) IFTA Miles

(B) Non-IFTA Miles

(D)

Total Gallons

(E)

Fleet MPG

(all IFTA and Non-IFTA jurisdictions)

(2 decimal places)

(A)

(B)

(C)

(D)

(E)

Enter credits in brackets([ ]).

Rate

Taxable

MPG

Taxable

Tax Paid

Net Taxable

Tax

Tax (Credit) Due

Interest

Jurisdiction

Code

IFTA Miles

Miles

from E

Gallons

Rate

(col. M x N (Tax))

Due

Total Due

above

(col. I / J)

(col. K - L)

(col. K x N (Surch))

(col. O + P)

Totals

JD	Jurisdiction	FUEL_TYPE	G-Gasoline	G-Gasoline-US Tax Ra	Surcharge
AB	Alberta	GASOLINE	0064	0.3486	N
AL	Alabama	GASOLINE	0062	0.16	N
AR	Arkansas	GASOLINE	0064	0.215	N
AZ	Arizona	GASOLINE	0064	0.18	N
BC	British Columbia	GASOLINE	0063	0.734	N
CA	California	GASOLINE	0062	0	N
CO	Colorado	GASOLINE	0064	0.22	N
CT	Connecticut	GASOLINE	0062	0.25	N
DE	Delaware	GASOLINE	0060	0.23	N
FL	Florida	GASOLINE	0064	0.2987	N
GA	Georgia	GASOLINE	67	0.151	N
IA	Iowa	GASOLINE	0064	0.21	N
ID	Idaho	GASOLINE	0062	0	N
IL	Illinois	GASOLINE	0064	0.34	N
IN	Indiana	GASOLINE	0127	0.18	N
IN*	SURCHARGE	GASOLINE	0128	0.11	Y
KS	Kansas	GASOLINE	0064	0.24	N
KY	Kentucky	GASOLINE	0119	0.245	N
KY*	SURCHARGE	GASOLINE	0120	0.043	Y
LA	Louisiana	GASOLINE	0064	0.2	N
MA	Massachusetts	GASOLINE	0062	0.21	N
MB	Manitoba	GASOLINE	0064	0.4455	N
MD	Maryland	GASOLINE	0062	0.235	N
ME	Maine	GASOLINE	0058	0	N
MI	Michigan	GASOLINE	0063	0	N
MN	Minnesota	GASOLINE	0065	0.275	N
MO	Missouri	GASOLINE	0063	0.17	N
MS	Mississippi	GASOLINE	0064	0.18	N
MT	Montana	GASOLINE	0064	0	N
NB	New Brunswick	GASOLINE	0062	0.5268	N
NC	North Carolina	GASOLINE	0064	0.325	N
ND	North Dakota	GASOLINE	0064	0.23	N
NE	Nebraska	GASOLINE	0064	0.264	N
NH	New Hampshire	GASOLINE	0058	0	N
NJ	New Jersey	GASOLINE	0060	0.145	N
NL	Newfoundland	GASOLINE	0062	0.6391	N
NM	New Mexico	GASOLINE	0062	0	N
NS	Nova Scotia	GASOLINE	0063	0.6004	N
NV	Neveda	GASOLINE	0062	0.23	N
NY	New York	GASOLINE	0062	0.41	N
OH	Ohio	GASOLINE	0104	0.28	N
OK	Oklahoma	GASOLINE	0064	0.16	N
ON	Ontario	GASOLINE	0058	0.5694	N
OR	Oregon	GASOLINE	0062	0	N
PA	Pennsylvania	GASOLINE	0069	0.312	N
PE	Prince Edward Island	GASOLINE	0063	0.612	N
QC	Quebec	GASOLINE	0062	0.6662	N
RI	Rhode Island	GASOLINE	0060	0.32	N
SC	South Carolina	GASOLINE	0062	0.16	N
SD	South Dakota	GASOLINE	0062	0	N
SK	Saskatchewan	GASOLINE	0064	0.581	N

TN		Tennessee		GASOLINE		0064		0.2	N
TX		Texas		GASOLINE		0064		0.2	N
UT		Utah		GASOLINE		0064		0.245	N
VA*		SURCHARGE		GASOLINE		0124		0.035	Y
VA		Virginia		GASOLINE		0123		0.175	N
VT		Vermont		GASOLINE		0059		0	N
WA		Washington		GASOLINE		0064		0.375	N
WI		Wisconsin		GASOLINE		0064		0.329	N
WV		West Virginia		GASOLINE		0062		0.322	N
WY		Wyoming		GASOLINE		0064		0.14	N
GA**		RATE CHANGE		GASOLINE			68	0.172	R
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0

JD	Jurisdiction	FUEL_TYPE	D-Diesel-R	D-Diesel-US Tax Rate	Surcharge
AB	Alberta	DIESEL	0064	0.3486	N
AL	Alabama	DIESEL	0062	0.19	N
AR	Arkansas	DIESEL	0064	0.225	N
AZ	Arizona	DIESEL	0073	0.26	N
BC	British Columbia	DIESEL	0063	0.779	N
CA	California	DIESEL	0062	0.397	N
CO	Colorado	DIESEL	0064	0.205	N
CT	Connecticut	DIESEL	0063	0.396	N
DE	Delaware	DIESEL	0060	0.22	N
FL	Florida	DIESEL	0064	0.3207	N
GA	Georgia	DIESEL	63	0.16	N
IA	Iowa	DIESEL	0064	0.225	N
ID	Idaho	DIESEL	0064	0.25	N
IL	Illinois	DIESEL	0064	0.378	N
IN	Indiana	DIESEL	0127	0.16	N
IN*	SURCHARGE	DIESEL	0128	0.11	Y
KS	Kansas	DIESEL	0064	0.26	N
KY	Kentucky	DIESEL	0119	0.215	N
KY*	SURCHARGE	DIESEL	0120	0.102	Y
LA	Louisiana	DIESEL	0064	0.2	N
MA	Massachusetts	DIESEL	0062	0.21	N
MB	Manitoba	DIESEL	0065	0.4455	N
MD	Maryland	DIESEL	0062	0.2425	N
ME	Maine	DIESEL	0059	0.307	N
MI	Michigan	DIESEL	0086	0.373	N
MN	Minnesota	DIESEL	0065	0.275	N
MO	Missouri	DIESEL	0064	0.17	N
MS	Mississippi	DIESEL	0064	0.18	N
MT	Montana	DIESEL	0064	0.2775	N
NB	New Brunswick	DIESEL	0062	0.7437	N
NC	North Carolina	DIESEL	0064	0.325	N
ND	North Dakota	DIESEL	0064	0.23	N
NE	Nebraska	DIESEL	0064	0.264	N
NH	New Hampshire	DIESEL	0058	0.18	N
NJ	New Jersey	DIESEL	0060	0.175	N
NL	Newfoundland	DIESEL	0062	0.6391	N
NM	New Mexico	DIESEL	0064	0.21	N
NS	Nova Scotia	DIESEL	0062	0.5965	N
NV	Neveda	DIESEL	0064	0.27	N
NY	New York	DIESEL	0062	0.3925	N
OH	Ohio	DIESEL	0104	0.28	N
OK	Oklahoma	DIESEL	0064	0.13	N
ON	Ontario	DIESEL	0058	0.5539	N
OR	Oregon	DIESEL	0062	0	N
PA	Pennsylvania	DIESEL	0069	0.381	N
PE	Prince Edward Island	DIESEL	0063	0.7824	N
QC	Quebec	DIESEL	0064	0.705	N
RI	Rhode Island	DIESEL	0060	0.32	N
SC	South Carolina	DIESEL	0062	0.16	N
SD	South Dakota	DIESEL	0064	0.22	N
SK	Saskatchewan	DIESEL	0064	0.581	N

TN		Tennessee		DIESEL		0064		0.17	N
TX		Texas		DIESEL		0064		0.2	N
UT		Utah		DIESEL		0064		0.245	N
VA*		SURCHARGE		DIESEL		0124		0.035	Y
VA		Virginia		DIESEL		0123		0.175	N
VT		Vermont		DIESEL		0072		0.29	N
WA		Washington		DIESEL		0064		0.375	N
WI		Wisconsin		DIESEL		0064		0.329	N
WV		West Virginia		DIESEL		0062		0.322	N
WY		Wyoming		DIESEL		0064		0.14	N
GA**		RATE CHANGE		DIESEL			64	0.183	R
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0
	0		0		0		0	0	0

Question	Answer
Form Name	Ifta 100 Mn Form
Form Length	10 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min 30 sec
Other names	return, 2011, nys ifta 100 mn on pdfiller, tax

Ifta 100 Mn Form – Fill Out and Use This PDF

Ifta 100 Mn Form PDF Details

Form Preview Example

Ifta 100 Mn Form isn’t the one you’re looking for?

Ifta 100 Mn Form – Fill Out and Use This PDF

Ifta 100 Mn Form PDF Details

Form Preview Example

Ifta 100 Mn Form isn’t the one you’re looking for?

Related Documents