WI INTERNATIONAL FUEL TAX AGREEMENT (IFTA) FOR Motor Carrier Registration Unit FUEL ONLY PO Box 7979 Wisconsin Department of Transportation Madison, WI 53707-7979 MV2756 9/2018 s. 341.45 Wis. Stats. 3RD QUARTER 2018 DUE: OCTOBER 31, 2018 Amended Cancel Fuel License If Cancel is requested, you must return the IFTA license & decals Reporting Period: July, August & September 2018 and IRP plates & cab cards even if you are an online filer A. Fuel Account B. Fuel Summary FUEL Total Miles Gallons AVG MPG TYPE All Jurisdictions All Jurisdictions 2 Decimal Places / = / = FUEL TYPE CODES: Email: Diesel D, Gasoline G, Gasohol GH, Propane P, – – – – Liquid Natural Gas LNG, Compressed Natural Gas CNG – – C. Quarterly Info. (Round to Nearest Whole US Gallons & Miles Not Liters or kilometers) (Enter Credits in Brackets) 7 3 4 5 6 8 9 10 11 1 2 NET TOTAL TAXABLE TAXABLE TAX-PAID TAX TAX (CREDIT) INTEREST TOTAL DUE JURIS- FUEL TAXABLE DICTION TYPE MILES MILES GALLONS GALLONS RATE DUE Col. 7 x 8 DUE Col. 9 + 10 GALLONS WI AB AL AR AZ BC CA CO CT DE FL GA IA ID IL IN IN SURCHARGE 0 KS KY KY SURCHARGE 0 LA MA MB MD ME MI MN MO MS
WI INTERNATIONAL FUEL TAX AGREEMENT (IFTA) FOR FUEL ONLY Wisconsin Department of Transportation MV2756 9/2018 s. 341.45 Wis. Stats. Motor Carrier Registration Unit PO Box 7979 Madison, WI 53707-7979 3RD QUARTER 2018 DUE: OCTOBER 31, 2018 Amended Cancel Fuel License Reporting Period: July, August & September 2018 If Cancel is requested, you must return the IFTA license & decals and IRP plates & cab cards even if you are an online filer A. Fuel Account B. Fuel Summary FUEL Total Miles Gallons AVG MPG TYPE All Jurisdictions All Jurisdictions 2 Decimal Places / = / = FUEL TYPE CODES: Diesel – D, Gasoline – G, Gasohol – GH, Propane – P, Liquid Natural Gas – LNG, Compressed Natural Gas – CNG Email: C. Quarterly Info. (Round to Nearest Whole US Gallons & Miles Not Liters or kilometers) (Enter Credits in Brackets) 1 JURIS- DICTION 2 FUEL TYPE 3 TOTAL MILES 4 TAXABLE MILES 5 TAXABLE GALLONS 6 TAX-PAID GALLONS 7 NET TAXABLE GALLONS 8 TAX RATE 9 TAX (CREDIT) DUE Col. 7 x 8 10 INTEREST DUE 11 TOTAL DUE Col. 9 + 10 WI AB AL AR AZ BC CA CO CT DE FL GA IA ID IL IN IN SURCHARGE 0 KS KY KY SURCHARGE 0 LA MA MB MD ME MI MN MO MS
mv2756_3Q2018.docx