Form Mfut-76 "Illinois Motor Fuel Use Tax Individual Trip Summary Report" - Illinois

Form MFUT-76 is a Illinois Department of Revenue form also known as the "Illinois Motor Fuel Use Tax Individual Trip Summary Report". The latest edition of the form was released in September 1, 2018 and is available for digital filing.

Download an up-to-date Form MFUT-76 in PDF-format down below or look it up on the Illinois Department of Revenue Forms website.

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Illinois Department of Revenue
Page ____ of ____
MFUT-76
Illinois Motor Fuel Use Tax Individual Trip Summary Report
Month of _____________, 20__
Unit No.: ______ Year: _____ Make: _________ Serial No: ______________ Fleet No. and Location: __________________ Driver Name: _______________________
Trip Dates: _______________ Ending Trip Odometer: _______________ Beginning Trip Odometer: _______________ Total Miles: _______ IFTA Decal No.: _________
Mileage
Origin
Destination
Starting
Ending
Routes
IL
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
Total
(State)
(State)
(State)
(State)
(State)
(State)
(State)
(State)
(State)
(State)
Date
City/State
City/State
Odometer
Odometer
Travelled
Miles
Trip
Miles
Miles
Miles
Miles
Miles
Miles
Miles
Miles
Miles
Miles
Miles
Fuel Purchases
Invoice
Yard
Station or Vendor Name
Number
City
State
Yes/No?
Total Gallons
Total Price
General Information
Total Gallons by State
Retain Form MFUT-76, Illinois Motor Fuel Use Tax Individual Trip Summary Report, in your fleet operations records to
Yard
State
Yes/No?
Gallons
support the information on your Form MFUT-15, IFTA Quarterly Return. Do not submit Form MFUT-76 to the Illinois
Department of Revenue, unless requested. You must maintain records for a period of four years from the due date of
Form MFUT-15 or the date that you file Form MFUT-15, whichever is later, to substantiate the information reported on the
return. Failure to comply with your recordkeeping requirements may result in revocation of your IFTA license. As an IFTA
program licensee, your records must be made available to any IFTA-member jurisdiction upon request. If you do not provide
records upon demand for the purpose of audit, the statute of limitations is extended until the records are provided.
Total:
MFUT-76 (R-09/18)
Illinois Department of Revenue
Page ____ of ____
MFUT-76
Illinois Motor Fuel Use Tax Individual Trip Summary Report
Month of _____________, 20__
Unit No.: ______ Year: _____ Make: _________ Serial No: ______________ Fleet No. and Location: __________________ Driver Name: _______________________
Trip Dates: _______________ Ending Trip Odometer: _______________ Beginning Trip Odometer: _______________ Total Miles: _______ IFTA Decal No.: _________
Mileage
Origin
Destination
Starting
Ending
Routes
IL
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
Total
(State)
(State)
(State)
(State)
(State)
(State)
(State)
(State)
(State)
(State)
Date
City/State
City/State
Odometer
Odometer
Travelled
Miles
Trip
Miles
Miles
Miles
Miles
Miles
Miles
Miles
Miles
Miles
Miles
Miles
Fuel Purchases
Invoice
Yard
Station or Vendor Name
Number
City
State
Yes/No?
Total Gallons
Total Price
General Information
Total Gallons by State
Retain Form MFUT-76, Illinois Motor Fuel Use Tax Individual Trip Summary Report, in your fleet operations records to
Yard
State
Yes/No?
Gallons
support the information on your Form MFUT-15, IFTA Quarterly Return. Do not submit Form MFUT-76 to the Illinois
Department of Revenue, unless requested. You must maintain records for a period of four years from the due date of
Form MFUT-15 or the date that you file Form MFUT-15, whichever is later, to substantiate the information reported on the
return. Failure to comply with your recordkeeping requirements may result in revocation of your IFTA license. As an IFTA
program licensee, your records must be made available to any IFTA-member jurisdiction upon request. If you do not provide
records upon demand for the purpose of audit, the statute of limitations is extended until the records are provided.
Total:
MFUT-76 (R-09/18)
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