IFTA Report Form

Please enter your identity information in first line and fill out the rest.

Please do not make a gaps between lines in State/Province column

Your Personal Information:
Date of Report:		Truck Num:	ODO in: Miles Km
Odometer Reading at Start:		Fuel in Liters or Gallons	Distance by State/Province.
ODO Reading - exit of
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ODO Reading - exit of
ODO Reading - exit of
ODO Reading - exit of
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NY Toll Receipts: HWY 90/87, Enter Exits Numbers from your receipts:	Enter Exit Enter Exit Enter Exit Enter Exit Enter Exit Enter Exit