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Road Toll Bureau
Documents & Forms

adobe acrobat reader symbolAll documents listed below have been saved in Adobe Acrobat Reader Adobe Acrobat Reader Symbolformat.

Note: On all "Fill In" forms, you cannot save data typed into the form; please print your completed form for filing and for your records.

Forms
Motor Fuel Distributors (MFD)
Form Name Description
RT132-("Fill In") (FY2009) MFD License Application
RT132 (FY2010) MFD License Renewal
RT133-("Fill In") MFD Bond Form
MFD-1S/AF-("Fill In") Distributor Report - Motor Fuel & Aviation
MFD 2,3,4,5-("Fill In") Inventories and Receipts - Use this form for Schedules :
2 & 3 - Receipts into Wholesale Bulk
4 & 5 - Direct Shipments
MFD 6-("Fill In") Inventories and Receipts - Use this form for Schedule:
6 - Inventory Transfers & Adj's.
MFD 12,13-("Fill In") 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-("Fill In") 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-("Fill In) Tax Computation - Use this form for Schedule:
21 - Retail Sales to U.S. Government
MFD 22-("Fill In") Tax Computation - Use this form for Schedule:
22 - Retail Sales to Local and State Government or its Agencies
Adjustments-("Fill In") Adjustment(s) Schedule

BIODIESEL DISTRIBUTORS (BDD) (Effective January 1, 2009)
Law Regarding Biodiesel Distributors
Biodiesel Distributor License Application

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

International Fuel Tax Agreement (IFTA)
Form Name Description
RT129-CY2009-("Fill-In") IFTA License Application- CY 2009
 
Schedule Name 2nd Q 08 3rd Q 08 4th Q 08 1st Q 09
Cover Page RT 105 2Q08 RT 105 3Q08 RT 105 4Q08 RT 105 1Q09
Diesel Schedule RT 105 2Q082D RT 105 3Q08D RT 105 4Q08D RT 105 1Q09D
Gasohol Schedule RT 105 2Q08GH RT 105 3Q08GH RT 105 4Q08GH RT 105 1Q09GH
Gasoline Schedule RT 105 2Q082G RT 105 3Q082G RT 105 4Q082G RT 105 1Q092G
LPG/Propane Schedule RT 105 2Q08LP RT 105 3Q08LP RT 105 4Q08LP RT 105 1Q09LP

Tax Matrices (Current)
2Q2008 Tax Matrix with Footnotes
3Q2008 Tax Matrix with Footnotes
4Q2008 Tax Matrix with Footnotes
1Q2009 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 Refund Application Tax Paid Special Fuel Only
RT 122 G Refund Application Gasoline Only
RT 123 Off Highway Recreational Vehicles, Snowmobiles, Boats
RT 125D Refund Application Municipal and County
– Tax Paid Diesel Only –
RT 125G 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
RT111-Renewal FY2010 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
UCR App08 Application Calender Year 2008
Motor Carrier
Check List Application Checklist for Intrastate Operating Authority
DSAD 5 New Operations

Publications
2009 IFTA Licensee Manual
Household Goods Carrier Applicant 
 

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