International Fuel Tax Agreement Repair And Maintenance Permit
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International Fuel Tax Agreement Repair And Maintenance Permit Form. This is a Indiana form and can be use in Department Of Revenue Statewide.
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Tags: International Fuel Tax Agreement Repair And Maintenance Permit, IFTA-660C, Indiana Statewide, Department Of Revenue
Permit No.
Indiana Department of Revenue
IFTA-660C
State Form 51752
(R/4-04)
International Fuel Tax Agreement
Repair and Maintenance Permit
Annual Permit Fee: $40.00
Effective Period
Company Name:
Federal ID or SSN:
DBA Name:
Telephone Number:
(
)
Address:
City:
State:
Zip Code:
State of Origin:
This repair and maintenance permit is an annual permit that applies to all vehicles, semi-trailers, or trailers
operated by the carrier named above. This permit is not transferable to another carrier. Under no circumstances
does this permit allow the carrier to transport either cargo or passengers, including perishable cargo on board
the vehicles, semi-trailers, or trailers being repaired. This permit only authorizes the carrier to travel from a
foreign state into Indiana for the repair/maintenance of the carrier's vehicles, semi-trailers, or trailers. Upon
completion of the repair/maintenance of the vehicles, semi-trailers, or trailers, the carrier must return directly
to the same state where the vehicles, semi-trailers, or trailers originated.
This permit is not valid for any other type of travel.
This permit exempts the carrier from reporting Indiana miles and paying quarterly fuel taxes when
traveling for the purpose of repair/maintenance of the vehicles, semi-trailers, or trailers.
Any person in violation of the strict authorization granted herein may be subject to fines,
impoundment of all vehicles in violation, and revocation of all operating permits issued by the
Indiana Department of Revenue.
Copies of this permit are acceptable.
Under penalty of perjury, I declare that I have examined this Repair/Maintenance Permit Application and to the best
of my knowledge and belief it is true, correct, and complete. I further declare that I will distribute the repair and
maintenance permit issued to me by the Indiana Department of Revenue only to the vehicles, semi-trailers, or trailers
I am operating or causing to be operated.
Responsible Persons Signature:
Date:
Typed or Printed Name:
Title:
Telephone Number:
(
)
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