Texas Ifta Form – Fill Out and Use

01 - Diesel

02 - Gasoline

03 - Ethanol

04 - Propane (LPG)

05 - Compressed

Natural Gas (CNG)

Fuel code

Fuel type

F.b

Juris.

ID

G.

H.b

Total

IFTA Miles

(Whole miles)

I.b

Taxable

Miles

(Whole miles)

J.

	K.		bbbbbL.M.N.					O.
Taxable			Purchased	Net Taxable				Tax/<Credit>
Gallons			Gallons	Gallons			Tax Rate	Due
.
(I	.	E)		(K		L)		(M x N)
(Whole gallons)			(Whole gallons) (Whole gallons)					(Dollars & cents)

P.b

Interest

Due

(Dollars & cents)

Q.b

Total Due

(O + P)

(Dollars & cents)

*

Indicates surcharge

**Indicates mid-quarter rate change

TOTALS FOR THIS PAGE ONLY

2.

3.

4.

Item 1 -

Indicate the

ppropriate fuel type if it is not preprinted. Place an

"X" in the applicable box for Diesel, Gasoline, Ethanol, Propane

or Compressed Na ural Gas. For OTHER fuel typ s, place an

"X" in the last box and ent

the fuel code and fuel type as

listed below:

06

A-55

11

Methanol

07

E-85

12

Biod esel

08

M-85

13

Electricity

09

Gasohol

14

Hydrogen

10

LNG

Use a sep rate Form 56-102 f

r

ch

fu

type. Go

to

www.co

ptr

ll

r.texas.gov/taxes/fu

s/docs/biodies

l.pdf

for

additional

information

repor ing biodies

l.

Item A -

T

tal IFTA

miles

-

E ter

ot

trave

d

n

IFTA

jurisdictions by all qual fi

d motor vehicles in your fleet using

the fuel type

icated. Report all mil

trave

d whether the

miles are taxable or nont xable. F

r IFTA jurisdictions with a

surcharge, include miles trav led only once f r that juris-

diction. The total in C

lumn H f r all pages must equal item A.

Item B -

Total non-IFTA miles - For each fuel type include t tal miles

traveled in non-IFTA juri

dictions of No

h

est Territori s and

Yukon Territory of Canad

, M xico, Alaska

nd the D strict of

Columbia by all qua ifi d

tor vehi l

in

fle

t. Report all

mileage

traveled

whe her

the

mileage

is

taxable

or

non-taxable.

Item C -

Total miles - A

the am unt in Item A and the amount

n

Item B to determine the

tal mil

trav led

by

l qualified

motor vehicles in your fleet.

Item D -

Total Gallons Purcha ed

- Ent

the

total

gallons

of

fuel

purchased in both IFTA and non-IFTA jurisdictions by all

qualified

tor

vehic

in

your

fleet

u

ing the

fu

l

type

indicated.

(Note:

Fuel is

sidered "purchas

d" when it is pump

into your

qualified vehicle.)

Item E -

Average Fleet MPG - Divide It m C by Item D. R und to 2

decimal places.

Column F -

Jurisdicti n ID - Preprinted are all IFTA member jurisdic-

ns in which y have indicated oper tions during t

previ

us f

quart rs. If you did not operate in a jurisdic-

listed, make

o entri

s for that jurisdiction. If you op

-

ated in any ju isdict on other than tho

listed, enter

e

jurisdiction's two

etter abbreviation from the t

ble b

l

w.

Column H -

T tal IFTA Miles -

En

the

total mil

(taxable

and

n ntaxable) trav

d in

ach IFTA juri

diction for this fuel

ype

ly.

Column I -

Taxab e Miles - Enter

IFTA tax ble miles for each

jurisdiction. Trip permit miles are not considered taxable in

any jurisdiction.

Column K -

Taxab e Gallons

- Divide the amount in Column I by the

amount in Item E to d termine the tot

l taxable gallons of

fuel

nsumed in each jurisdiction.

Column L -

Pur hased

Gallons

-

Ent

the

total

gallons

of

fuel

purchased

tax paid

each IFTA jurisdiction. Ke

your

receipts for each purchase claimed. When using bulk

storage,

report

nly

gallons removed

for use in

your

qualified motor vehicles. Fuel remaining in sto age cannot

be claimed until it is used. Column L cannot be greater

an Item D.

Column M - Net Taxable Gallons - Subtract Column L from Column K for each jurisdiction.

-If Column K is greater than Column L, enter the taxable gallons.

-If Column L is greater than Column K, enter the credit gallons. Use brackets < > to indicate credit gallons.

Column N - Tax Rate - The tax rate is listed for each preprinted IFTA jurisdiction on your report. If the tax rate is not preprinted, enter the tax rate for the appropriate fuel type from the enclosed tax rate chart. Refer to the IFTA, Inc. web page (www.iftach.org) for tax rate footnotes and exchange rate.

FUEL TAX SURCHARGES - Some jurisdictions impose an additional charge on each taxable gallon of fuel used in that jurisdiction. This surcharge is not paid at the pump or upon withdrawal from bulk storage facilities; the surcharge is collected on the quarterly IFTA report. If you have traveled in any of the jurisdictions that impose a surcharge, you must calculate and pay the surcharge on this report. To calculate the amount due for the surcharge, multiply the number of taxable gallons (K) used in that jurisdiction by the surcharge rate. Fuel tax surcharges need to be reported on separate lines of the report supplements.

RATE CHANGES WITHIN A QUARTER - Sometimes jurisdictions change their tax rate during a quarter. When this occurs, it is necessary to separate the miles traveled during each rate period and report them on separate lines of the report supplement. If you traveled in a jurisdiction that had a mid-quarter rate change, that jurisdiction should be listed multiple times on the supplement. If you did not incur travel during one of the rate periods, show zeros for that period.

Column O - Tax <Credit> Due - Multiply the amount in Column M by the tax rate for that jurisdiction in Column N to determine the tax or credit. Enter credit amount in brackets < >.

Column P - Interest Due - If you file late, compute interest on the tax due for each jurisdiction for each fuel type. Interest is com- puted on tax due from the due date of the report until the date the payment is postmarked. For current interest rate, refer to www.comptroller.texas.gov/taxes/fuels/ifta.php. Reports must be postmarked no later than the last day of the month following the end of the quarter to be timely. If the last day of the month falls on a Saturday, Sunday or national holiday, the due date will be the next business day.

Column Q - Total Due - For each jurisdiction add the amounts in Column O and Column P, and enter the total dollar amount due or credit amount. Enter credit amount in brackets < >.

Item 2 - Enter the total of amounts in Column O for all jurisdictions listed on this page for the fuel type indicated.

Item 3 - Enter the total of amounts in Column P for all jurisdictions listed on this page for the fuel type indicated.

Item 4 - Enter the total of amounts in Column Q for all jurisdictions listed on this page for the fuel type indicated. This total is necessary to calculate the fuel type totals reported on the corresponding line of the International Fuel Tax Agreement (IFTA) Quarterly Fuel Tax Report, Form 56-101.