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Form 4136 (2022) Page 3
9 Reserved for future use Registration No.
(b) Rate (c) Gallons (d) Amount of credit (e) CRN
of alcohol
a Reserved for future use $
b Reserved for future use
10 Biodiesel, Renewable Diesel, or Sustainable Aviation Fuel Mixture Registration No.
Credit
Biodiesel or renewable diesel mixtures. Claimant produced a mixture by mixing biodiesel with diesel fuel or 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.
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.
(b) Rate (c) Number (d) Amount of credit (e) CRN
of gallons 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
11 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.
(a) Type of use (b) Rate (c) Gallons, (d) Amount of credit (e) CRN
or gasoline
or diesel gallon
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
Form 4136 (2022)
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