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                                       Quarterly Federal Excise Tax Return
Form 720                                                                                                                   OMB No. 1545-0023
(Rev. June 2024)                                      See the Instructions for Form 720.
Department of the Treasury             Go to www.irs.gov/Form720 for instructions and the latest information.
Internal Revenue Service 
                         Name                                            Quarter ending                                 FOR IRS USE ONLY 
Check here if: 
Final return                                                                                                            T 
                         Number, street, and room or suite no.           Employer identification number 
Address change           (If you have a P.O. box, see the instructions.)                                                FF 
                                                                                                                        FD 
                                                                                                                        FP 
                         City or town, state or province, country, and ZIP or foreign postal code                       I 
                                                                                                                        T 

Part I 
IRS No. Environmental Taxes (attach Form 6627; ODCs are ozone-depleting chemicals)                                         Tax     IRS No. 
53      Domestic petroleum superfund tax*                                                                                          53
18      Domestic petroleum oil spill tax                                                                                           18
16      Imported petroleum products superfund tax                                                                                  16
21      Imported petroleum products oil spill tax                                                                                  21
54      Chemicals (other than ODCs)                                                                                                54
17      Imported chemical substances                                                                                               17
98      ODCs                                                                                                                       98 
19      ODC tax on imported products                                                                                               19 
        Communications and Air Transportation Taxes (see instructions)                                                     Tax          
22      Local telephone service and teletypewriter exchange service                                                                22 
26      Transportation of persons by air*                                                                                          26 
28      Transportation of property by air*                                                                                         28 
27      Use of international air travel facilities*                                                                                27 
        Fuel Taxes                                                                  Number of gallons   Rate               Tax          
        (a)  Diesel, tax on removal at terminal rack                                                  $.244
60      (b)  Diesel, tax on taxable events other than removal at terminal rack                          .244                       60 
        (c)  Diesel, tax on sale or removal of biodiesel mixture 
                (not at terminal rack)                                                                  .244          }
104  Diesel-water fuel emulsion                                                                         .198                       104 
105  Dyed diesel, LUST tax                                                                              .001                       105 
107  Dyed kerosene, LUST tax                                                                            .001                       107 
119  LUST tax, other exempt removals (see instructions)                                                 .001                       119 
35      (a)  Kerosene, tax on removal at terminal rack (see instructions)                               .244
        (b)  Kerosene, tax on taxable events other than removal at terminal rack                        .244          }            35 
69      Kerosene for use in aviation (see instructions)                                                 .219                       69 
77      Kerosene for use in commercial aviation (other than foreign trade)                              .044                       77 
111  Kerosene for use in aviation, LUST tax on nontaxable uses                                          .001                       111 
79      Other fuels (see instructions)                                                                                             79 
62      (a)  Gasoline, tax on removal at terminal rack                                                  .184
           (b)  Gasoline, tax on taxable events other than removal at terminal rack                     .184          }            62 
13      Any liquid fuel used in a fractional ownership program aircraft 
        (see instructions)                                                                              .141                       13
14      Aviation gasoline*                                                                              .194                       14 
112  Liquefied petroleum gas (LPG) (see instructions)                                                   .183                       112 
118  “P Series” fuels                                                                                   .184                       118 
120  Compressed natural gas (CNG) (see instructions)                                                    .183                       120 
121  Liquefied hydrogen                                                                                 .184                       121 
122     Fischer-Tropsch process liquid fuel from coal (including peat)                                  .244                       122 
123  Liquid fuel derived from biomass                                                                   .244                       123 
124  Liquefied natural gas (LNG) (see instructions)                                                     .243                       124 
* See instructions to ensure correct rate. 
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.                    Cat. No. 10175Y      Form 720 (Rev. 6-2024)



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Form 720 (Rev. 6-2024)                                                                                                                 Page 2 
IRS No.                                                                                                  Rate                 Tax      IRS No. 
33      Retail Tax—Truck, trailer, and semitrailer chassis and bodies, and tractor                   12% of sales price                    33
        Ship Passenger Tax                                               Number of persons               Rate                 Tax          
29      Transportation by water                                                                        $3 per person                       29 
        Other Excise Tax                                                 Amount of obligations           Rate                 Tax          
31      Obligations not in registered form                                                                 $.01                            31 
        Foreign Insurance Taxes—Policies issued by foreign insurers              Premiums paid           Rate                 Tax      IRS No. 
        Casualty insurance and indemnity bonds                                                             $.04
30      Life insurance, sickness and accident policies, and annuity 
        contracts                                                                                          .01                             30 
        Reinsurance                                                                                        .01    }
        Manufacturer’s Taxes                          Number of tons               Sales price                                                  
36                                                                                                     $1.10 per ton                       36 
37 
          Coal—Underground mined                                                                     4.4% of sales price                   37 
38                                                                                                     $.55 per ton                        38
39 
          Coal—Surface mined                                                                         4.4% of sales price                   39 
                                                                                                       Number of tires        Tax      IRS No. 
108  Taxable tires other than bias ply or super single tires                                                                           108 
109     Taxable bias ply or super single tires (other than super single tires designed for steering)                                   109 
113  Taxable tires, super single tires designed for steering                                                                           113 
40      Gas guzzler tax. Attach Form 6197. Check if one-time filing    . . . . . . . . . . .                                               40 
97      Vaccines (see instructions)                                                                                                        97 
                                                                                   Sales price
        Reserved for future use                                                                        2.3% of sales price
1    Total. Add all amounts in Part I. Complete Schedule A unless one-time filing              .     . . . .    . .   $ 
Part II 
        Patient-Centered Outcomes Research Fee (see                (a) Avg. number    (b) Rate for 
                                                                   of lives covered       avg.           (c) Fee (see 
IRS No. instructions)                                                (see inst.)      covered life       instructions)        Tax      IRS No. 
        Specified health insurance policies
        (a) With a policy year ending before October 1, 2023                          $3.00                                            
        (b) With a policy year ending on or after October 1, 2023, 
        and before October 1, 2024                                                    $3.22
133 Applicable self-insured health plans                                                                                               133
        (c) With a plan year ending before October 1, 2023                            $3.00                                            
        (d) With a plan year ending on or after October 1, 2023, 
        and before October 1, 2024                                                    $3.22                               }            
                                                                                                         Rate                 Tax               
41      Sport fishing equipment (other than fishing rods and fishing poles)                          10% of sales price                    41
110  Fishing rods and fishing poles (limits apply, see instructions)                                 10% of sales price                110 
42      Electric outboard motors                                                                     3% of sales price                     42 
114  Fishing tackle boxes                                                                            3% of sales price                 114 
44      Bows, quivers, broadheads, and points                                                        11% of sales price                    44 
106  Arrow shafts                                                                                      $.62 per shaft                  106 
140  Indoor tanning services                                                                         10% of amount paid                140
                                                                         Number of gallons               Rate                 Tax               
64      Inland waterways fuel use tax                                                                      $.29                            64 
125  LUST tax on inland waterways fuel use (see instructions)                                              .001                        125 
51      Section 40 fuels (see instructions)                                                                                                51 
117  Biodiesel sold as but not used as fuel                                                                                            117 
20      Floor stocks tax—Ozone-depleting chemicals. Attach Form 6627.                                                                      20 
150     Repurchase of corporate stock. Attach Form 7208.                                                                               150
142     Sales of designated drugs during statutory periods.                                                                            142
2    Total. Add all amounts in Part II      . . . . . .     .      . . . .       .  . .   .    .     . . . .    . .       $ 
                                                                                                                              Form 720 (Rev. 6-2024)



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Form 720 (Rev. 6-2024)                                                                                                                                          Page 3 
Part III 
3    Total tax. Add Part I, line 1, and Part II, line 2   . . . . .     . . .    . . .                   . . .  .  . . .           3 
4    Claims (see instructions; complete Schedule C)  .        . . .     . . .    .   4 
5    Deposits made for the quarter  .        . . . .        5 
         Check here if you used the safe harbor rule to make your deposits. 
6    Overpayment from previous quarters .        . .        6 
7    Enter the amount from Form 720-X included 
     on line 6, if any  .  . . .       . .   . . . .        7 
8    Add lines 5 and 6  .    . .       . .   . . . . .      . . . .     . . .    .   8 
9    Add lines 4 and 8  .    . .       . .   . . . . .      . . . .     . . .    . . .                   . . .  .  . . .           9 
10   Balance Due. If line 3 is greater than line 9, enter the difference. Pay the full amount with the return. (See instructions.) 10 
11   Overpayment. If line 9 is greater than line 3, enter the difference. Check if you want the 
     overpayment:          Applied to your next return, or              Refunded to you.                                           11 
Third Party Do you want to allow another person to discuss this return with the IRS? (See instructions.)               Yes. Complete the following.             No 
Designee    Designee’s name                                             Phone  no.                              Personal identification number (PIN)
            Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is 
            true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. 
Sign  
Here     Signature                                                          Date                             Title 
         Type or print name below signature                                                                     Telephone number  
            Print/Type preparer’s name             Preparer’s signature                                    Date                                         PTIN
Paid                                                                                                                   Check         if 
                                                                                                                       self-employed
Preparer 
            Firm’s name                                                                                            Firm’s EIN  
Use Only    Firm’s address                                                                                         Phone no.
                                                                                                                                                        Form 720 (Rev. 6-2024)



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Form 720 (Rev. 6-2024)                                                                             Page 4 
Schedule A   Excise Tax Liability (see instructions) 

Note: You must complete Schedule A if you have a liability for any tax in Part I of Form 720. Don’t complete Schedule A for 
Part II taxes or for a one-time filing of the gas guzzler tax. 

1 Regular method taxes 
  (a)  Record of Net                                           Period 
      Tax Liability                         1st–15th day                   16th–last day 
  First month                   A                                 B 
  Second month                  C                                 D 
  Third month                   E                                 F 
  Special rule for September *  .         . . .     . . . . .  .  G 

  (b) Net liability for regular method taxes. Add the amounts for each semimonthly period. 

2 Alternative method taxes (IRS Nos. 22, 26, 28, and 27) 
  (a)  Record of Taxes                                         Period 
      Considered as  
                                            1st–15th day                   16th–last day 
      Collected                                                        
  First month                   M                                 N
  Second month                  O                                 P
  Third month                   Q                                 R
  Special rule for September *   .        . . .     . . . . .  .  S

  (b) Alternative method taxes. Add the amounts for each semimonthly period.
  *Complete  only as instructed (see instructions). 

Schedule T   Two-Party Exchange Information Reporting (see instructions) 
Fuel                                                                                       Number of gallons 
Diesel fuel  , gallons received in a two-party exchange within a terminal, included  
on Form 720, IRS No. 60(a) 
Diesel fuel  , gallons delivered in a two-party exchange within a terminal 
Kerosene  , gallons received in a two-party exchange within a terminal, included 
on Form 720, IRS No. 35(a), 69, 77, or 111 
Kerosene  , gallons delivered in a two-party exchange within a terminal 
Gasoline  , gallons received in a two-party exchange within a terminal, included 
on Form 720, IRS No. 62(a) 
Gasoline  , gallons delivered in a two-party exchange within a terminal 
Aviation gasoline  , gallons received in a two-party exchange within a terminal, included 
on Form 720, IRS No. 14 
Aviation gasoline  , gallons delivered in a two-party exchange within a terminal 
                                                                                           Form 720 (Rev. 6-2024) 



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Form 720 (Rev. 6-2024)                                                                                                                     Page 5 
Schedule C             Claims                                                      Month your income tax year ends
•  Complete Schedule C for claims only if you are reporting liability in Part I or II of Form 720. 
•  Attach a statement explaining each claim as required. Include your name and EIN on the statement. (See instructions.) 
Caution: Claimant has the name and address of the person(s) who sold the fuel to the claimant, the dates of purchase, and if 
exported, the required proof of export. For claims on lines 1a and 2b (type of use 13 and 14), 3c, 4b, and 5, claimant hasn’t waived 
the right to make the claim. 
1 Nontaxable Use of Gasoline               Note: CRN is credit reference number.                       Period of claim
                                                                                   Type of use   Rate    Gallons       Amount of claim     CRN 
a Gasoline (see Caution above line 1)                                                            $.183             $                       362
b Exported (see Caution above line 1)                                                            .184                                      411
2 Nontaxable Use of Aviation Gasoline                                                              Period of claim 
                                                                                   Type of use   Rate    Gallons       Amount of claim     CRN 
a Used in commercial aviation (other than foreign trade)*                                        $.15              $                       354
b Other nontaxable use (see Caution above line 1)*                                               .193                                      324
c Exported (see Caution above line 1)*                                                           .194                                      412
d LUST tax on aviation fuels used in foreign trade                                               .001                                      433
3 Nontaxable Use of Undyed Diesel Fuel                                                                 Period of claim
  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 a detailed   
  explanation and check here  .   .        . .   . .    . . . .       .            . . . .     . . .   . . . .   . .   . . . .  . .      . .  
                                                                                   Type of use   Rate    Gallons       Amount of claim     CRN 
a Nontaxable use                                                                                 $.243             $                       360
b Use in trains                                                                                  .243                                      353
c Use in certain intercity and local buses (see Caution above line 1)                              .17                                     350
d Use on a farm for farming purposes                                                             .243                                      360
e Exported (see Caution above line 1)                                                            .244                                      413
4 Nontaxable Use of Undyed Kerosene (Other Than Kerosene Used in Aviation) Period of claim 
  Claimant certifies that the kerosene did not contain visible evidence of dye. 
  Exception. If any of the kerosene included in this claim did contain visible evidence of dye, attach a detailed   
  explanation and check here  .   .        . .   . .    . . . .       .            . . . .     . . .   . . . .   . .   . . . .  . .      . .   
  Caution: Claims cannot be made on line 4 for kerosene sales from a blocked pump. Type of use   Rate    Gallons       Amount of claim     CRN 
a Nontaxable use                                                                                 $.243             $                       346
b Use in certain intercity and local buses (see Caution above line 1)                              .17                                     347
c Use on a farm for farming purposes                                                             .243                                      346
d Exported (see Caution above line 1)                                                            .244                                      414
e Nontaxable use taxed at $.044                                                                  .043                                      377
f Nontaxable use taxed at $.219*                                                                 .218                                      369
5 Kerosene Used in Aviation (see Caution above line 1)                                                 Period of claim 
                                                                                   Type of use   Rate    Gallons       Amount of claim     CRN 
a Kerosene used in commercial aviation (other than foreign 
  trade) taxed at $.244                                                                          $.200             $                       417
b Kerosene used in commercial aviation (other than foreign 
  trade) taxed at $.219*                                                                         .175                                      355
c Nontaxable use (other than use by state or local 
  government) taxed at $.244                                                                     .243                                      346
d Nontaxable use (other than use by state or local 
  government) taxed at $.219*                                                                    .218                                      369
e LUST tax on aviation fuels used in foreign trade                                               .001                                      433
* See instructions to ensure correct rate. 
                                                                                                                           Form 720 (Rev. 6-2024)



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Form 720 (Rev. 6-2024)                                                                                                                  Page 6 
6  Nontaxable Use of Alternative Fuel 
   Caution: There is a reduced credit rate for use in certain intercity and local buses (type of use 5). (See instructions.)
                                                                                           Gallons, or gasoline 
                                                                        Type of use   Rate or diesel gallon       Amount of claim       CRN 
                                                                                             equivalents
a  Liquefied petroleum gas (LPG) (see instructions)                                 $.183                       $                       419
b  “P Series” fuels                                                                   .183                                              420
c  Compressed natural gas (CNG) (see instructions)                                    .183                                              421
d  Liquefied hydrogen                                                                 .183                                              422
e  Fischer-Tropsch process liquid fuel from coal (including peat)                     .243                                              423
f  Liquid fuel derived from biomass                                                   .243                                              424
g  Liquefied natural gas (LNG) (see instructions)                                     .243                                              425
h  Liquefied gas derived from biomass                                                 .183                                              435
7  Sales by Registered Ultimate Vendors of Undyed Diesel Fuel                              Period of claim 
                                                                                      Registration number
   Claimant certifies that it sold the diesel fuel at a tax-excluded price, repaid the amount of tax to the buyer, or has obtained   
   written consent of the buyer to make the claim. Claimant certifies that the diesel fuel didn’t contain visible evidence of dye. 
   Exception. If any of the diesel fuel included in this claim did contain visible evidence of dye, attach a detailed  
   explanation and check here  . .         . . . . . . . .     .        . .  .  .   . . .  .  . .    .  .       . . . .  .  . .       . .  
                                                                                      Rate    Gallons             Amount of claim       CRN 
a  Use by a state or local government                                               $.243                       $                       360
b  Use in certain intercity and local buses                                           .17                                               350
8  Sales by Registered Ultimate Vendors of Undyed Kerosene                                 Period of claim
   (Other Than Kerosene for Use in Aviation)                                          Registration number 
   Claimant certifies that it sold the kerosene at a tax-excluded price, repaid the amount of tax to the buyer, or has obtained the 
   written consent of the buyer to make the claim. Claimant certifies that the kerosene didn’t contain visible evidence of dye. 
   Exception. If any of the kerosene included in this claim did contain visible evidence of dye, attach a detailed  
   explanation and check here  . .         . . . . . . . .     .        . .  .  .   . . .  .  . .    .  .       . . . .  .  . .       . .  
                                                                                      Rate    Gallons             Amount of claim       CRN 
a  Use by a state or local government                                               $.243                       $ 
                                                                                                                                        346
b  Sales from a blocked pump                                                          .243
c  Use in certain intercity and local buses                                           .17                                               347
9  Sales by Registered Ultimate Vendors of Kerosene for Use in Aviation               Registration number 
   • See Caution above line 1.
   • Claimant sold the kerosene for use in aviation at a tax-excluded price and hasn’t collected the amount of tax from the buyer, 
   repaid the amount of tax to the buyer, or has obtained written consent of the buyer to make the claim. See the instructions for 
   additional information to be submitted. 
                                                                        Type of use  Rate     Gallons             Amount of claim       CRN 
a  Use in commercial aviation (other than foreign trade) taxed at $.219             $.175                       $                       355
b  Use in commercial aviation (other than foreign trade) taxed at $.244               .200                                              417
c  Nonexempt use in noncommercial aviation*                                           .025                                              418
d  Other nontaxable uses taxed at $.244                                               .243                                              346
e  Other nontaxable uses taxed at $.219*                                              .218                                              369
f  LUST tax on aviation fuels used in foreign trade                                   .001                                              433
10 Sales by Registered Ultimate Vendors of Gasoline                                   Registration number
   Claimant sold the gasoline at a tax-excluded price and hasn’t collected the amount of tax from the buyer, repaid the amount of 
   tax to the buyer, or has obtained written consent of the buyer to take the claim; and obtained an unexpired certificate from the 
   buyer and has no reason to believe any information in the certificate is false. See the instructions for additional information to 
   be submitted. 
                                                                                      Rate    Gallons             Amount of claim       CRN 
a  Use by a nonprofit educational organization                                      $.183                       $ 
                                                                                                                                        362
b  Use by a state or local government                                                 .183
11 Sales by Registered Ultimate Vendors of Aviation Gasoline                          Registration number
   Claimant sold the aviation gasoline at a tax-excluded price and hasn’t collected the amount of tax from the buyer, repaid the amount 
   of tax to the buyer, or has obtained written consent of the buyer to take the claim; and obtained an unexpired certificate from the buyer 
   and has no reason to believe any information in the certificate is false. See the instructions for additional information to be submitted. 
                                                                                      Rate    Gallons             Amount of claim       CRN 
a  Use by a nonprofit educational organization*                                     $.193                       $ 
                                                                                                                                        324
b  Use by a state or local government*                                                .193
* See instructions to ensure correct rate. 
                                                                                                                      Form 720 (Rev. 6-2024)



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Form 720 (Rev. 6-2024)                                                                                                                               Page 7 
12    Biodiesel, Renewable Diesel, or Sustainable Aviation Fuel Credit                                    Period of claim
                                                                                 Registration number 
      Biodiesel or renewable diesel mixtures. Claimant produced a mixture by mixing biodiesel with diesel fuel, or produced a 
      mixture by mixing renewable diesel with liquid fuel (other than renewable diesel). The biodiesel used to produce the biodiesel 
      mixture met ASTM D6751 and met EPA’s registration requirements for fuels and fuel additives. The renewable diesel used to 
      produce the renewable diesel mixture was derived from biomass, met EPA’s registration requirements for fuels and fuel 
      additives, and met ASTM D975, D396, or other equivalent standard approved by the IRS. The biodiesel or renewable mixture 
      was sold by the claimant to any person for use as a fuel or was used as a fuel by the claimant. Sustainable aviation fuel (SAF) 
      mixtures. Claimant produced a qualified mixture by mixing SAF with kerosene. The qualified mixture was produced by the 
      claimant in the United States, such mixture was used by the claimant (or sold by the claimant for use) in an aircraft, such sale 
      or use was in the ordinary course of a trade or business of the claimant, and the transfer of such mixture to the fuel tank of 
      such aircraft occurred in the United States. The SAF used to produce the qualified mixture is the portion of liquid fuel that is 
      not kerosene that (i) either (A) meets the specifications of one of the ASTM D7566 Annexes, or (B) meets the specifications of 
      ASTM D1655 Annex A1; (ii) is not derived from coprocessing an applicable material (or materials derived from an applicable 
      material) with a feedstock that is not biomass; (iii) is not derived from palm fatty acid distillates or petroleum; and (iv) has been 
      certified in accordance with section 40B(e) as having a lifecycle greenhouse gas emissions reduction percentage of at least 50 
      percent. For all claims. Claimant has attached the appropriate certificates and, if applicable, appropriate reseller statements. 
      Claimant has no reason to believe that the information in the certificate or statement is false. See the instructions for additional 
      information and requirements.

                                                                               Rate                       Number of gallons    Amount of claim       CRN 
                                                                                                          sold or used

    a Biodiesel (other than agri-biodiesel) mixtures                           $1.00                                         $                       388
    b Agri-biodiesel mixtures                                                  1.00                                                                  390
    c Renewable diesel mixtures                                                1.00                                                                  307
    d Sustainable aviation fuel mixtures (see instructions)                                                                                          440
13    Alternative Fuel Credit and Alternative Fuel Mixture Credit                                         Registration number 
      For the alternative fuel mixture credit, claimant produced a mixture by mixing taxable fuel with alternative fuel. Claimant certifies that 
      it (a) produced the alternative fuel, or (b) has in its possession the name, address, and EIN of the person(s) that sold the alternative 
      fuel to the claimant; the date of purchase; and an invoice or other documentation identifying the amount of the alternative fuel. The 
      claimant also certifies that it made no other claim for the amount of the alternative fuel, or has repaid the amount to the government. 
      The alternative fuel mixture was sold by the claimant to any person for use as a fuel or was used as a fuel by the claimant.
                                                                                                          Gallons, or  
                                                                               Rate                       gasoline or diesel   Amount of claim       CRN 
                                                                                                          gallon equivalents 
                                                                                                          (see instructions) 
    a Liquefied petroleum gas (LPG)* (see instructions)                        $.50                                          $                       426
    b “P Series” fuels                                                         .50                                                                   427
    c Compressed natural gas (CNG)* (see instructions)                         .50                                                                   428
    d Reserved for future use
    e Fischer-Tropsch process liquid fuel from coal (including peat)           .50                                                                   430
    f Liquid fuel derived from biomass                                         .50                                                                   431
    g Liquified natural gas (LNG)* (see instructions)                          .50                                                                   432
    h Liquified gas derived from biomass*                                      .50                                                                   436
    i Compressed gas derived from biomass*                                     .50                                                                   437
      * You can’t claim the alternative fuel mixture credit for this fuel.
14    Other claims.See the instructions. For lines 14b and 14c, see theCaution above line 1 on page 5.                         Amount of claim       CRN 
    a Section 4051(d) tire credit (tax on vehicle reported on IRS No. 33)                                                    $                       366
    b Exported dyed diesel fuel and exported gasoline blendstocks taxed at $.001                                                                     415
    c Exported dyed kerosene                                                                                                                         416
    d Diesel-water fuel emulsion 
    e Registered credit card issuers 
                                                                                                          Number of tires      Amount of claim       CRN 
    f Taxable tires other than bias ply or super single tires                                                                $                       396
    g Taxable tires, bias ply or super single tires (other than super single tires designed for steering)                                            304
    h Taxable tires, super single tires designed for steering                                                                                        305
    i Chemicals (other than ODCs)                                                                                                                    454
    j Imported chemical substances                                                                                                                   317
    k
15    Total claims. Add amounts on lines 1 through 14. Enter the result here and on Form 720, Part III, line 4. 15 
                                                                                                                               Form 720 (Rev. 6-2024) 



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Form 720-V, 
Payment Voucher

Purpose of Form                                                             Box 2. Enter the amount paid from line 10 of Form 720.
Complete Form 720-V if you’re making a payment by                           Box 3. Darken the circle identifying the quarter for which 
check or money order with Form 720, Quarterly Federal                       the payment is made. Darken only one circle.
Excise Tax Return. We will use the completed voucher to                     Box 4. Enter your name and address as shown on Form 
credit your payment more promptly and accurately, and                       720.
to improve our service to you.
                                                                            • Enclose your check or money order made payable to 
     If you have your return prepared by a third party and a                “United States Treasury.” Be sure to enter your EIN (SSN 
payment is required, provide this payment voucher to the                    for one-time filing), “Form 720,” and the tax period on 
return preparer.                                                            your check or money order. Don’t send cash. Don’t staple 
     Don’t file Form 720-V if you’re paying the balance due                 this voucher or your payment to the return (or to each 
on line 10 of Form 720 using EFTPS.                                         other).
                                                                            • Detach the completed voucher and send it with your 
Specific Instructions                                                       payment and Form 720. See Where To File in the 
Box 1. If you don’t have an EIN, you may apply for one                      Instructions for Form 720.
online by visiting www.irs.gov/EIN. You may also apply 
for an EIN by faxing or mailing Form SS-4, Application for 
Employer Identification Number, to the IRS. However, if 
you’re making a one-time filing, enter your social security 
number.

                                                                                                                                          Form 720-V (2024) 
                                             Detach here and mail with your payment and Form 720.                                      

                                                                                                                                          OMB No. 1545-0023
Form                                                  Payment Voucher

Department720-Vof the Treasury                  Don’t staple or attach this voucher to your payment.                                           24
Internal Revenue Service                                                                                                                  20
1    Enter your employer identification         2                                                                   Dollars                    Cents
     number (EIN). See instructions.
                                                      Enter the amount of your payment.
                                                Make your check or money order payable to “United States Treasury.” 
3    Tax period                                 4     Enter your business name (individual name if sole proprietor).
                 1st                    3rd 
             Quarter                    Quarter       Enter your address.

                 2nd                    4th           Enter your city or town, state or province, country, and ZIP or foreign postal code.
             Quarter                    Quarter






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