Ifta 21 Form PDF Details

Navigating through the complexities of fuel taxation across states can be a daunting task for any commercial vehicle operator. This is where the IFTA-21 form comes into play, serving as a lighthouse guiding the way in the somewhat murky waters of fuel tax compliance. This form is integral to the setup for businesses engaged in interstate transportation, functioning under the umbrella of the New York State Department of Taxation and Finance as part of the International Fuel Tax Agreement (IFTA). It's designed for entities aiming to apply for a new license, renew an existing one, or request additional decals, which are essential for legal operation across states. Besides capturing basic identification details like the business type and legal name, it delves into specific operational queries such as the requirement for travel outside New York State, registration for state highway use tax, and the possession of bulk fuel storage. The form also outlines the fees involved, payment instructions, and the solemn commitment to adhere to reporting, payment, recordkeeping, and license-display requirements as defined under New York State Tax Law and the IFTA. The certification section of the form underscores the significance of providing accurate information, highlighting potential civil and criminal repercussions for any falsification. By streamlining the process of compliance, the IFTA-21 form stands as a critical tool for businesses ensuring they meet their obligations efficiently and effectively.

QuestionAnswer
Form NameIfta 21 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesny ifta ifta, new york ifta, ny ifta tax form, ifta application ny

Form Preview Example

Department of Taxation and Finance

IFTA-21

New York State International Fuel

(9/21)

Tax Agreement (IFTA) Application

 

1a

This application is for calendar year

 

1b Reason for application

 

 

New

 

 

Additional license

 

 

 

For office use only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Renewal

 

 

Additional decals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Identification

Employer identification number Suffix, if any

Social Security number

 

 

 

 

Deposit number

 

 

number

 

 

 

 

 

 

 

 

 

 

 

 

 

OR

 

 

 

 

 

 

 

 

 

 

 

 

SS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

Type of business

Sole proprietor/individual

 

 

Corporation

 

 

Partnership

 

LLC/LLP

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 Legal name of business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5 USDOT number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

Doing business as (DBA) name (if different from legal name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7 Business phone number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(      )

 

 

 

8

Physical address (number and street)

 

 

 

 

 

 

 

 

 

9 Mailing address (if different than physical address; number and street or PO box)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

State

 

 

ZIP code

 

 

 

City

 

 

 

 

 

 

 

State

ZIP code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

Will you be traveling outside New York State?

11 Are you registered for New York State highway use tax?

12 IRP registration number

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

 

If No, see instructions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13

Have you ever had an IFTA license from a state other than New York?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

If Yes, list state(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

Do you have bulk fuel storage?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

If Yes, list in which state(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Decal order

 

15

Number of IFTA vehicles:

x $8 per set of 2 decals (see instructions) = 

15

16

Additional license ($2 fee; mark an X in the box if needed)

and enter 2 on line 16

16

17

Total due (add lines 15 and 16; see below for how to pay)

17

 

Pay the fees (total due)

Make check or money order payable in U.S. funds

 

 

with this application

to: Commissioner of Taxation and Finance

 

.00

.00

.00

Certification: The applicant agrees to comply with reporting, payment, recordkeeping, and license-display requirements as specified in the New York State Tax Law and the International Fuel Tax Agreement. The applicant further agrees that New York State may withhold any refunds due if the IFTA applicant is delinquent on payment of fuel taxes due to any IFTA member jurisdiction. Failure to comply with these provisions shall be grounds for revocation of any IFTA license in all member jurisdictions.

I certify with my signature that to the best of my knowledge and belief, the information on this application is true, correct, and complete. I understand that any falsification may subject me to civil and criminal sanctions found in Tax Law § 1815, and Penal Law §§ 175.35 and 210.45.

Type or print name of person signing

Title

Email address of person signing

Signature of owner, partner, member, officer, or person authorized by attached Power of Attorney

Telephone number (with area code)

(      )

Date signed

For mailing instructions, see Form IFTA-21-I, Instructions for Form IFTA-21.

How to Edit Ifta 21 Form Online for Free

It is simple to fill out forms through our PDF editor. Improving the ifta 21 application document is simple for those who keep to the following steps:

Step 1: Search for the button "Get Form Here" on the site and next, click it.

Step 2: Right now, you are able to edit your ifta 21 application. This multifunctional toolbar allows you to add, remove, adapt, highlight, and undertake several other commands to the content and areas within the file.

Make sure you enter the following details to prepare the ifta 21 application PDF:

portion of fields in ifta 21 instructions

Make sure you write down the essential information in the Decal order, Number of IFTA vehicles, x per set of decals see, Additional license fee mark an X, and enter on line, Total due add lines and see, Pay the fees total due with this, Make check or money order payable, Certification The applicant agrees, I certify with my signature that, Type or print name of person, Title, Email address of person signing, Signature of owner partner member, and Telephone number with area code field.

Finishing ifta 21 instructions step 2

Step 3: Choose the Done button to make sure that your finished form is available to be exported to any type of electronic device you want or forwarded to an email you indicate.

Step 4: Prepare as much as two or three copies of the form to refrain from any possible challenges.

Watch Ifta 21 Form Video Instruction

Please rate Ifta 21 Form

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .