Form 4537 - International Fuel Tax Agreement (Ifta) Electronic Funds Transfer (Eft) Credit Application

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Michigan Department of Treasury
4537 (10-07)
International Fuel Tax Agreement (IFTA) Electronic Funds Transfer (EFT)
Credit Application
Issued under P.A. 122 of 1991, as amended. Filing is mandatory if you wish to pay by EFT Credit.
Use this form to notify Treasury that you intend to pay your IFTA taxes by EFT Credit. You may begin electronic payment after you
receive our approval.
Taxpayer Name and Address
Taxpayer Identification Number
Contact Person Telephone Number
Contact Person
Contact Person Fax Number
Tax Type: IFTA
Tax Code: 05900
The Michigan Department of Treasury will approve requests for EFT Credits if you agree to follow the adopted format. See Instructions
for Payments of Michigan IFTA Tax Credits on Page 2 of this form. You must also electronically send a test (zero dollar or $.01
transmission, completely formatted) before written approval and actual filing can begin.
AUTHORIZATION FOR EFT CREDITS
I agree to follow the formats adopted by the Michigan Department of Treasury for IFTA tax payments. I will also send an electronic test. I agree to
notify Treasury in advance of any change in my payment method.
Signature of Responsible Officer
Title
Date
Please be aware of corporate officer liability as provided in Michigan Compiled Laws 205.27a(5):
"If a corporation liable for taxes administered under this act fails for any reason to file the required returns or to pay the tax due, any
of its officers having control or supervision of, or charged with the responsibility for making the returns or payments is personally
liable for the failure..........."
CORPORATE OFFICER CERTIFICATION
(This form will not be processed for corporations unless this section is completed.)
Signature of Officer Responsible for Reporting and/or Paying Michigan Taxes
Date
Type or Print
Title
This corporate officer certification must be resubmitted when there is a change in the officer responsible for filing and/or paying
Michigan Taxes.
Mail this form to the Michigan Department of Treasury for approval. We will sign it and return it to you.
Treasury Approval
Date
If you have any questions, contact the Michigan Department of Treasury at (517) 636-4580.
Return this form to:
Michigan Department of Treasury
P.O. Box 30474
Lansing, MI 48909-8209
Fax: (517) 636-4593

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