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Road Toll Bureau
Documents & Forms

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Forms
Motor Fuel Distributors (MFD)
Form Name Description
RT132 NEW ACCOUNT MFD License Application-New Account
RT132 2009 RENEWAL MFD License Application-Renewal Only (FY 2009)
RT133 MFD Bond Form
MFD-1S/AF Distributor Report - Motor Fuel & Aviation
MFD 2,3,4,5 Inventories and Receipts - Use this form for Schedules :
2 & 3 - Receipts into Wholesale Bulk
4 & 5 - Direct Shipments
MFD 6 Inventories and Receipts - Use this form for Schedule:
6 - Inventory Transfers & Adj's.
MFD 12,13 Distribution - Use this form for Schedules:
12 - Bulk Sales to U.S. Government
13 - Bulk Sales to Local and State Government or its Agencies
MFD 10, 11, 16, 17 Distribution - Use this form for
10 - Sales Out of NH
11 - Sales to NH Licensed Distributors
16 - Taxable Sales in NH
17 - Taxable Use (Personal)
MFD 21 Tax Computation - Use this form for Schedule:
21 - Retail Sales to U.S. Government
MFD 22 Tax Computation - Use this form for Schedule:
22 - Retail Sales to Local and State Government or its Agencies
Adjustments Adjustment(s) Schedule

Oil Discharge and Pollution Control Fund (ODPCF)
Form Name Description
RT50 ODPCF License Application
RT51 ODPCF Cover Sheet
RT45 ODPCF Delivery Schedule

International Fuel Tax Agreement (IFTA)
Form Name Description
RT129-CY2008 IFTA License Application- CY 2008
 
Schedule Name
3rd Q 07
4th Q 07
1st Q 08
2nd Q 08
Cover Page RT 105 1Q08 RT 105 2Q08
Diesel Schedule RT 105 1Q082D RT 105 2Q082D
Gasohol Schedule RT 105 1Q08GH RT 105 2Q08GH
Gasoline Schedule RT 105 1Q082G RT 105 2Q082G
LPG/Propane Schedule RT 105 1Q08LP RT 105 2Q08LP

Tax Matrices (Current)
3Q2007 Tax Matrix with Footnotes
4Q2007 Tax Matrix with Footnotes
1Q2008 Tax Matrix with Footnotes
2Q2008 Tax Matrix with Footnotes
 

For additional tax matrices/footnotes, please click on the following link: IFTA Tax Matrices

(This link will redirect you to the IFTA Inc.Homepage; in toolbar, left hand side; click on "Tax Rates"


Refunds
Form Name Description
RT 115 Refund Application Retail Dealer
RT 115 R Schedule of Sales To NH Retail Dealers
RT 122 D ("Fill-In") Refund Application Tax Paid Special Fuel Only
RT 122 G ("Fill-In") Refund Application Gasoline Only
RT123 Off Highway Recreational Vehicles, Snowmobiles, Boats
RT 125 D Refund Application Municipal and County
– Tax Paid Diesel Only –
RT 125 G  Refund Application Municipal and County
– Gasoline Only –
RT 126  Road Toll Refund Application Farm Use Only
RT 127 D  Refund Application-Private School Bus Owner
– Tax Paid Diesel Only –
RT 127 G Refund Application – Private School Bus Owner
– Gasoline Only –

Motor Fuel and Petroleum Products Transporter
Form Name Description
RT111 Motor Fuel and Petroleum Products Transporters’ Application
RT 113 Motor Fuel and Petroleum Products Transporters’ Report
RT 113 Schedule 14B Motor Fuel and Petroleum Products Transporters’ Report Schedule of Deliveries

Unified Carrier Registration Program-Forms and Information
UCRApp07 Appiication Calender Year 2007
UCR App08 Application Calender Year 2008
Motor Carrier
Check List Application Checklist for Intrastate Operating Authority
DSAD 5 New Operations

Publications
2008 IFTA Licensee Manual
Household Goods Carrier Applicant 
 
 

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