International Fuel Tax Agreement - Texas Comptroller of Public ...

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CompanyName:IMPORTANT: THE BEGINNING TRACTOR MILEAGE FOR THIS TRIP MUST BETHE SAME AS THE ENDING TRACTOR MILEAGE FROM YOUR LAST TRIP.Please list all Deadhead & Empty miles Pickup and Drop pointsPlease attach all original fuel receipts, NY and Mass toll tickets to the BACK of this Trip SheetCompany Name:Beginning Trip Date:Ending Trip Date:Company Number:Tractor Number: Trailer Number:Load Number:Total Miles:Drivers Name:Starting Point of Trip(City, State)of Last Unload:Origin Load PointPick-Up Point(City, State):Final Destination Point of Trip(City, State) Next Trip Sheetshould begin with this point:List all additionalPick-up/Drop Points(City/State) in this area:1. ______________________________ 3. ______________________________ 5. ______________________________ 7. ______________________________2. ______________________________ 4. ______________________________ 6. ______________________________ 8. ______________________________LineNo. Date StateRoute of Travel(Highway No.’s)Odometer ReadingBeginningMiles byState GallonsCostof FuelPurchaseDateNameof StationNameof CityInvoiceNumber1.State Exit2.3.4.5.6.7.8.9.10.11.12.13.Ending OdometerMiles for this trip sheet are complete when you unload. Deadhead miles to your next load should be on your next Trip Sheet.16 IFTA Texas Guidebook
Company_____________________________________________________________ Page__________ of_____________Total Miles by Truck by MonthMonth Truck # Truck # Truck # Truck # Truck # Truck #2001-012001-022001-032001-042001-052001-062001-072001-082001-092001-102001-112001-122002-012002-022002-032002-042002-052002-062002-072002-082002-092002-102002-112002-122003-012003-022003-032003-042003-052003-062003-072003-082003-092003-102003-112003-122004-01IFTA Texas Guidebook 17
Page 1: TexasGuideBookInternational Fuel Ta
Page 6 and 7: II.DefinitionsAnnual Reporting Peri
Page 8 and 9: Licensees can receive additional de
Page 10 and 11: gallons delivered into qualified mo
Page 12 and 13: VII.License Cancellation,Suspension
Page 17 and 18: purchase (if taxes were paid at the
Page 19: XIII.AppendixTrip Mileage and Route
Page 24: We’re Here To Help! Call Toll-Fre

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