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Schedule 8
(Form 8849)
(October 2006)                              Registered Credit Card Issuers                                             OMB No. 1545-1420
Department of the Treasury         '     Attach to Form 8849. Do not file with any other schedule.                      
Internal Revenue Service
Name as shown on Form 8849                                                EIN                               Total refund (see instructions)
                                                                                                             
                                                                                                            $
     Period of claim:     Enter month, day, and year                                                         
                          in MMDDYYYY format.                 From    '                                To  '
                                                                                                            
                                                                                   You must enter your registration number to make a
     Claimant’s registration no.'        C C                                       claim on Schedule 8.
                                                                                    
Note. For lines 1 through 5, claimant (a) has not collected the amount of tax from the ultimate purchaser or has obtained the
written consent of the ultimate purchaser to make the claim, (b) has repaid or agreed to repay the amount of tax to the ultimate 
vendor, has obtained the written consent of the ultimate vendor to make the claim, or has made arrangements that directly or
indirectly provide the ultimate vendor with repayment of the tax, and (c) has obtained the required certificate from the ultimate
purchaser and has no reason to believe any of the information in the certificate is false.
 
 1   Sales of Undyed Diesel Fuel
      
                                             (a) Rate            (b) Gallons                      (c) Amount of refund              (d)
                                                                                                  Multiply col. (a) by col. (b)    CRN
                                                                                                                                    
     Use by a state or local government      $     .243                                  $                                         360
                                                                                                                                    
 2   Sales of Undyed Kerosene (Other Than Kerosene For Use in Aviation)
      
                                             (a) Rate            (b) Gallons                      (c) Amount of refund              (d)
                                                                                                  Multiply col. (a) by col. (b)    CRN
                                                                                                                                    
     Use by a state or local government     $      .243                                  $
                                                                                                                                   346
                                                                                          
 3   Sales of Kerosene for Use in Aviation
      
                                             (a) Rate            (b) Gallons                      (c) Amount of refund              (d)
                                                                                                  Multiply col. (a) by col. (b)    CRN
                                                                                                                                    
  a  Use by a state or local government
     (kerosene taxed at $ .244)             $   .243                                     $                                         346
       Use by a state or local government                                                                                           
  b
     (kerosene taxed at $ .219)                 .218                                                                               369
                                                                                                                                    
 4   Sales of Gasoline
      
                                             (a) Rate            (b) Gallons                      (c) Amount of refund              (d)
                                                                                                  Multiply col. (a) by col. (b)    CRN
                                                                                                                                    
  a  Use by a nonprofit educational
     organization                           $   .183                                     $
                                                                                                                                   362
                                                                                                                                    
  b  Use by a state or local government         .183
                                                 
 5   Sales of Aviation Gasoline
      
                                             (a) Rate            (b) Gallons                      (c) Amount of refund              (d)
                                                                                                  Multiply col. (a) by col. (b)    CRN
                                                                                                                                    
  a  Use by a nonprofit educational
     organization                           $   .193                                     $
                                                                                                                                   324
                                                                                          
  b  Use by a state or local government         .193
                                                 
For Privacy Act and Paperwork Reduction Act Notice, see Form 8849 instructions.     Cat. No. 47991M        Schedule 8 (Form 8849) (10-2006)
                                                                                                                                   



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Schedule 8 (Form 8849) (10-2006)                                                                                       Page2  

Instructions                                                   Required Certificate
                                                               See Model Certificate R in Pub. 510, Excise Taxes for 2006.
Purpose    of Schedule                                          
                                                               How To File
 New Schedule 8, Registered Credit Card Issuers, is used by
registered credit card issuers to make a claim for refund or    Attach Schedule 8 to Form 8849. On the envelope write
payment of tax paid on certain sales of taxable fuel (diesel   “Registered Credit Card Issuer Claim” and mail to the IRS at
fuel, kerosene, and gasoline) to state and local governments   the address under Where To File in the Form 8849
and certain sales of gasoline to nonprofit educational         instructions.
organizations. The taxable fuel must have been purchased        
with a credit card issued to the state or local government or  Lines 1 Through 5
nonprofit educational organization by the credit card issuer
                                                               Claim requirements.   The following requirements must be
making the claim. These rules apply to taxable fuel sold after
                                                               met.
December 31, 2005.
  Claims may be made for the fuels and uses as listed on        1. The claim must be for taxable fuel sold during a period
lines 1 through 5. To make a claim, the credit card issuer     that is at least 1 week.
must:                                                           2. The amount of the claim must be at least $200. To meet
 1. Be registered by the IRS, and                              this minimum, amounts from lines 1 through 5 may be
 2.   Meet the conditions described in the note above line 1.  combined.
                                                                3. The claim must be filed by the last day of the first
 If 1 and 2 above are not met, or if the taxable fuel is       quarter following the earliest quarter of the claimant’s income
purchased without the use of a credit card issued by the       tax year included in the claim. For example, a calendar-year
credit card issuer to a state or local government or nonprofit claimant’s claim for diesel fuel sold during September and
educational organization, the credit card issuer cannot make   October must be filed by December 31.
the claim.                                                      
                                                               Note. If the requirements above are not met for lines 1
 
                                                               through 3, see Annual Claims in the Form 8849 instructions.
Registration Number
                                                                                           
 You must enter your registration number. You are registered   Total Refund
if you received a letter of registration with a registration    
                                                               Add all amounts in column (c) and enter the result in the
number from the IRS that has not been revoked or
                                                               total refund box at the top of the schedule.
suspended. If you do not have a registration number, you
                                                                
cannot make this claim. Use Form 637, Application for
Registration (For Certain Excise Tax Activities), to apply for
one.
 





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