
Sample Individual Vehicle Distance and Fuel Record (IVDR) With Instructions
ALABAMA DEPARTMENT OF REVENUE
1
3
Individual Vehicle Distance and Fuel Record (IVD
4
R)
5
6 7 8
IRP-44 / IFTA-20
(6/95)
Instructions
1. Carrier’s name.
2. Federal ID number or social security
number.
3 Carrier’s address.
4. IFTA/IRP account number.
5. Trip number.
CARRIER’S NAME
2
FEIN / SSN
ACCOUNT NO.
TRIP NO.
FLEET NO.
TRAILER NO.
TRUCK NO.
Jones Trucking Co.
ADDRESS
123-45-6789
10
9999
ER’S SIGNATURE
134 01 T477 156
FUEL TYPE
6. Fleet number.
1415 Main Street, Birmingham, AL 36109
REMARKS
Bob Smith
Diesel
7. Trailer unit number.
8. Truck unit number.
5/6 pickup load in B'ham
5/7 deliver to Jackson & load
9
5/8 deliver to Dallas & load
5/9 deliver to Jackson & load
14
5/9 return
15
to B'ham
16 17 18
11
9. Comments or additional information.
TRIP ORIGIN – STATE / JURISDICTION LINES –
12
TOW NS – TRIP DESTINATION
ODOMETER
DISTANCE BY STATE /
JURISDICTION AND
FROM POINT TO POINT
HIGHWAY
OR ROUTE
TRAVELED
DATE STARTING
AND ENDING
NAME AND ADDRESS OF FUEL STOP
GALLONS
PURCHASED
10. Driver’s signature.
11. Type of fuel used in the vehicle, i.e. diesel,
1
Birmingham, AL
2
AL state line
3
Jackson, MS
4 MS state line
5 LA state line
6
Dallas, TX
7
LA state line
8
MS state line
9 Jackson, MS
10
AL state line
11 Birmingham, AL
12
13
14
15
16
17
18
13
20 19
45,997
46,129
46,241
46,285
46,471
46,634
46,797
46,983
47,027
47,139
47,271
--
132
112
44
186
163
163
186
44
112
132
I-20
I-20
I-20
I-20
I-20
I-20
I-20
I-20
I-20
I-20
I-20
23
5-6-92
5-6-92
5-7-92
5-7-92
5-7-92
5-7-92
5-8-92
5-8-92
5-9-92
5-9-92
5-9-92
Browns Truck Stop
Jackson, MS
A-1 Truck Stop
Dallas, TX
I-20 Fuel Stop
Birmingham, AL
120
100
80
24
propane, gas.
12. Trip origin, state/jurisdiction lines crossed,
loading/unloading points, trip destination.
13. Odometer readings for each entry in No. 12.
14. Mileage between each entry in No. 12.
15. Road, highway, or interstate traveled.
16. Date trip started, date trip ended, and in
between.
17. Vendor name and address where fuel pur-
chased.
18. Number of gallons purchased.
19. Ending odometer reading for trip.
20. Beginning odometer reading for trip.
21. Difference between No. 19 and No. 20
equals total trip miles.
22. Add miles in No. 14 – Miles By
State/
ENDING ODOMETER
47,271
BEGINNING ODOMETER
45,997
AL - 264
MS - 312
LA - 372
TOTAL DISTANCE PER STATE / JURISDICTION
TOTAL FUEL PURCHASED
300
TOTAL TRIP DISTANCE
Jurisdiction And From Point To Point. (This
should match the miles you have in No. 21.)
23. Add miles in No. 14 by state and enter total
TOTAL TRIP DISTANCE
1,274
21
22
TOTAL
TRIP DI
ISTANCE
1,274
TX - 326
1,274
25
for each state.
24. Add gallons purchased in No. 18 and enter
total here.
25. Add all miles for each state/jurisdiction in
No. 23 and enter total here. (This should
match the miles in No. 21 and No. 22.)