Free Amft 71 Arkansas Form Launch Editor

Free Amft 71 Arkansas Form

The AMFT 71 Arkansas form is a crucial document used for registering under the International Fuel Tax Agreement (IFTA) in Arkansas. This form collects essential information about the applicant and their vehicles, ensuring compliance with state regulations. If you're ready to tackle your fuel tax obligations, fill out the AMFT 71 form by clicking the button below.

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The Amft 71 Arkansas form is a crucial document for individuals and businesses involved in the transportation industry, specifically those operating under the International Fuel Tax Agreement (IFTA). This form serves multiple purposes, including the registration of vehicles that require IFTA decals and the collection of essential information such as the applicant's legal name, contact details, and business type. Applicants must provide their Federal Employee ID or Social Security number, Arkansas IRP account number, and U.S. DOT number, ensuring that the state has accurate records for tax compliance. Additionally, the form requires information about the applicant's physical and mailing addresses, as well as details regarding any bulk storage jurisdictions. A certification statement is included, where the applicant agrees to adhere to reporting, payment, and record-keeping requirements outlined by IFTA. Notably, the form emphasizes the importance of truthful reporting, as any discrepancies can lead to serious legal repercussions. Overall, the Amft 71 Arkansas form plays a vital role in maintaining regulatory compliance within the fuel tax framework, ensuring that all parties involved are held accountable for their tax obligations.

Form Sample

AM FT -7 1

M OT OR F UE L T A X S E C T ION

 

P O B OX 1 7 5 2

 

LIT T LE ROC K , AR 7 2 2 0 3

 

PHONE . (5 0 1 ) 6 8 2 -4 8 1 5 FA X (5 0 1 ) 6 8 2 -5 5 9 9

 

ARKANSAS IFTA APPLICATION

Registration

Year

1.

4.

Federal Employee ID Number or Social Security No.

Applicant’s Legal Name

2. Arkansas IRP Account No.

3. U.S. DOT Number

Expiration Date

5. Application Type:

Original

Renewal

Supplement

6.

8.

9.

10.

12.

13.

 

Trade/DBA Name (If different than Legal Name)

 

7. Applicant’s Arkansas Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant’s Arkansas Physical Address

Street

City

State

Zip

 

Mailing Address

 

 

 

Street or P.O. Box

 

 

City

State

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact Person’s Name

 

 

 

 

 

 

 

11. Contact’s Telephone No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Type:

 

 

Sole Proprietor

 

 

 

 

 

Partnership

 

 

Corporation

 

 

 

 

 

 

 

 

 

 

 

PRINT OR TYPE PARTNERS OR CORPORATE OFFICERS NAMES(S), TITLE, AND RESIDENCE ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

TITLE

 

 

 

 

 

PHYSICAL RESIDENCE ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.List Jurisdictions Where You Have Bulk Storage.

15.

NUMBER OF VEHICLES REQUIRING IFTA DECALS

 

NO FEE

 

 

 

 

CERTIFICATION – The applicant agrees to comply with reporting, payment, record keeping, and display requirements as specified in the International Fuel Tax Agreement. The applicant authorizes the State of Arkansas to withhold any refund of tax overpayment if delinquent taxes are due any member IFTA jurisdiction. Failure to comply with these provisions shall be grounds for revocation of the IFTA license in all member jurisdictions and any falsification subjects him or her to appropriate civic and/or criminal sanction of the base jurisdiction.

APPLICANT AGREES, UNDER PENALTY OF PERJURY, THAT THE INFORMATION GIVEN ON THE IFTA APPLICATION IS, TO THE BEST OF THEIR KNOWLEDGE, TRUE, ACCURATE, AND COMPLETE.

___________________________________

___________________________________

Applicant’s Signature

Applicant’s Title

Date

FOR OFFICE USE ONLY

Decal Registration Numbers:

Beginning _________________

Ending _____________

Date Mailed _________

File Specifications

Fact Name Fact Details
Purpose The AMFT 71 Arkansas form serves as the application for the International Fuel Tax Agreement (IFTA) in Arkansas.
Governing Law This form is governed by the Arkansas Code Annotated, Title 26, Chapter 55, which outlines the regulations for fuel tax agreements.
Contact Information Applicants can reach the Arkansas office at (501) 682-4815 for inquiries related to the form.
Compliance Requirements Applicants must comply with reporting, payment, and record-keeping requirements as specified in the IFTA, or risk revocation of their IFTA license.
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