Form DR 0122 International Fuel Tax Agreement Tax Report - Colorado

Form DR0122 is a Colorado Department of Revenue form also known as the "International Fuel Tax Agreement Tax Report". The latest edition of the form was released in August 10, 2016 and is available for digital filing.

Download an up-to-date Form DR0122 in PDF-format down below or look it up on the Colorado Department of Revenue Forms website.

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DR 0122 (08/10/16)
*DO=NOT=SEND*
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0009
International Fuel Tax Agreement
Tax Report
IFTA Tax Report General Information
• Each IFTA licensee must file a quarterly tax report, even if
• Bulk fuel users may only take credit for fuel placed
no miles were driven during the calendar quarter.
into the fuel tank of a qualified motor vehicle from a
licensee’s own bulk storage facility. DO NOT include fuel
• You are required to report all IFTA jurisdictions where you
which remains in the bulk storage tank, has been dispensed
have traveled, even if the jurisdiction(s) are not printed
into off-highway equipment or has been dispensed into a
on the return. Failure to file the return may result in an
separate auxiliary fuel supply tank of highway equipment
assessment of $100 per jurisdiction, plus penalty and
used for purposes other than the propulsion engine of the
interest.
vehicle (i.e. reefer engine).
• IFTA reports are due on the last day of the month
• Note: Current fuel tax rates, footnotes, U.S. / Canada
immediately following the end of each tax period. Reports
exchange rates and U.S. / Metric conversions can be found
must be postmarked on or before the due date to be
on the IFTA web site at www.iftach.org.
considered timely. If the last day of the month falls on a
Saturday, Sunday or Legal Holiday, the next business day
• Incomplete or incorrect returns. Incomplete or incorrect
shall be considered the final filing date.
IFTA returns will be sent back to the carrier to complete and/
or correct. Returns sent back for completion or corrections
• Reports not filed by the due date are considered delinquent.
may be subject to late penalties and interest.
The delinquent penalty is $50.00 or 10% of the tax liability,
whichever is greater.
IFTA Reminders
• Each fuel type must be reported on a separate tax form.
Three states have a surcharge on fuel: Indiana, Kentucky, and
The current version of the form mailed to the licensee and
Virginia. When reporting for these states, you must complete
versions on the taxation website are the correct versions.
both the fuel tax line, and the surcharge line, on the tax return.
Fuel purchased at the pump is not allowed on the surcharge
The correct versions of the form have a barcode and
line; the surcharge is not included in the price paid at the
brackets in the upper and lower corners of the form. The
pump.
forms should not be modified (setting the print option
to ‘scale to fit’, for example). No photocopies, faxes or
If you travel in the state of Oregon, you are required to
outdated versions of the form can be processed in the
report only the total miles and total taxable miles. No other
system. All forms should be filled out with black ink. When
information is required for Oregon.
submitting returns for multiple reporting periods, a separate
You are required to file a quarterly IFTA report even if you
check must accompany each period’s return.
have zero (0) miles. If you have zero (0) miles to report for a
quarter, write “0” on lines 1A through 1C, columns 4–12 (only
• Each report must contain an original signature.
on the CO1 line), and lines 13 and 18 of the IFTA tax report. A
• Each licensee shall maintain records for a period
penalty of $50.00 still will be due if the report is submitted late.
of four (4) years from the filing date of the report to
Be sure to sign and date the report.
substantiate information reported. Such records shall be
Be sure to mail the IFTA return to the address listed on the
made available upon request by any jurisdiction member for
return. Failure to do so could delay processing of the return,
an audit.
and result in a delinquency notice for late filing.
Page 1
DR 0122 (08/10/16)
*DO=NOT=SEND*
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0009
International Fuel Tax Agreement
Tax Report
IFTA Tax Report General Information
• Each IFTA licensee must file a quarterly tax report, even if
• Bulk fuel users may only take credit for fuel placed
no miles were driven during the calendar quarter.
into the fuel tank of a qualified motor vehicle from a
licensee’s own bulk storage facility. DO NOT include fuel
• You are required to report all IFTA jurisdictions where you
which remains in the bulk storage tank, has been dispensed
have traveled, even if the jurisdiction(s) are not printed
into off-highway equipment or has been dispensed into a
on the return. Failure to file the return may result in an
separate auxiliary fuel supply tank of highway equipment
assessment of $100 per jurisdiction, plus penalty and
used for purposes other than the propulsion engine of the
interest.
vehicle (i.e. reefer engine).
• IFTA reports are due on the last day of the month
• Note: Current fuel tax rates, footnotes, U.S. / Canada
immediately following the end of each tax period. Reports
exchange rates and U.S. / Metric conversions can be found
must be postmarked on or before the due date to be
on the IFTA web site at www.iftach.org.
considered timely. If the last day of the month falls on a
Saturday, Sunday or Legal Holiday, the next business day
• Incomplete or incorrect returns. Incomplete or incorrect
shall be considered the final filing date.
IFTA returns will be sent back to the carrier to complete and/
or correct. Returns sent back for completion or corrections
• Reports not filed by the due date are considered delinquent.
may be subject to late penalties and interest.
The delinquent penalty is $50.00 or 10% of the tax liability,
whichever is greater.
IFTA Reminders
• Each fuel type must be reported on a separate tax form.
Three states have a surcharge on fuel: Indiana, Kentucky, and
The current version of the form mailed to the licensee and
Virginia. When reporting for these states, you must complete
versions on the taxation website are the correct versions.
both the fuel tax line, and the surcharge line, on the tax return.
Fuel purchased at the pump is not allowed on the surcharge
The correct versions of the form have a barcode and
line; the surcharge is not included in the price paid at the
brackets in the upper and lower corners of the form. The
pump.
forms should not be modified (setting the print option
to ‘scale to fit’, for example). No photocopies, faxes or
If you travel in the state of Oregon, you are required to
outdated versions of the form can be processed in the
report only the total miles and total taxable miles. No other
system. All forms should be filled out with black ink. When
information is required for Oregon.
submitting returns for multiple reporting periods, a separate
You are required to file a quarterly IFTA report even if you
check must accompany each period’s return.
have zero (0) miles. If you have zero (0) miles to report for a
quarter, write “0” on lines 1A through 1C, columns 4–12 (only
• Each report must contain an original signature.
on the CO1 line), and lines 13 and 18 of the IFTA tax report. A
• Each licensee shall maintain records for a period
penalty of $50.00 still will be due if the report is submitted late.
of four (4) years from the filing date of the report to
Be sure to sign and date the report.
substantiate information reported. Such records shall be
Be sure to mail the IFTA return to the address listed on the
made available upon request by any jurisdiction member for
return. Failure to do so could delay processing of the return,
an audit.
and result in a delinquency notice for late filing.
Page 1
*DO=NOT=SEND*
Instructions for Completing the (DR 0122) IFTA Tax Report
Step 1 (Line 1A)
Step 12 (Column 10)
Total all miles traveled during the period and enter the amount
Multiply column 8 by column 9. Use parentheses or brackets
to indicate credit amounts. The amounts in this column
on Line 1A. (Be sure to include miles traveled for both IFTA
and Non-IFTA jurisdictions). Do not use decimals (round
must be recorded in dollars and cents (e.g. 12.32).
mileage to the nearest whole mile i.e. 4,231.56 = 4,232).
Step 13
Step 2 (Line 1B)
If your return is being filed after the due date (late) follow
Enter the total gallons of fuel placed in the propulsion tank,
instructions for columns 11 and 12. If the return is filed
in both IFTA and non-IFTA jurisdictions, for all qualified motor
by the due date, proceed to Step 14.
vehicles in your fleet using the fuel type indicated (round to the
Column 11
nearest whole gallon i.e. 806.09 = 806).
If the return is filed after the due date, multiply column 10 by
Step 3 (Line 1C)
the appropriate interest rate for each month it is late. Interest
Divide the amount on line 1A by the amount on line 1B (round
accrues monthly at 1/12 the annual rate and does not apply
to two decimal places i.e. 5.2506 = 5.25).
to credit amounts. The annual interest rate is 2 percentage
points above the underpayment rate established under
Step 4 (Line 2)
Section 6621(a)(2) of the Internal Revenue Code adjusted on
Indicate the appropriate fuel type. A separate form is
an annual basis. Interest rate information is available at www.
required for each fuel type.
taxcolorado.com in the IFTA section under ‘How to file’ and at
Step 5 (Column 3)
www.iftach.org under ‘Interest Rates’.
List all IFTA jurisdictions that have miles. Do not list IFTA
Column 12
jurisdictions with zero miles. Use correct jurisdiction
Add column 10 and column 11 together when there is
abbreviations. Do not list non-IFTA jurisdictions (see step 6
interest due. Otherwise, column 12 will be the same as
for reporting miles in Non-IFTA jurisdictions).
column 10. The amount must be recorded in dollars and
Step 6 (Column 4)
cents (e.g. 12.32).
List total miles traveled in each IFTA jurisdiction. Do not use
Step 14
decimals (round to the nearest whole mile). For non-IFTA
Total the amounts on column 10. If the total is a positive
jurisdictions enter the total miles traveled in all jurisdictions
number (tax due) enter this amount on line 13. If the total is a
that are not members of IFTA in the space provided, below the
negative number (credit) enter this amount on line 14. Do not
column totals.
enter an amount on both lines 13 and 14.
Step 7 (Column 5)
Step 15
List taxable miles for each jurisdiction. This would be total
If your return is filed on or before the due date, enter “0” on
miles from column 4 minus any miles paid for while traveling
line 15. If your return is filed late; multiply the amount on line
on a fuel tax trip permit in the jurisdiction that issued the trip
13 by 10% (.10), enter that number or $50.00, whichever is
permit. Do not use decimals.
greater, on line 15.
Step 8 (Column 6)
Step 16
Divide column 5 by line 1C. Do not use decimals.
If your return is filed on or before the due date, enter 0 on line 16.
Step 9 (Column 7)
If your return is filed late enter the total of column 11 on line 16.
Enter the total tax-paid gallons of fuel purchased and placed
Step 17
in the propulsion tank of a qualified vehicle in each jurisdiction.
If there is an amount on line 13, add lines 13, 15 and 16 and
When fuel is withdrawn from bulk storage, only report those
enter this amount on line 18. If the sum of lines 15 and 16 is
tax-paid gallons removed for use in your qualified motor
larger than the amount on line 14, enter the difference on line
vehicles during the reporting period. Fuel remaining in storage
18 (total amount due). If the sum of lines 15 and 16 is smaller
cannot be claimed until it is used. Round to the nearest gallon.
than the amount on line 14, enter the difference on line 17
Step 10 (Column 8)
(refund). Do not enter an amount on both lines 17 and 18.
Subtract column 7 from column 6. If column 7 is greater
Zero tax returns must have lines 1A, 1B and 1C filled in
than column 6, use parentheses or brackets to indicate
with a zero (0); line 2 (fuel type) marked; columns 4-12
credit amounts.
(for CO) filled in with a zero (0) along with lines 13 and 18.
Step 11 (Column 9)
Required – SIGN AND DATE THE REPORT.
Enter the tax rate for each applicable IFTA jurisdiction. The
For related information, request the following publications:
tax rates are provided on the letter sent with each quarterly
FYI Excise 8 International Fuel Tax Agreement
tax report. Do not list Non-IFTA jurisdictions or IFTA
FYI Excise 10 IRP and IFTA Record keeping Requirements
jurisdictions with zero miles.
Page 2
Departmental Use Only
DR 0122 (08/10/16)
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0009
International Fuel Tax Agreement
*160122==19999*
Tax Report
Photocopy and keep for your own records
Show below change of ownership, name and/or address
Last Name or Business Name
First Name
Middle Initial
Address
City
State
Zip
Colorado Account Number
IFTA Account No. (FEIN or SSN)
Period
Due Date
(MM/YY – MM/YY)
(MM/DD/YY)
5600-100
1A. Total miles traveled in all
jurisdictions
1.
Miles/gallon during this quarter
1B. Total gallons (both IFTA and
(Line 1A divided by Line 1B equals Line 1C; use two decimal places: 0.00)
non-IFTA jurisdictions)
1C. Average miles per gallon
2. Fuel Type
001 Diesel
002 LPG
003 Gasoline
004 Gasohol
005 LNG (Natural Gas)
006 CNG
007 Ethanol
008 Methanol
009 E-85
010 M-85
011 A55
012 Biodiesel
IFTA Tax Computations (round to the nearest whole gallon and mile) — Continued on the Reverse Side
3. Jurisdiction
4. Total Miles
5. Total
6. Taxable
7. Tax Paid
8. Net Taxable
9. Tax Rate
10. Tax (8 x 9) 11. Interest
12. Total
Taxable Miles
Gallons
Gallons
Gallons (6-7)
(per gallon)
Due
(10 + 11)
Page 3
*160122==29999*
3. Jurisdiction
4. Total Miles
5. Total
6. Taxable
7. Tax Paid
8. Net Taxable
9. Tax Rate
10. Tax (8 x 9) 11. Interest
12. Total
Taxable Miles
Gallons
Gallons
Gallons (6-7)
(per gallon)
Due
(10 + 11)
Copy this page to report more jurisdictions
Page 4
*160122==39999*
3. Jurisdiction
4. Total Miles
5. Total
6. Taxable
7. Tax Paid
8. Net Taxable
9. Tax Rate
10. Tax (8 x 9) 11. Interest
12. Total
Taxable Miles
Gallons
Gallons
Gallons (6-7)
(per gallon)
Due
(10 + 11)
Record the total for each column below.
Enter the total miles traveled in all jurisdictions that are not members of IFTA
TOTAL
13. Net Tax due (Total Column 10) Note: Enter total net tax amount on Line 13 or 14
(100)
14. Net Tax credit (Total Column 10)
(105)
15. Penalty ($50.00 or 10% of Column 10, whichever is greater)
16. Interest (Total Column 11)
Mail to and Make Checks
17. Amount of tax credit to be refunded this period
Payable to:
Colorado Department of Revenue,
18. Total remittance
Denver, CO 80261-0009
(A separate check must accompany
(303) 205-8205
Paid by EFT
each return submitted)
The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If
converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount
$
directly from your bank account electronically.
I certify under penalty of perjury in the second degree that to the best of my knowledge the above information is true and correct.
Signature (Required)
Date (Required)
(MM/DD/YY)
Title
Phone Number
( )
Page 5
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