• Document: 1. Fuel Type (a separate FLORIDA SCHEDULE 1 IFTA FUEL TAX COMPUTATION, HSMV 85922, is required on each fuel type reported)
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  • Uploaded: 2019-01-13 21:45:03
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STATE OF FLORIDA RETURN TYPE (Check One)     DIVISION OF MOTORIST SERVICES    ORIGINAL  AMENDED  FINAL INTERNATIONAL FUEL TAX AGREEMENT RETURN RETURN RETURN     TAX RETURN If FINAL RETURN, provide the date   PLEASE TYPE OR PRINT IN INK  DELINQUENT AFTER operations ceased and return decals:   TAX PERIOD ___________ THRU ___________ ________________________________ AMOUNT DUE with this tax return: Enter Name, Address, FEI # and Customer #, if not Preprinted $ _________________   MAKE CHECKS PAYABLE TO: DIVISION OF MOTORIST SERVICES If NO OPERATIONS this period, CHECK HERE FEI #____________________Customer #____________________ IFTA Tax Returns MUST Be Filed  MILEAGE AND FUEL SUMMARY (FOR QUALIFIED IFTA VEHICLES) Regardless of Activity  1. Fuel Type (a separate FLORIDA SCHEDULE 1 – IFTA FUEL TAX COMPUTATION, HSMV 85922, is required on each fuel type reported) FUEL TYPES OTHER (Please indicate) Diesel Gasoline Gasohol, Propane, Natural Gas, Etc. 2. A. Total Miles Traveled in All Jurisdictions (IFTA and Non-IFTA) B. Total Gallons of Fuel Placed in Qualified Vehicles for All Jurisdictions (IFTA and Non-IFTA) C. Average Miles Per Gallon (Line 2.A. / Line 2.B.) FUEL TAX COMPUTATION (Enter Data for Each IFTA Jurisdiction on Florida Schedule 1) 3. Tax or Credit Due (Total from Schedule 1, Page 2, Column H) $ 4. Less Credit from Previous Returns $ ( ) 5. Net Tax Due $ 6. Tax Due from Previous Return(s) $ 7. Total Tax Due $ 8. Penalty (See Instructions) $ 9. Interest (Total from Schedule 1, Page 2, Column I) $ 10. Total Due With This Return – If Credit, Enter -0- and Complete Line 11 $ 11. Amount of Credit. Apply to Succeeding Period  REFUND  $ ( ) I hereby certify that this return has been examined by me and to the best of my knowledge and belief is a true and correct return and  that any refund requested is now 

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