State of Rhode Island Division of Taxation 
IFTA-2 
Additional Decal Request Form                                                       14123588880101

Legal name                                                                            Federal employer identification number

Business name (if different from above)

Physical address                                          City, town or post office                  State ZIP code

Mailing address (include apt., office or unit #, if any)  City, town or post office                  State         ZIP code

Contact name for questions regarding this decal order                                Telephone number
                                                                                    (     )                        -
E-mail address

                 ============== INSTRUCTIONS ============= 
                                       1. Print or type all information clearly.
                 2. This form is to be used to order ADDITIONAL DECALS ONLY.
3. Be sure to indicate your Federal Employer Identification number on the applicable line.
                 --------------------------------------------------------------------------------------------------

                                                         Additional Decal Order 

Number of vehicles....................................................

                 Mail to RI Division of Taxation - One Capitol Hill - Providence, RI 02908

    State of Rhode Island Division of Taxation 
    IFTA-2 
    Additional Decal Request Form              14123588880102

 Legal name                                                                                              Federal employer identification number

                                            VEHICLE IDENTIFICATION NUMBERS 
 
            For each IFTA decal requested, please provide the plate number, state of registration,  
                                            and the vehicle VIN number for each IFTA qualified vehicle.  
 
                                            You will receive a decal for each vehicle listed.
                               Plate Number  State of Registration                                    Vehicle Identification Number (VIN)
 1

 2

 3

 4

 5

 6

 7

 8

 9

 10

 11

 12

 13

 14 

 15

 16

 17

 18

 19

 20

Please attach additional sheet(s) if needed.  Taxpayer spreadsheets containing the above requested information will be accepted in lieu of this form.