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FILING INSTRUCTIONS
QUARTERLY IFTA RETURN
You are now ready to file your IFTA return with your state. Please carefully follow these general filing instructions. It is recommended that you print this page with your return to use this sheet as a pre-filing checklist. 1. Review your return for accuracy. Pay special attention to the following data on your return. a. Company Name and Address b. Mileage and Fuel Purchase Totals and MPG c. Refund and/or Balance Due Amount d. All Identification Numbers which may include one or more of the following i. Your Federal Employer Tax ID Number (EIN or TIN) ii. Your State Employer Tax ID Number iii. Your DOT Number iv. Your ProRate Number v. Your IFTA ID vi. Your SSN Number vii. Other Permit Numbers 2. Review your return for missing information. Some states have non-standard blanks or questions on the return that can be marked with a ink pen. You may be required to fill-in this information that was not requested or provided during the preparation process. These may include items like lease arrangements, amendments, cancelation dates. It is possible that your return does not need any additional information. 3. Completely fill in the signature section of your return. It may ask for information like Name, Title, Phone, Date and Signature. If any of these data are missing or incorrect, your return may be rejected or delayed in processing. 4. Sign your IFTA Return. It is imperative that you sign your return. 5. Mail your completed, signed and dated return. The due date for filing is the last day of the month following the end of previous calendar quarter.
261902903
A. Total miles traveled in all jurisdictions\ B. Total fuel consumed in all jurisdictions\ C. Average miles per gallon
Q1 2011
04/30/2011
5600-100
5834 _______ 1. Miles/gallon during this quarter 602 _______ (Line A divided by Line B equals 9.69 _______ Line C; use two decimal places 0.00) 2. LPG 8. Methanol 3. Gasoline 9. E-85
8. Net Taxable Gallons (6-7)
1. Diesel 7. Ethanol
5. Total Taxable Miles
IFTA TAX COMPUTATIONS (round to the nearest whole gallon and mile) - Continued on the Reverse Side
6. Taxable Gallons 7. Tax Paid Gallons
AL AR AZ CA CO CT DE FL GA IA ID IL IN INx KS KY KYx LA MA MD ME MI MN MO MS MT NC ND
77 0 0 0 251 0 0 1189 357 0 0 361 110 110 463 192 192 371 0 0 0 615 0 360 0 0 0 0
77 0 0 0 251 0 0 1189 357 0 0 361 110 110 463 192 192 371 0 0 0 615 0 360 0 0 0 0
8 0 0 0 26 0 0 123 37 0 0 37 11 11 48 20 20 38 0 0 0 63 0 37 0 0 0 0
8 0 0 0 -9 0 0 -12 -3 0 0 -3 -19 -2 20 20 -2 0 0 0 -7 0 -3 0 0 0 0
.1900 .2250 .2600 .3970 .2050 .3960 .2200 .3207 .1600 .2250 .2500 .3780 .1600 .1100 .2600 .2150 .1020 .2000 .2100 .2425 .3070 .3400 .2750 .1700 .1800 .2775 .3250 .2300
1.52 0.00 0.00 0.00 (1.84) 0.00 0.00 (3.85) (0.48) 0.00 0.00 (1.13) (3.04) 1.21 (0.52) 4.30 2.04 (0.40) 0.00 0.00 0.00 (2.38) 0.00 (0.51) 0.00 0.00 0.00 0.00
0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.01 0.00 0.04 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1.54 0.00 0.00 0.00 (1.84) 0.00 0.00 (3.85) (0.48) 0.00 0.00 (1.13) (3.04) 1.22 (0.52) 4.34 2.06 (0.40) 0.00 0.00 0.00 (2.38) 0.00 (0.51) 0.00 0.00 0.00 0.00
3. Jurisdiction
4. Total Miles
6. Taxable Gallons
10. Tax (8 x 9)
NE NJ NM NV NY OH OK PA RI SC SD TN TX UT VA VAx VT WA WI WV WY AK DC OR
0 0 0 0 0 184 0 0 0 0 0 0 1304 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 184 0 0 0 0 0 0 1304 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 50 0 0 0 0 0 0 72 0 0 n/a 0 0 0 0 0 0 0 0
.2640 .1750 .2100 .2700 .3925 .2800 .1300 .3810 .3200 .1600 .2200 .1700 .2000 .2450 .1750 .0350 .2900 .3750 .3290 .3220 .1400 n/a n/a n/a
0.00 0.00 0.00 0.00 0.00 (8.68) 0.00 0.00 0.00 0.00 0.00 0.00 12.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 n/a n/a n/a
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 n/a n/a n/a
0.00 0.00 0.00 0.00 0.00 (8.68) 0.00 0.00 0.00 0.00 0.00 0.00 12.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 n/a n/a n/a
OTHER
5834 0
MAKE CHECK PAYABLE AND MAIL REPORT TO: Colorado Department of Revenue 1375 Sherman St. Denver, CO 80261-0016 (303) 205-8205
5834
602
602
n/a
-1.16
0.22
(100) (105) (200) (300) (410)
Enter the total miles traveled in all jurisdictions that are not members of IFTA
13. Net Tax DUE (Total Column 10) Note: Enter total net tax amount on Line 13 or 14 14. Net Tax CREDIT (Total Column 10) 15. PENALTY ($50.00 or 10% of Column 10, whichever is greater) 16. INTEREST (Total Column 11) 17. Amount of TAX CREDIT to be refunded this period Paid via EFT
Signature Title
18. TOTAL REMITTANCE (A separate check must accompany each return submitted) (355) The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically. I certify under penalty of perjury in the second degree that to the best of my knowledge the above information is true and correct.
49.06
Date
Telephone Number
03/31/2011
Jurisdiction
Rate Code
Tax Rate
Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario PR Edward Island Quebec Saskatchewan
061 060 062 059 059 059 055 060 061 061
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
9.69 9.69 9.69 9.69 9.69 9.69 9.69 9.69 9.69 9.69
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
.3348 .7480 .4278 .6286 .6137 .5728 .5319 .7514 .6397 .5580
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0
0 0 0
TOTALS (1) All distances in Miles (2) All fuel in US Gallons (3) All amounts in US Dollars
NOTE: Totals for Canadian activity, if any, are included in the Grand Totals in the main section of this state return.