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Get Form 8849 (Schedule 3) (Rev. January 2001). Gasohol Blending

E. Name as shown on Form 8849 EIN or SSN Total refund $ Claimant certifies that it bought gasoline taxed at the full rate and blended it with alcohol to make gasohol. The gasohol was sold or used in claimant s trade or business. For each batch of gasohol, claimant has the required information relating to the purchase of the gasoline and alcohol used to make the gasohol and to support the amount claimed. Period of claim: Enter month, day, and year in MMDDYYYY for mat. From (a) Gallon.

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