Form Irp-44 / Ifta-20 - Sample Individual Vehicle Mileage And Fuel Record (Ivmr) - Alabama Department Of Revenue

ADVERTISEMENT

Sample Individual Vehicle Mileage and Fuel Record
With Instructions
(IVMR)
Instructions
1. Carrier’s name.
2. Federal ID number or social security
number.
3 Carrier’s address.
IRP-44 / IFTA-20
A
D
R
LABAMA
EPARTMENT OF
EVENUE
(6/95)
4. IFTA/IRP account number.
4
5
6
7
8
1
3
Individual Vehicle Mileage and Fuel Record
(IVMR)
5. Trip number.
2
CARRIER’S NAME
FEIN / SSN
ACCOUNT NO.
TRIP NO.
FLEET NO.
TRAILER NO.
TRUCK NO.
6. Fleet number.
Jones Trucking Co.
123-45-6789
9999
134
01
T477
156
10
ADDRESS
DRIVER’S SIGNATURE
7. Trailer unit number.
FUEL TYPE
Bob Smith
1415 Main Street, Birmingham, AL 36109
Diesel
8. Truck unit number.
REMARKS
5/6 pickup load in B'ham
5/9 deliver to Jackson & load
9. Comments or additional information.
5/7 deliver to Jackson & load
5/9 return to B'ham
11
16
17
18
14
15
9
5/8 deliver to Dallas & load
10. Driver’s signature.
MILES BY STATE /
HIGHWAY
TRIP ORIGIN – STATE / JURISDICTION LINES –
DATE STARTING
GALLONS
ODOMETER
JURISDICTION AND
OR ROUTE
NAME AND ADDRESS OF FUEL STOP
12
TOWNS – TRIP DESTINATION
AND ENDING
PURCHASED
11. Type of fuel used in the vehicle, i.e. diesel,
FROM POINT TO POINT
TRAVELED
Birmingham, AL
45,997
--
I-20
5-6-92
1
propane, gas.
13
AL state line
46,129
132
I-20
5-6-92
2
12. Trip origin, state/jurisdiction lines crossed,
Jackson, MS
46,241
112
I-20
5-7-92
Browns Truck Stop
120
3
loading/unloading points, trip destination.
MS state line
46,285
44
I-20
5-7-92
Jackson, MS
4
13. Odometer readings for each entry in No. 12.
LA state line
46,471
186
I-20
5-7-92
5
14. Mileage between each entry in No. 12.
Dallas, TX
46,634
163
I-20
5-7-92
A-1 Truck Stop
100
6
15. Road, highway, or interstate traveled.
LA state line
46,797
163
I-20
5-8-92
Dallas, TX
7
16. Date trip started, date trip ended, and in
MS state line
46,983
186
I-20
5-8-92
8
between.
Jackson, MS
47,027
44
I-20
5-9-92
9
AL state line
47,139
112
I-20
5-9-92
17. Vendor name and address where fuel pur-
10
Birmingham, AL
47,271
132
I-20
5-9-92
I-20 Fuel Stop
80
chased.
11
Birmingham, AL
12
18. Number of gallons purchased.
13
19. Ending odometer reading for trip.
14
20. Beginning odometer reading for trip.
15
21. Difference between No. 19 and No. 20
16
equals total trip miles.
17
23
24
19
20
22. Add miles in No. 14 – Miles By State/
18
Jurisdiction And From Point To Point. (This
ENDING ODOMETER
TOTAL FUEL PURCHASED
TOTAL MILES PER STATE / JURISDICTION
47,271
AL - 264
300
should match the miles you have in No. 21.)
MS - 312
BEGINNING ODOMETER
45,997
LA - 372
TOTAL TRIP MILES
23. Add miles in No. 14 by state and enter total
TX - 326
TOTAL TRIP MILES
TOTAL TRIP MILES
1,274
for each state.
1,274
1,274
24. Add gallons purchased in No. 18 and enter
21
22
25
total here.
25. Add all miles for each state/jurisdiction in
No. 23 and enter total here. (This should
match the miles in No. 21 and No. 22.)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Mv Ifta-1 - Application For License International Fuel Tax Agreement - Alabama Department Of Revenue Form Mv Ifta-1 - Application For License International Fuel Tax Agreement - Alabama Department Of Revenue Financial
Form Co00651 - Individual Vehicle Mileage And Fuel Report - 1999 Form Co00651 - Individual Vehicle Mileage And Fuel Report - 1999 Financial
Form Efo00240 - Individual Vehicle Mileage And Fuel Report - 1999 Form Efo00240 - Individual Vehicle Mileage And Fuel Report - 1999 Financial
Form 1810 - South Dakota Individual Vehicle Mileage And Fuel Report Form 1810 - South Dakota Individual Vehicle Mileage And Fuel Report Financial
Form 6014-a - Authorization For Access To Third Party Records By Alabama Department Of Revenue Employees Form 6014-a - Authorization For Access To Third Party Records By Alabama Department Of Revenue Employees Financial
Alabama Business Privilege Tax Ty2011 Forms And Schedules Preparation Instructions - Alabama Department Of Revenue Alabama Business Privilege Tax Ty2011 Forms And Schedules Preparation Instructions - Alabama Department Of Revenue Financial
Form Rev 81 1023e - Corporate Headquarters Application For Sales And Use Tax Deferral - Washington Department Of Revenue - 2013 Form Rev 81 1023e - Corporate Headquarters Application For Sales And Use Tax Deferral - Washington Department Of Revenue - 2013 Financial
Petition For Diesel Fuel Tax Refund - Alabama Department Of Revenue Petition For Diesel Fuel Tax Refund - Alabama Department Of Revenue Financial
Claim For Diesel Fuel Tax Refund - Alabama Department Of Revenue Claim For Diesel Fuel Tax Refund - Alabama Department Of Revenue Financial
Form Rmft-18 - Schedule Le - Ust And Eif Tax And Fee-paid Purchases - Illinois Department Of Revenue Form Rmft-18 - Schedule Le - Ust And Eif Tax And Fee-paid Purchases - Illinois Department Of Revenue Financial

Related Categories

Parent category: Financial
Download
Go