Mfut 12 R Form PDF Details

For businesses operating motor vehicles in Illinois, maintaining compliance with the state's Motor Fuel Use Tax requirements is essential. The Illinois Department of Revenue offers the MFUT-12-R form as a means for licensees under the Motor Fuel Use Tax IFTA (International Fuel Tax Agreement) to order replacement decals in case the original ones are lost, stolen, damaged, or otherwise rendered unusable. The process outlined in this form is straightforward, designed to ensure minimal disruption in compliance for affected businesses. By providing the year for which the decals are needed and details about the business, including the Federal Employer Identification Number (FEIN) or Social Security number (SSN), legal business name, and trade name, entities can request new decals. A fee of $2.00 per decal set is required, with each qualified motor vehicle needing one set (two decals) for complete compliance. The form instructs on calculating the total cost for the needed replacement decal sets and provides information on making payments to the Illinois Department of Revenue. Essential for record-keeping, account identification, and payment processing, the applicant's FEIN or SSN, along with a signature affirming the truth and accuracy of the provided information under penalty of perjury, is necessitated for the completion of the MFUT-12-R form. This detail underscores the seriousness with which the state treats these transactions, emphasizing the importance of accuracy and honesty in these submissions. The final step requires mailing the completed form and payment, ensuring that businesses can swiftly return to operating within the legal requirements of Illinois' motor fuel tax laws.

Form NameMfut 12 R Form
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesMFUT 12 R mfut 12 form

Form Preview Example

Illinois Department of Revenue

MFUT-12-R Motor Fuel Use Tax

IFTA Replacement Decal Order

Read this information first.

Do not write above this line.

This form may only be used to order decals to replace those that were lost, stolen, damaged, etc. We will mail your replacement decals to the address you provided on Form MFUT-12, Application for Motor Fuel Use Tax IFTA License and Decals. If you need to update this address or any other information you originally provided on Form MFUT-12, contact us weekdays during normal business hours at 217 785-1397. Please type or print in ink.

Step 1:

Tell us the year for which you are ordering decals: December 31, 2 0 __ __







Step 2:

Identify your business


FEIN ______________________________________


IFTA Account ID:________________________________



Federal employer identification number or Social Security number








Legal business name:_____________________________


Trade (DBA) name: ______________________________

Step 3: Complete your replacement decal order

You must purchase and display one set (two decals) for each of your qualified motor vehicles. There is a $2.00 cost per decal set.

5My original decal was: ___ Lost ___ Stolen ___ Damaged ___ Other. Explain: ___________________________________

6My original decal serial number was _________________

(Attach additional sheet if multiple decals are being replaced.)

To figure how much you owe, multiply the number of decal sets by 2.00. This is your cost for replacement decals.

7 Total number of replacement decal sets needed: ___________ X 2.00 = $_______________

Make your check payable to “Illinois Department of Revenue.”

Step 4: Sign below

Your FEIN or SSN is used for account identification, payment processing, and record keeping. Your number and pertinent account information may be provided to IFTA jurisdictions, governmental and state agencies, and any persons necessary for administering the Motor Fuel Tax Law.

Under penalties of perjury, I state that I have examined this replacement decal order and, to the best of my knowledge, it is true, correct, and complete.


Printed name





(_____) _____ - _________

__ __/__ __/__ __ __ __


Month Day


Step 5: Mail Form MFUT-12-R and payment to:



PO BOX 19467


Telephone: 217 785-1397

MFUT-12-R N-05/09)

This form is authorized by the Illinois Motor Fuel Tax Law. Disclosure of this information is REQUIRED. Failure to provide information could result in a penalty. This form has been approved by the Forms Management Center. IL-492-3262