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                                                     Claim for Refund of Excise Taxes
Form     8849                                                                                                                                       OMB No. 1545-1420
(Rev. August 2014)
Department of the Treasury  
Internal Revenue Service           ▶ Information about Form 8849 and its instructions is at www.irs.gov/form8849. 
Print clearly. Leave a blank box between words. 
Name of claimant                                                                                                      Employer identification number (EIN) 

Address (number, street, room or suite no.)                                                                           Social security number (SSN) 

City or town, and state or province. If you have a foreign address, see instructions.                                 ZIP or foreign postal code 

Foreign country, if applicable. Do not abbreviate.                                                                    Month claimant’s income tax year ends 

Daytime telephone number (optional)

Caution.  Do not  use Form 8849 to make adjustments to liability reported on Forms 720 for prior quarters or to claim any amounts 
that were or will be claimed on Form 720, Schedule             C; Form 4136, Credit         for Federal Tax Paid on Fuels; Form 2290, Heavy             Highway 
Vehicle Use Tax Return; or Form 730, Monthly Tax Return for Wagers. 

                                                                    Schedules Attached 
Check (✓) the appropriate box(es) for the schedule(s) you attach to Form 8849. Only attach the schedules on which you are claiming 
a  refund.  Schedules  2,  3,  5,  and  8  cannot  be  filed  with  any  other  schedules  on  Form  8849.  File  each  of  these  schedules  with  a 
separate Form 8849. 

Schedule 1               Nontaxable Use of Fuels             . .  . . . .             . . . .   . . .   .   . .  .  . .    . .  . .                 . . .  .

Schedule 2               Sales by Registered Ultimate Vendors  .        .             . . . .   . . .   .   . .  .  . .    . .  . .                 . . .  .

Schedule 3               Certain Fuel Mixtures and the Alternative Fuel Credit  .               . . .   .   . .  .  . .    . .  . .                 . . .  .

Schedule 5               Section 4081(e) Claims  .           . .  . . . .             . . . .   . . .   .   . .  .  . .    . .  . .                 . . .  .

Schedule 6               Other Claims       .      . . .     . .  . . . .             . . . .   . . .   .   . .  .  . .    . .  . .                 . . .  .

Schedule 8               Registered Credit Card Issuers           . . . .             . . . .   . . .   .   . .  .  . .    . .  . .                 . . .  .

                         Under penalties of perjury, I declare (1) that I have examined this claim, including accompanying schedules and statements, and to the best of my 
                         knowledge and belief, it is true, correct, and complete, and (2) that amounts claimed on this form have not been, and will not be, claimed on any 
                         other form. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. 
Sign  
Here                     Signature and title (if applicable)                                                                                          Date 

                         Type or print your name below signature. 
             Print/Type preparer’s name                        Preparer’s signature                       Date
Paid                                                                                                                       Check         if         PTIN
                                                                                                                           self-employed
             Firm’s name     
Preparer                     ▶                                                                                      Firm’s EIN ▶
Use Only
             Firm’s address  ▶                                                                                      Phone no.
For Privacy Act and Paperwork Reduction Act Notice, see instructions.                               Cat. No. 20027J               Form  8849  (Rev. 8-2014) 



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Form 8849 (Rev. 8-2014)                                                                                           Page  2 

Section references are to the Internal Revenue Code.         • Form 730, Monthly Tax Return for Wagers; 
Future Developments                                          • Form 11-C, Occupational Tax and Registration Return 
                                                             for Wagering; and 
For the latest information about developments related to 
Form 8849 and its instructions or separate schedules,        • Form 2290, Heavy Highway Vehicle Use Tax Return. 
such as legislation enacted after they were published, go    Filers only need to complete and attach to Form 8849 the 
to www.irs.gov/form8849.                                     applicable schedules. 
What’s New                                                   Do not use Form 8849: 
Changes are discussed under What’s New in the                • To make adjustments to liability reported on Forms 
instructions for each schedule.                              720 filed for prior quarters; instead, use Form 720X,  
                                                             Amended Quarterly Federal Excise Tax Return. 
Reminders                                                    • To claim amounts that you took or will take as a credit 
• You can electronically file Form 8849 through any          on Form 720, Schedule C; Form 730; Form 2290; or Form 
electronic return originator (ERO), transmitter, and/or      4136. 
intermediate service provider (ISP) participating in the  
IRS e-file program for excise taxes. For more information    Additional Information 
on e-file and its availability, visit the IRS website at     Pub. 510, Excise Taxes, has information on fuel tax 
www.irs.gov/efile.                                           credits, refunds, nontaxable uses, and the definitions of 
• Qualified subchapter S subsidiaries (QSubs) and            terms such as  ultimate vendor.
eligible single-owner disregarded entities are treated as    Pub. 225, Farmer’s Tax Guide, has information on 
separate entities for certain excise tax and reporting       credits and refunds for the federal excise tax on fuels 
purposes.  QSubs and eligible single-owner disregarded       applicable to farmers. 
entities  must pay and report certain excise taxes (other    You may also call the IRS business and specialty tax 
than IRS Nos.  31, 51, and 117), register for certain excise line at 1-800-829-4933 with your excise tax questions. 
tax activities, and  claim certain refunds, credits, and 
payments under the  entity’s employer identification         Where To File 
number (EIN). These  actions cannot take place under the 
                                                             • For Schedules 1 and 6, send Form 8849 to: 
owner’s taxpayer  identification number (TIN). Some 
QSubs and  disregarded entities may already have an          Department of the Treasury   
EIN. However,  if you are unsure, call the IRS business      Internal Revenue Service   
and  specialty tax line at 1-800-829-4933.                   Cincinnati, OH 45999-0002 
Generally, QSubs and eligible single-owner disregarded       • For Schedules 2, 3, 5, and 8, send Form 8849 to: 
entities will continue to be treated as disregarded entities Internal Revenue Service  
for other federal tax purposes (other than employment        P.O. Box 312   
taxes). Thus, taxpayers filing Form 4136, Credit for         Covington, KY 41012-0312 
Federal Tax Paid on Fuels, with Form 1040, Individual 
Income Tax Return, can use the owner’s TIN. For specific     Caution. Private delivery services designated by the IRS 
information, see Treasury Decision (T.D.) 9356. You can      cannot deliver items to P.O. boxes. You must use the 
find T.D. 9356 on page 675 of Internal Revenue Bulletin      U.S. Postal Service to mail any item to an IRS P.O. box 
2007-39 at www.irs.gov/pub/irs-irbs/irb07-39.pdf.            address. For details on designated private delivery  
                                                             services, see Pub. 509, Tax Calendars. 
General Instructions                                         Including the Refund in Income 
Purpose of Form                                              Include any refund of excise taxes in your gross income if 
                                                             you claimed the amount of the tax as an expense  
Use Form 8849 to claim a refund of excise taxes. Attach      deduction that reduced your income tax liability. 
Schedules 1, 2, 3, 5, and 8 to claim certain fuel  related 
refunds such as nontaxable uses (or sales) of  fuels.        Cash method. If you use the cash method and file a  
                                                             claim for refund, include the refund amount in your gross  
Attach Schedule 6 for claims not reportable on               income for the tax year in which you receive the refund. 
Schedules 1, 2, 3, 5, and 8, including refunds of excise 
taxes reported on:                                           Accrual method. If you use an accrual method, include  
                                                             the amount of refund in gross income for the tax year in 
• Form 720, Quarterly Federal Excise Tax Return;             which you used the fuels or sold the fuels if you are a 
                                                             registered ultimate vendor or registered credit card issuer.



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Form 8849 (Rev. 8-2014)                                                                                             Page  3 

Specific Instructions                                       Type of Use Table 
                                                            The following table lists the nontaxable uses of fuels. You 
Name and Address 
                                                            must enter the number from the table in the Type of Use  
Print the information in the spaces provided. Begin         column as required on Schedules 1 and 2. 
printing in the first box on the left. Leave a blank box    No.                         Type of Use 
between each name and word. If there are not enough         1      On a farm for farming purposes 
boxes, print as many letters as there are boxes. Use  
hyphens for compound names; use one box for each            2      Off-highway business use (for business use other than in 
hyphen.                                                            a highway vehicle registered or required to be registered 
                                                                   for highway use) (other than use in mobile machinery) 
P.O. box. If your post office does not deliver mail to your 
street address and you have a P.O. box, show your box       3      Export 
number instead of your street address.                      4      In a boat engaged in commercial fishing 
                                                            5      In certain intercity and local buses 
Foreign address. Follow the country’s practice for 
                                                            6      In a qualified local bus 
entering the  postal code. 
                                                            7      In a bus transporting students and employees of  
EIN and SSN                                                        schools (school buses)
Enter your EIN in the  boxes provided. If you are not       8      For diesel fuel and kerosene (other than kerosene used 
required to have an EIN,  enter your SSN. An incorrect or          in aviation) used other than as a fuel in the propulsion 
missing number will delay processing your claim.                   engine of a train or diesel-powered highway vehicle 
Month Income Tax Year Ends                                         (but not off-highway business use) 
Enter the month your income tax year ends. For              9      In foreign trade 
example, if your income tax year ends in December,          10     Certain helicopter and fixed-wing aircraft uses 
enter “12” in the boxes. If your year ends in March, enter  11     Exclusive use by a qualified blood collector  
“03.”                                                              organization 
Signature                                                   12     In a highway vehicle owned by the United States that 
                                                                   is not used on a highway 
Form 8849 must be signed by a person with authority to 
sign this form for the claimant.                            13     Exclusive use by a nonprofit educational  
                                                                   organization 
Note. Your refund will be delayed or Form 8849 will be  
returned to you if you do not follow the required           14     Exclusive use by a state, political subdivision of a 
procedures or do not provide all the required information.         state, or the District of Columbia 
See the instructions for each schedule.                     15     In an aircraft or vehicle owned by an aircraft   
  Complete each schedule and attach all information                museum 
requested for each claim you make, generally including      16     In military aircraft 
the following:                                              Types of Use 13 and 14. Generally, claims for sales of  
• EIN (or SSN) on each attached schedule,                   diesel fuel, kerosene, kerosene for use in aviation,  
                                                            gasoline, or aviation gasoline for the exclusive use of a  
• Period of the claim,                                      state or local government (and nonprofit educational  
• Item number (when requested) from the Type of Use         organization for gasoline or aviation gasoline) must be  
Table below,                                                made following the order below. 
• Rate (as needed; see the separate schedule                1. By the registered credit card issuer if the state or 
instructions),                                              local government (or nonprofit educational organization if 
• Number of gallons, and                                    applicable) used a credit card and the credit card issuer 
                                                            meets the requirements discussed in the Schedule 8 
• Amount of refund.                                         (Form 8849) instructions. 
  If you need more space for any line on a schedule (for    2. By the registered ultimate vendor if the ultimate  
example, you have more than one type of use) prepare a      purchaser did not use a credit card and the ultimate  
separate sheet with the same information. Include your      vendor meets the requirements discussed in the  
name and EIN (or SSN) on each sheet you attach.             Schedule 2 (Form 8849) instructions. 
                                                            3. By the ultimate purchaser if the ultimate purchaser  
                                                            used a credit card and neither the registered credit card 
                                                            issuer nor the registered ultimate vendor is eligible to 
                                                            make the claim. 
                                                            For additional requirements, see Pub. 510. 



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Form 8849 (Rev. 8-2014)                                                                                                 Page  4 

Additional Information for Schedules 1, 2,                       Privacy Act and Paperwork Reduction Act Notice. We 
and 3                                                            ask for the information on the form and schedules    to carry 
                                                                 out the Internal Revenue laws of the United  States. We need 
Annual Claims                                                    it to figure and collect the right amount of tax. Subtitle F, 
If a claim was not made for any gallons during the               Procedure and    Administration, of the Internal Revenue Code 
income tax year on Form 8849, an annual claim may be             allows refunds of taxes imposed under Subtitle D, 
made. Generally, an annual claim is made on Form 4136            Miscellaneous Excise Taxes. The form and schedules are 
for the income tax year during which the fuel was:               used to determine the amount of the refund that is due to 
                                                                 you. Section 6109 requires you to provide your taxpayer 
• Used by the ultimate purchaser;                                identification number (SSN or EIN). Routine uses of tax 
• Sold by the registered ultimate vendor;                        information include giving it to the Department of Justice for 
• Purchased with a credit card issued by a registered            civil and criminal litigation, and cities, states, and the District 
credit card issuer (except for gasoline and aviation             of Columbia for use in administering their tax laws. We may 
gasoline);                                                       also disclose this information to other countries under a tax 
                                                                 treaty, to federal and state agencies to enforce federal 
• Used to produce biodiesel or renewable diesel                  nontax criminal laws, or to federal law enforcement 
mixtures, and alternative fuel mixtures; or                      agencies and intelligence agencies to combat terrorism. 
• Used in mobile machinery.                                         You are not required to claim a refund; however, if you 
   The following claimants must use Form 8849 (Schedule          do so you must provide the information requested on this 
1) for annual claims.                                            form. If you fail to provide all requested information in a 
                                                                 timely manner, we may be unable to process this claim. If 
   1. The United States. 
                                                                 you provide false or fraudulent information, you may be 
   2. A state, political subdivision of a state, or the District liable for penalties. 
of Columbia (but see Types of Use 13 and 14, earlier). 
                                                                    You are not required to provide the information  
   3. Organizations exempt from income tax under section         requested on a form that is subject to the Paperwork  
501(a) (provided that the organization is not required to        Reduction Act unless the form displays a valid OMB  
file Form 990-T, Exempt Organization Business Income             control number. Books or records relating to a form or its 
Tax Return, for that taxable year).                              instructions must be retained as long as their contents 
   For claimants included in 1–3 above, the annual Form          may become material in the administration of any Internal 
8849 for fuel used during the taxable year must be filed         Revenue law. Generally, tax returns and  return 
within the 3 years following the close of the taxable year.      information are confidential, as required by section 6103. 
For these claimants, the taxable year is based on the               The time needed to complete and file the form and  
calendar year or fiscal year it regularly uses to keep its       schedules will vary depending on individual  
books.                                                           circumstances. The estimated average times are: 
   Although not an annual claim, the above claimants                              Record-      Learning    Preparing, copying,  
should use Schedule 3 (Form 8849) to claim the                                    keeping      about the law   assembling, and  
alternative fuel credit.                                                                       or the form sending the form   
                                                                                                           to the IRS 
Note. Gasoline used by the above claimants on a farm  
                                                                 Form 8849     3 hr., 21 min.  24 min.        28 min. 
for farming purposes (type of use 1) is an allowable use 
on Schedule 1 (Form 8849), line 1.                               Schedule 1   20 hr., 19 min.  6 min.         25 min. 
                                                                 Schedule 2   11 hr., 43 min.                 11 min. 
Paid Preparer Use Only                                           Schedule 3    7 hr., 10 min.  6 min.         13 min. 
A paid preparer must sign Form 8849 and provide the              Schedule 5    3 hr., 35 min.  6 min.         9 min. 
information in the Paid Preparer Use Only section at the         Schedule 6    2 hr.,   9 min. 24 min.        27 min. 
end of the form if the preparer was paid to prepare the          Schedule 8    5 hr., 15 min.                 5 min. 
form and is not an employee of the filing entity. The               If you have comments concerning the accuracy of 
preparer must give you a copy of the form in addition to         these time estimates or suggestions for making the form 
the copy to be filed with the IRS.                               and schedules simpler, we would be happy to hear from 
   If you are a paid preparer, enter your Preparer Tax           you. You can send your comments from                   
Identification Number (PTIN) in the space provided.              www.irs.gov/formspubs. Click on “More Information” and 
Include your complete address. If you work for a firm, you       then on “Give us feedback.” You can also write to:
also must enter the firm's name and the EIN of the firm.            Internal Revenue Service                                                  
However, you cannot use the PTIN of the tax preparation             Tax Forms and Publications                                     
firm in place of your PTIN.                                         1111 Constitution Ave. NW, IR-6526            
   You can apply for a PTIN online or by filing Form W-12,          Washington, DC 20224 
IRS Paid Preparer Tax Identification Number (PTIN)                  Do not send Form 8849 to this address. Instead, see 
Application and Renewal. For more information about              Where To File, earlier.
applying for a PTIN online, visit the IRS website at 
www.irs.gov/ptin.






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