Get IRS 4136 2020-2021
244 For Paperwork Reduction Act Notice see the separate instructions. Cat. No. 12625R Form 4136 2018 Page 2 Kerosene Used in Aviation see Caution above line 1 trade taxed at. Form Department of the Treasury Internal Revenue Service 99 Credit for Federal Tax Paid on Fuels OMB No* 1545-0162 Go to www*irs*gov/Form4136 for instructions and the latest information* Attachment Sequence No* 23 Taxpayer identification number Name as shown on your income tax return Caution Claimant has the name and address of the person who sold the fuel to the claimant and the dates of purchase. For claims on lines 1c and 2b type of use 13 or 14 3d 4c and 5 claimant has not waived the right to make the claim* For claims on lines 1c and 2b type of use 13 or 14 claimant certifies that a certificate has not been provided to the credit card issuer. Nontaxable Use of Gasoline Note CRN is credit reference number. a Type of use a b c d b Rate c Gallons Off-highway business use Use on a farm for farming purposes Other nontaxable use see Caution above line 1 Exported d Amount of credit e CRN Use in commercial aviation other than foreign trade LUST tax on aviation fuels used in foreign trade Claimant certifies that the diesel fuel did not contain visible evidence of dye. Exception* If any of the diesel fuel included in this claim did contain visible evidence of dye attach an explanation and check here Use in trains e Use in certain intercity and local buses see Caution above line 1 a Nontaxable use taxed at. 244 government taxed at. 244 Sales by Registered Ultimate Vendors of Undyed Diesel Fuel Registration No* of the buyer to make the claim* Claimant certifies that the diesel fuel did not contain visible evidence of dye. a Use by a state or local government Than Kerosene For Use in Aviation b Sales from a blocked pump Claimant sold the kerosene for use in aviation at a tax-excluded price and has not collected the amount of tax from the buyer repaid the amount of tax to the buyer or has obtained the written consent of the buyer to make the claim* See the instructions for additional information to be submitted* at. 219 at. 244 f Nonexempt use in noncommercial aviation Page 3 Reserved for future use alcohol biodiesel or renewable diesel Caution There is a reduced credit rate for use in certain intercity and local buses type of use 5 see instructions. or gasoline or diesel gallon equivalents Liquefied petroleum gas LPG see instructions P Series fuels Compressed natural gas CNG see instructions Liquefied hydrogen Fischer-Tropsch process liquid fuel from coal including peat f Liquid fuel derived from biomass g Liquefied natural gas LNG see instructions h Liquefied gas derived from biomass g h i Page 4 Registered Credit Card Issuers a Diesel fuel sold for the exclusive use of a state or local government b Kerosene sold for the exclusive use of a state or local government Kerosene for use in aviation sold for the exclusive use of a state or local Diesel-Water Fuel Emulsion Blending Blender credit Exported Dyed Fuels and Exported Gasoline Blendstocks a Exported dyed diesel fuel and exported gasoline blendstocks taxed at..
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