"Ifta Additional Decal Application" - Nebraska

Ifta Additional Decal Application is a legal document that was released by the Nebraska Department of Motor Vehicles - a government authority operating within Nebraska.

Form Details:

  • The latest edition currently provided by the Nebraska Department of Motor Vehicles;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Motor Vehicles.

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Download "Ifta Additional Decal Application" - Nebraska

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IFTA Additional Decal Application
Please do not write in this space
Carrier Number
Carrier Name
Address
Phone
Registration Fees
Additional decals requested @ $1.00 each
$_______
Total fees enclosed
$_______
I agree to comply with all applicable reporting, payment, record keeping, and license
display requirements as specified in the International Fuel Tax Agreement, and
Nebraska law. I further agree that Nebraska may withhold any refunds due if I am
delinquent on payment of any fuel taxes under Nebraska law or the International Fuel
Tax Agreement. I understand that failure to comply with all applicable provisions of
Nebraska law, and the International Fuel Tax Agreement shall be ground for revocation
of my IFTA license.
Sign Here
______________
Signature of Owner, Partner, Corporate Officer, or Person Authorized by attached
Date
Power of Attorney
IFTA Additional Decal Application
Please do not write in this space
Carrier Number
Carrier Name
Address
Phone
Registration Fees
Additional decals requested @ $1.00 each
$_______
Total fees enclosed
$_______
I agree to comply with all applicable reporting, payment, record keeping, and license
display requirements as specified in the International Fuel Tax Agreement, and
Nebraska law. I further agree that Nebraska may withhold any refunds due if I am
delinquent on payment of any fuel taxes under Nebraska law or the International Fuel
Tax Agreement. I understand that failure to comply with all applicable provisions of
Nebraska law, and the International Fuel Tax Agreement shall be ground for revocation
of my IFTA license.
Sign Here
______________
Signature of Owner, Partner, Corporate Officer, or Person Authorized by attached
Date
Power of Attorney