Approval For Ifta Mileage Download On Irp Renewal Form

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Division of Vehicles
915 SW Harrison St
Topeka KS 66612-1588
Nick Jordan, Secretary
Sam Brownback, Governor
Department of Revenue
, Director
Lisa Kasper
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Are the miles you report for the International Fuel Tax Agreement (IFTA) the same miles you use for
your apportioned registration (IRP)?
We are able to electronically obtain the mileage filed on your Kansas IFTA returns in hopes of saving you
time of writing down your mileage for each jurisdiction on our IRP Renewal Application. Please read the
following paragraphs to completely understand and agree to this process.
If you agree, sign and return this form your next apportioned registration renewal form will contain your
mileage information from the IFTA returns you filed during the IRP Mileage Reporting Period.
When you receive your IRP renewal report you will be able to make any changes necessary to the
preprinted mileage information. You may also add jurisdictions if you did not have actual miles during
the reporting period.
By signing this form you are allowing our agency to use the miles reported on your IFTA returns for IRP
Renewals in subsequent years.
If you have any questions please call 785-296-6541.
I, ________________________________________, authorize the Division of Vehicles/Commercial
(Print Name)
Motor Vehicle Office to electronically obtain mileage I have reported on my IFTA returns to be printed
on my IRP Renewal Reports. I understand and agree that I am required to review the information
and make any necessary changes. If I find any discrepancy of my mileage download, I will contact
the IFTA Office (785) 368-8222 press option #5 and then option #6 to inquire about the
information.
Kansas IFTA ID# B_____________ FEIN _________________ (
Federal Employer Identification
Number)
Apportioned Account Number (IRP) ________________
___________________________________________________________
(Signature of Owner, Partner, Corporate Officer, or Person Authorized by Power of Attorney.)
(Date)
If you change your IFTA Kansas ID# for any reason please let our office know, and submit a new
approval form.
MCS-41 (9/14)
Commercial Motor Vehicle Office
Docking State Office Building
915 SW Harrison Room 150 Topeka KS 66612
Voice (785) 296-6541 Fax (785) 296-6548

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