Ifta 21 Form PDF Details

The Islamic Financial Services Board (IFSB) has released the latest version of its Ifta 21 form, which sets out the requirements for Shariah-compliant financial products. The new form is designed to help financial institutions create and sell Shariah-compliant products, and will be used by a range of regulatory bodies including central banks and ministries of finance. It covers a range of product areas, including banking, insurance and investment. Financial institutions that wish to offer Shariah-compliant products will need to ensure that they are familiar with the requirements set out in the Ifta 21 form.

Before you decide to complete ifta 21 form, you will want to find out more concerning the type of form you're going to use.

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

Form Preview Example

 

 

 

 

 

 

 

Department of Taxation and Finance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IFTA-21

 

 

 

 

 

 

 

New York State International Fuel

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(9/15)

 

 

 

 

 

 

 

Tax Agreement (IFTA) Application

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1a

This application is for calendar year

 

1b Reason for application

 

 

New

 

 

Additional license

 

 

 

 

For ofice use only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Renewal

 

 

Additional decals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Identiication

Employer identiication number Sufix, 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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

Certiication: The applicant agrees to comply with reporting, payment, recordkeeping, and license-display requirements as speciied 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 falsiication may subject me to civil and criminal sanctions found in Tax Law section 1815, and Penal Law sections 175.35 and 210.45.

Type or print name of person signing

Title

 

 

 

 

 

 

Signature of owner, partner, member, oficer, 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.

Watch Ifta 21 Form Video Instruction

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