Get the free Documents & Forms Road Toll Division of Administration ... - NH.gov

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O. BOX DISALLOWED Gals WWW.NH. GOV/DIVISIONS/ADMINISTRATION/ROADTOLL ROAD TOLL REFUND APPLICATION Period Class Reason By Date FEIN If Applicable CITY/TOWN IFTA License If Applicable STATE PREPARED BY ZIP CODE TELEPHONE NUMBER ext This is to certify that the above has purchased gasoline upon which the road toll has been paid and the gasoline purchased was subsequently used in accordance with RSA 260 47. 17 NON IFTA TOTALS 19 TOTAL IFTA NON IFTA - OFF HIGHWAY 20 TOTAL OF COLUMNS 5 and 6 Lines...

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