Userid: CPM Schema: Leadpct: 100% Pt. size: 10 Draft Ok to Print instrx AH XSL/XML Fileid: … ions/i4136/2022/a/xml/cycle09/source (Init. & Date) _______ Page 1 of 7 15:11 - 24-Jan-2023 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing. Department of the Treasury Internal Revenue Service 2022 Instructions for Form 4136 Credit for Federal Tax Paid on Fuels Section references are to the Internal Revenue Code You can’t claim any amounts on Form 4136 that unless otherwise noted. ! you claimed on Form 8849, Form 8864, or Form CAUTION 720, Schedule C. If you report a tax liability on Future Developments Form 720, you may be required to offset your tax liability with any credits you claim before claiming a credit on For the latest information about developments related to Form 4136, or Form 8864, or a refund on Form 8849. Form 4136 and its instructions, such as legislation enacted after they were published, go to IRS.gov/ Form 4136 can’t be used by ultimate vendors to make Form4136. gasoline claims. Partnerships. Partnerships (other than electing large What’s New partnerships) can’t file this form. Instead, they must Sustainable aviation fuel credit. The Inflation include a statement on Schedule K-1 (Form 1065) Reduction Act of 2022 (the Act) provides the section 40B showing the allocation to each partner specifying the sustainable aviation fuel (SAF) credit for sales or uses number of gallons of each fuel used during the tax year, after 2022, and the credit is added as line 10d. the applicable credit per gallon, the nontaxable use or sale, and any additional information required to be Extension of alternative fuel credits. The Act submitted. retroactively reinstates the section 6426 alternative fuel credit for fuel sold or used effective January 1, 2022. Additional Information Definition of renewable diesel and treatment of kero- • Pub. 510, Excise Taxes. sene. The Act made the following changes to the • Pub. 225, Farmer's Tax Guide. definition of renewable diesel and the treatment of • Notice 2005-4 (alcohol and biodiesel fuels; off-highway kerosene, effective for fuel sold or used after December vehicles; aviation-grade kerosene; diesel fuel in buses; 31, 2022. displaying registration on vessels; sales of gasoline to • Renewable diesel no longer includes fuel derived from states, towns, and educational nonprofits; two-party biomass that meets the requirements of a Department of exchanges of taxable fuel; and classifying transmix and Defense specification for military jet fuel or an American diesel fuel blendstocks as diesel fuel), 2005-2 I.R.B. 289, Society of Testing Materials (ASTM) specification for at IRS.gov/IRB/2005-02 IRB#NOT-2005-4. aviation turbine fuel. • Notice 2005-62 (certificates for biodiesel, • Kerosene is no longer treated as diesel fuel for aviation-grade or nontaxable use kerosene), 2005-35 purposes of the renewable diesel mixture credit. I.R.B. 443, at IRS.gov/IRB/2005-35 IRB#NOT-2005-62. • Notice 2005-80 (LUST tax, treatment of kerosene for use in aviation, credit card sales of taxable fuel to exempt General Instructions entities, diesel-water fuel emulsions, mechanical dye injection of diesel fuel and kerosene), 2005-62 I.R.B. 953, Purpose of Form at IRS.gov/IRB/2005-46 IRB/#NOT-2005-80. Use Form 4136 to claim the following. • Notice 2006-92 (alternative fuels and alternative fuel • The biodiesel or renewable diesel mixture credit. mixtures), 2006-43 I.R.B. 774, at • The alternative fuel credit. IRS.gov/IRB/2006-43 IRB#NOT-2006-92. • A credit for certain nontaxable uses (or sales) of fuel • Notice 2007-97 (alternative fuel and alternative fuel during your income tax year. mixtures defined), 2007-49 I.R.B. 1092, at IRS.gov/IRB/ • A credit for blending a diesel-water fuel emulsion. 2007-47 IRB#NOT-2007-97. • A credit for exporting dyed fuels or gasoline • Notice 2008-110 (biodiesel and cellulosic biofuel), blendstocks. 2008-51 I.R.B. 1298, at IRS.gov/IRB/2008-51 • Substainable aviation fuel (SAF) credit. IRB#NOT-2008-110. Attach Form 4136 to your tax return. • Notice 2010-68 (Alaska dyed diesel exemption), Notice 2010-44 I.R.B. 576, at IRS.gov/IRB/2010-44 Instead of waiting to claim an annual credit on Form IRB#NOT-2010-68. 4136, you may be able to file: • Notice 2023-6 (sustainable aviation fuel credit), at • Form 8849, Claim for Refund of Excise Taxes, to claim IRS.gov/pub/irs-drop/n-23-06.pdf. a periodic refund; or • Form 720, Quarterly Federal Excise Tax Return, to Recordkeeping claim a credit against your excise tax liability. You must keep records to support any credits claimed on this return for at least 3 years from the date the return is due or filed, whichever is later. Jan 24, 2023 Cat. No. 48249T |
Page 2 of 7 Fileid: … ions/i4136/2022/a/xml/cycle09/source 15:11 - 24-Jan-2023 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing. Including the Fuel Tax Credit in Income No. Type of Use You must include in your gross income the amount of the credit from line 17 if you took a deduction on your tax 1 On a farm for farming purposes return that included the amount of the taxes and that 2 Off-highway business use (for business use deduction reduced your income tax liability. See Pub. 510. other than in a highway vehicle registered or required to be registered for highway use) Specific Instructions 3 Export 4 In a boat engaged in commercial fishing How To Make a Claim 5 In certain intercity and local buses Complete all information requested for each claim you make. You must enter the number (when requested) from 6 In a qualified local bus the Type of Use Table, later, the number of gallons, or 7 In a bus transporting students and employees of gasoline or diesel gallon equivalents (GGE or DGE) schools (school buses) (compressed natural gas (CNG), liquefied petroleum gas (LPG), and liquefied natural gas (LNG) only), and the 8 For diesel fuel and kerosene (other than amount of credit. If you need more space for any line (for kerosene used in aviation) used other than as a example, for more types of use), prepare a separate fuel in the propulsion engine of a train or statement using the same format as the line. diesel-powered highway vehicle (but not off-highway business use) Attach a separate statement showing any additional 9 In foreign trade information required for your claim, such as the computation of the amount to be credited. Write your 10 Certain helicopter and fixed-wing aircraft uses name and taxpayer identification number (TIN) on each 11 Exclusive use by a qualified blood collector statement. organization Amount of credit. Generally, multiply the rate by the 12 In a highway vehicle owned by the United States number of gallons. For lines 11 and 12, enter the number that isn’t used on a highway of gallons, or gasoline or diesel gallon equivalents (CNG, 13 Exclusive use by a nonprofit educational LPG, and LNG only). Enter the result (or the combined organization result, as indicated by the brackets) in the Amount of credit column. Include amounts from any separate 14 Exclusive use by a state, political subdivision of statement. a state, or the District of Columbia Exported taxable fuel. The claim rates for exported 15 In an aircraft or vehicle owned by an aircraft taxable fuel are listed on lines 1d, 2c, 3e, 4d, 14b, 16a, museum and 16b. Taxpayers making a claim for exported taxable 16 In military aircraft fuel must keep proof of exportation with their records. Proof of exportation includes: • A copy of the export bill of lading issued by the delivering carrier, Types of use 13 and 14. Generally, claims for sales of • A certificate by the agent or representative of the export diesel fuel, kerosene, kerosene for use in aviation, carrier showing actual exportation of the fuel, gasoline, or aviation gasoline for the exclusive use of a • A certificate of lading signed by a customs officer of the state or local government (or nonprofit educational foreign country to which the fuel is exported, or organization for gasoline or aviation gasoline) must be • A statement of the foreign consignee showing receipt of made in the following order. the fuel. 1. By the registered credit card issuer if the state or Type of Use Table local government (or nonprofit educational organization, if applicable) used a credit card and the credit card issuer The following table lists the nontaxable uses of fuels. You meets the four requirements discussed under Line 13. must enter the number from the table in the Type of use Registered Credit Card Issuers, later. If the credit card column on Form 4136. issuer isn’t registered, only the ultimate purchaser may make this claim. 2. By the registered ultimate vendor if the ultimate purchaser didn’t use a credit card and waives their right to make the claim and the registered credit card issuer can’t make the claim. Additional requirements that must be met are in Pub. 510. -2- Instructions for Form 4136 (2022) |
Page 3 of 7 Fileid: … ions/i4136/2022/a/xml/cycle09/source 15:11 - 24-Jan-2023 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing. An income tax credit for gasoline and aviation For line 3e, the diesel fuel must have been exported ! gasoline can be claimed on Form 4136 by the during the period of claim (type of use 3). See Exported CAUTION ultimate purchaser only. Claims by registered taxable fuel, earlier. credit card issuers and registered ultimate vendors for gasoline and aviation gasoline sold to a state or local Line 4. Nontaxable Use of Undyed Kerosene government or nonprofit educational organization must be (Other Than Kerosene Used in Aviation) made on Form 8849 or Form 720, Schedule C. Claimant. The ultimate purchaser of the kerosene is the only person eligible to make this claim. Line 1. Nontaxable Use of Gasoline Allowable uses. For line 4a, the kerosene must have Claimant. The ultimate purchaser of the gasoline is the been used during the period of claim for type of use 2, 6, only person eligible to make this claim. 7, 8, 11, 13, 14, or 15. Line 4b doesn’t include claims for Allowable uses. A claim can’t be made for personal use kerosene used in aviation for farming purposes; instead, of any fuel on line 1. Also, for lines 1a and 1c, a claim can’t see Line 5. Kerosene Used in Aviation below. For line 4c, be made for any use in a motorboat, other than the claimant must not have waived the right to make a commercial fishing. claim. See Types of use 13 and 14, earlier. Type of use 8 includes use as heating oil and use in a motorboat. For line 1a, the gasoline must have been used during the period of claim for a business use other than in a For line 4d, the kerosene must have been exported highway vehicle registered (or required to be registered) during the period of claim (type of use 3). See Exported for highway use (type of use 2). taxable fuel, earlier. For line 1b, the gasoline must have been used during For lines 4e and 4f, the kerosene must have been used the period of claim on a farm for farming purposes (type of during the period of claim for type of use 2. use 1). You can claim a credit for the tax on undyed For line 1c, the gasoline must have been used during TIP kerosene you purchased (other than from a the income tax year for type of use 4, 5, 7, 11, 13, 14, or blocked pump) and used in your home during the 15. For type of use 13 or 14, the claimant must not have tax period for heating, lighting, or cooking. waived the right to make a claim. See Types of use 13 and 14, earlier. To claim the credit on line 4a for home use, complete the following steps. For line 1d, the gasoline must have been exported during the period of claim (type of use 3). See Exported 1. Enter 8 in column(a). taxable fuel, earlier. 2. Enter the number of gallons of kerosene in column (c). Line 2. Nontaxable Use of Aviation Gasoline 3. Multiply the gallons in column (c) by $.243. Enter the result in column (d). Claimant. The ultimate purchaser of the aviation gasoline is the only person eligible to make this claim. 4. If this is the only fuel tax credit you are claiming, enter the amount from column (d) on: Allowable uses. For line 2b, the aviation gasoline must a. Form 4136, line 17; and have been used during the period of claim for type of use 1, 2, 9, 10, 11, 13, 14, or 15. For type of use 13 or 14, the b. Schedule 3, Form 1040 (or 1040-SR), line 12. claimant must not have waived the right to make a claim. See Types of use 13 and 14, earlier. Line 5. Kerosene Used in Aviation Use line 2b to make a claim for aviation gasoline used Claimant. For lines 5a and 5b, the ultimate purchaser of outside the propulsion system of an aircraft. kerosene used in commercial aviation (other than foreign For line 2c, the aviation gasoline must have been trade) is eligible to make this claim. For lines 5c, 5d, and exported during the period of claim (type of use 3). See 5e, the ultimate purchaser of kerosene used in Exported taxable fuel, earlier. noncommercial aviation (other than nonexempt, For line 2d, the aviation fuel must have been used in noncommercial aviation and exclusive use by a state, foreign trade to claim a credit for the LUST tax paid (type political subdivision of a state, or the District of Columbia) of use 9). is eligible to make this claim. By making this claim, the claimant is certifying that it hasn’t waived the right to make the claim. Line 3. Nontaxable Use of Undyed Diesel Fuel Allowable uses. For lines 5a and 5b, the kerosene must Claimant. The ultimate purchaser of the diesel fuel is the have been used during the period of claim in commercial only person eligible to make this claim. aviation. If the claimant buys kerosene partly for use in Allowable uses. For line 3a, the diesel fuel must have commercial aviation and partly for use in noncommercial been used during the period of claim for type of use 2, 6, aviation, see the rules in Notice 2005-80, section 3(e)(3). 7, 8, 11, 13, 14, or 15. For line 3d, the claimant must not For lines 5c and 5d, the kerosene must have been used have waived the right to make a claim. See Types of use during the period of claim for type of use 1, 9, 10, 11, 13, 13 and 14, earlier. Type of use 8 includes use as heating 15, or 16. oil and use in a motorboat. Instructions for Form 4136 (2022) -3- |
Page 4 of 7 Fileid: … ions/i4136/2022/a/xml/cycle09/source 15:11 - 24-Jan-2023 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing. For line 5e, the kerosene must have been used during reason to believe any information in the certificate is false. the period of claim for type of use 9. This claim is made in See Model Certificate P in Pub. 510. For line 7b, the addition to the claim made on lines 5c and 5d for type of claimant must have a statement, if required, that contains use 9. Depending on the tax rate of the kerosene, use the date of sale, name and address of the buyer, and the line 4a, 4e, or 4f to make a claim for kerosene used number of gallons of kerosene sold to the buyer. For lines outside the propulsion system of an aircraft. 7a and 7b, only one claim may be filed for any gallon of kerosene. Information for Claims on Lines 6–8 Allowable sales. The fuel must have been sold during Registration number. To make an ultimate vendor claim the period of claim: on lines 6–8, you must be registered. Enter your • For line 7a, for use by a state or local government registration number, including the prefix, on the applicable (including essential government use by an Indian tribal line for your claim. If you aren’t registered, use Form 637 government); or to register. • For line 7b, from a blocked pump. Required certificates or waivers. The required Registration number. Enter your UV or UP registration certificates or waivers for lines 6–8 are listed in the line number in the space provided. instructions and are available in Pub. 510. Information to be submitted. For claims on line 7a, attach a separate statement with the name and TIN of Line 6a. Sales by Registered Ultimate Vendors of each governmental unit to whom the kerosene was sold Undyed Diesel Fuel for Use by a State or Local and the number of gallons sold to each. Government Line 7c. Sales by Registered Ultimate Vendors of Claimant. For line 6a, the registered ultimate vendor of Undyed Kerosene for Use in Certain Intercity and the diesel fuel is the only person eligible to make this Local Buses claim. The registered ultimate vendor must have obtained the required certificate from the buyer and must have no Claimant. For line 7c, the registered ultimate vendor of reason to believe any information in the certificate is false. the kerosene is eligible to make a claim only if the buyer See Model Certificate P in Pub. 510. Only one claim may waives the right to make the claim by providing the be filed for any gallon of diesel fuel. registered ultimate vendor with an unexpired waiver. See Allowable sales. The fuel must have been sold during Model Waiver N in Pub. 510. Only one claim may be filed the period of claim for the exclusive use by a state or local for any gallon of kerosene. government (including essential government use by an Registration number. Enter your UB registration Indian tribal government). number in the space provided. Registration number. Enter your UV registration number in the space provided. Lines 8a and 8b. Sales by Registered Ultimate Vendors of Kerosene for Use in Commercial Information to be submitted. For claims on line 6a, attach a separate statement with the name and TIN of Aviation (Other Than Foreign Trade) each governmental unit to whom the diesel fuel was sold Claimant. The registered ultimate vendor of the and the number of gallons sold to each. kerosene sold for use in commercial aviation is eligible to make this claim only if the buyer waives the right by Line 6b. Sales by Registered Ultimate Vendors of providing the registered ultimate vendor with an unexpired Undyed Diesel Fuel for Use in Certain Intercity and waiver. See Model Waiver L in Pub. 510. Only one claim Local Buses may be filed for any gallon of kerosene sold for use in commercial aviation. Claimant. For line 6b, the registered ultimate vendor of the diesel fuel is eligible to make a claim only if the buyer Allowable sales. The kerosene sold for use in waives the right to make the claim by providing the commercial aviation must have been sold during the registered ultimate vendor with an unexpired waiver. See period of claim for use in commercial aviation (other than Model Waiver N in Pub. 510. Only one claim may be filed foreign trade). for any gallon of diesel fuel. Registration number. Enter your UA registration Registration number. Enter your UB registration number in the space provided. number in the space provided. Lines 8c, 8d, 8e, and 8f. Sales by Registered Lines 7a and 7b. Sales by Registered Ultimate Ultimate Vendors of Kerosene Sold for Use in Vendors of Undyed Kerosene (Other Than Noncommercial Aviation Kerosene for Use in Aviation) Claimant. For line 8c, the registered ultimate vendor of Claimant. For line 7a, the registered ultimate vendor of the kerosene sold for use in nonexempt, noncommercial the kerosene is the only person eligible to make this claim. aviation is the only person eligible to make this claim. The The registered ultimate vendor must have obtained the registered ultimate vendor must have obtained the required certificate from the buyer and must have no required certificate from the ultimate purchaser. See -4- Instructions for Form 4136 (2022) |
Page 5 of 7 Fileid: … ions/i4136/2022/a/xml/cycle09/source 15:11 - 24-Jan-2023 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing. Model Certificate Q in Pub. 510. For lines 8d, 8e, and 8f, 4. The Certificate for Biodiesel and, if applicable, the registered ultimate vendor of the kerosene sold for Statement of Biodiesel Reseller must be attached to the nontaxable use in noncommercial aviation (foreign trade first claim filed that is supported by the certificate or for line 8f) is eligible to make this claim only if the buyer statement. For the renewable diesel mixture credit, you waives the right to make the claim by providing the must edit the certificate and, if applicable, statement to registered ultimate vendor with an unexpired waiver. See indicate that the fuel to which the certificate and statement Model Waiver L in Pub. 510. For type of use 14, see relate is renewable diesel and state the renewable diesel Model Certificate P in Pub. 510. Only one claim may be meets the requirements discussed above under Claimant. filed for any gallon of kerosene sold for use in See Model Certificate O and Model Statement S in Pub. noncommercial aviation. 510. If the certificate and statement aren’t attached to Form 4136 because they’re attached to a previously filed Allowable sales. For line 8c, the kerosene must have claim on Schedule 3 (Form 8849) or Form 720, been sold for a nonexempt use in noncommercial Schedule C, or Form 8864, for the biodiesel or renewable aviation. For lines 8d and 8e, the kerosene sold for use in diesel credit, attach a separate statement with the noncommercial aviation must have been sold during the following information. period of claim for type of use 1, 9, 10, 11, 13, 14, 15, or 16. a. Certificate identification number. For line 8f, the kerosene sold for use in noncommercial b. Total gallons of biodiesel or renewable diesel on aviation must have been sold during the period of claim certificate. for type of use 9. This claim is made in addition to the c. Total gallons claimed on Schedule 3 (Form 8849). claim made on lines 8d and 8e for type of use 9. d. Total gallons claimed on Form 720, Schedule C, Registration number. Enter your UA (UV if type of use line 12. 14) registration number in the space provided. e. Total gallons claimed on Form 8864. Line 10 a-c. Biodiesel or Renewable Diesel Registration number. If you are a registered blender or Mixtures a taxable fuel registrant, enter your registration number, including the prefix, on line 10. Claimant. Any biodiesel or renewable diesel mixture credit must first be claimed on Form 720, Schedule C, to Line 10d. Sustainable Aviation Fuel Mixtures reduce your taxable fuel liability reported on Form 720. Any excess credit may be claimed on Form 720, Claimant. The person that produced and sold or used a Schedule C; Schedule 3 (Form 8849); Form 4136; or qualified mixture (a mixture of SAF synthetic blending Form 8864. See Notice 2005-4 and item 4 below for more component and kerosene) is the only person eligible to information. Only one credit may be taken for each make this claim. The credit is based on the gallons of SAF amount of biodiesel or renewable diesel. If you claimed mixture in the qualified mixture. Any SAF mixture credit (or will claim) an amount of biodiesel or renewable diesel must first be claimed on Schedule C to reduce your on Form 720, Form 8849, or Form 8864 for a credit or taxable fuel liability reported on Form 720. Any excess payment, then you can't make a claim on Form 4136 for credit must be claimed on Form 720, Schedule C; that same amount of biodiesel or renewable diesel. Schedule 3 (Form 8849); Form 4136; or Form 8864. See item 4 below for more information. The biodiesel mixture credit may not be claimed for biodiesel produced outside the United States for use as a Only one credit may be taken for each amount of SAF fuel outside the United States. The United States includes mixture. If a person claimed (or will claim) an amount of any possession of the United States. Requirements 1 and SAF qualified mixture on Form 720, Form 8849, or Form 2 must be met only if the credit exceeds the amount of 8864 for a credit or payment, then a claim can't be made taxable fuel liability reported. Requirements 3 and 4 must on Form 4136 for that same amount of SAF. The qualified be met for all claims. mixture must be used (or sold, in the ordinary course of a trade or business, for use) in an aircraft. 1. The claim must be for a biodiesel or renewable diesel mixture sold or used during a period that is at least The SAF credit can't be claimed for qualified mixtures 1 week. produced outside of the United States or if the transfer of such mixture to the fuel tank of an aircraft occurs outside 2. The amount of the claim must be at least $200. To of the United States. Requirements 1 and 2 must be met meet this minimum, amounts from lines 10 and 12 may be only if the credit exceeds the amount of taxable fuel combined. liability reported. Requirements 3 and 4 must be met for 3. The biodiesel used to produce the biodiesel mixture all claims. must meet ASTM D6751 and meet the Environmental 1. The claim must be for a qualified mixture sold or Protection Agency's (EPA) registration requirements for fuels and fuel additives under section 211 of the Clean Air used during a period that is at least 1 week. Act. The renewable diesel used to produce the renewable 2. The amount of the claim must be at least $200. To diesel mixture must be a liquid fuel derived from biomass meet this minimum, amounts from lines 10 and 12 may be that meets the registration requirements for fuels and fuel combined. additives established by the EPA under section 211 of the 3. The SAF synthetic blending component used to Clean Air Act, and the requirements of the ASTM D975 or produce the qualified mixture must meet ASTM D7566, or D396, or other equivalent standard approved by the IRS. the Fischer-Tropsch provisions of ASTM D1655, Annex Instructions for Form 4136 (2022) -5- |
Page 6 of 7 Fileid: … ions/i4136/2022/a/xml/cycle09/source 15:11 - 24-Jan-2023 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing. A1. The SAF must not be derived from coprocessing an Line number Claim rate applicable material (or materials derived from an applicable material) with a feedstock which isn't biomass, 11a $.109* must not be derived from palm fatty acid distillates or 11b .110 petroleum, and must have been certified as having a 11c .109** lifecycle greenhouse gas emissions reduction percentage 11d .110 of at least 50%. Applicable material means monoglycerides, diglycerides, and triglycerides, free fatty 11e .17 acids, and fatty acid esters. Lifecycle greenhouse gas 11f .17 emissions reduction percentage means the percentage 11g .169*** reduction in lifecycle greenhouse gas emissions achieved 11h .110 by such fuel as compared with petroleum-based jet fuel, as defined in accordance with the most recent Carbon For sales or uses of fuel after December 31, 2015: (*) This is the claim rate per GGE (5.75 pounds or 1.353 gallons of LPG); (**) This is the claim rate per GGE Offsetting and Reduction Scheme for International (5.66 pounds or 123.57 cubic ft. of CNG); (***) This is the claim rate per DGE (6.06 Aviation which has been adopted by the International Civil pounds or 1.71 gallons of LNG) Aviation Organization with the agreement of the United States, or any similar methodology which satisfies the criteria under section 211(o)(1)(H) of the Clean Air Act. Type of use 5 example. 10,000 gallons of LPG ÷ 1.353 4. The Certificate for Sustainable Aviation Fuel and, if = 7,391 GGE x $0.109 = $805.62 claim amount. applicable, Statement of Sustainable Aviation Fuel Reseller must be attached to the first claim filed that is Line 12. Alternative Fuel Credit supported by the certificate or statement. If the certificate and statement aren't attached to Form 4136 because The alternative fuel mixture credit can’t be claimed they're attached to a previously filed claim on a Form 720, ! on this form. CAUTION Schedule C; a Schedule 3 (Form 8849); or a Form 8864, attach a separate statement with the following information. Claim rates. a. Certificate identification number. • CNG has a claim rate (or GGE) of 121 cubic feet, b. Total gallons of SAF synthetic blending component, • Compressed gas derived from biomass has a claim rate the portion of which is not kerosene, on the certificate. (or GGE) of 121 cubic feet, • LPG has a claim rate (or GGE) of 5.75 pounds or 1.353 c. Total gallons claimed on Schedule 3 (Form 8849). gallons of LPG, and d. Total gallons claimed on Form 720, Schedule C, • LNG has a claim rate (or DGE) of 6.06 pounds or 1.71 line 12d. gallons of LNG. e. Total gallons claimed on Form 8864. Example. 10,000 gallons of LNG ÷ 1.71 = 5,848 DGE 5. Certification, from an unrelated party, to x $0.50 = $2,924 claim amount. substantiate greenhouse gas emissions reduction. If Claimant. For the alternative fuel credit, claimant requirements 1 and 2 above are not met, see Annual produced a mixture by mixing taxable fuel with alternative Claims, later. Enter the number of gallons and the fuel. Claimant certifies that it (a) produced the alternative appropriate rate in the Rate column on line 10d. If more fuel, or (b) has in its possession the name, address, and than one rate applies, leave the Rate column blank and EIN of the person(s) that sold the alternative fuel to the attach a schedule showing the rates and number of claimant; the date of purchase; and an invoice or other gallons claimed at each rate. Enter the claim amount on documentation identifying the amount of the alternative line 10d. fuel. The claimant also certifies that it made no other claim for the amount of the alternative fuel, or has repaid the Registration number. If you're a registered blender or a amount to the government. The alternative fuel was sold taxable fuel registrant, enter your registration number on by the claimant to any person for use as a fuel or was line 10. used as a fuel by the claimant. Line 11. Nontaxable Use of Alternative Fuel Registration number. You must enter your registration number, including the prefix, in the space provided. Claimant. The ultimate purchaser of the taxed alternative fuel is the only person eligible to make this claim. How to claim the credit. Any alternative fuel credit must first be claimed on Form 720, Schedule C, to reduce your Allowable uses. The alternative fuel must have been section 4041 taxable fuel liability for alternative fuel and used during the period of claim for type of use 1, 2, 4, 5, 6, CNG reported on Form 720. Any excess credit may be 7, 11, 13, 14, or 15. claimed on Form 720, Schedule C; Schedule 3 (Form Type of use 5. Write “Bus” in the space to the left of 8849), or Form 4136. column (a). Enter the correct claim rate in column (b). The For alternative fuel produced after December 31, 2011, claim rates for type of use 5 are listed below. the alternative fuel mixture credit can only be claimed on Form 720, Schedule C, and not on Form 4136, or Schedule 3 (Form 8849). Furthermore, you may only claim it to the extent of your section 4081 taxable fuel liability for gasoline, diesel fuel, and kerosene. -6- Instructions for Form 4136 (2022) |
Page 7 of 7 Fileid: … ions/i4136/2022/a/xml/cycle09/source 15:11 - 24-Jan-2023 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing. Calculate the limitation for alternative fuel separately exported during the period of claim (type of use 3). See and enter on line 13 only the gallons of mixtures that do Exported taxable fuel, earlier. not exceed your section 4081 taxable fuel liability for Type of use 5. Write “Bus” in the space to the left of gasoline, diesel fuel, and kerosene. column (a). Enter the correct claim rate in column (b). The The alternative fuel credit can't be claimed for claim rate for type of use 5 is $.124 per gallon. alternative fuel produced outside the United States for use as a fuel outside the United States. The United States Line 15. Diesel-Water Fuel Emulsion Blending includes any possession of the United States. To claim the credit, you must be registered by the IRS. Claimant. The person that produced (the blender) and sold or used the diesel-water fuel emulsion is the only Registration number. You must enter your registration person eligible to make this claim. number in the space provided. Registration number. Enter your M registration number Form 720X. If you are not registered, you cannot make a in the space provided. claim at this time. Use Form 637 to apply for registration. After you are registered by the IRS, file Form 720X to Information to be submitted. The blender must attach claim the credit for this period. a statement to the claim certifying that: • The diesel-water fuel emulsion contains at least 14% water, Line 13. Registered Credit Card Issuers The emulsion additive is registered by a U.S. • Claimant. The registered credit card issuer is the only manufacturer with the EPA under section 211 of the Clean person eligible to make this claim if the credit card issuer: Air Act, • Is registered by the IRS; • Undyed diesel fuel taxed at $.244 was used to produce • Hasn’t collected the amount of tax from the ultimate the diesel-water fuel emulsion, and purchaser or has obtained the written consent of the • The diesel-water fuel emulsion was used or sold for use ultimate purchaser to make the claim; in the blender's trade or business. • Certifies that it has repaid or agreed to repay the amount of tax to the ultimate vendor, has obtained the Line 16. Exported Dyed Fuel and Exported written consent of the ultimate vendor to make the claim, Gasoline Blendstocks or has otherwise made arrangements which directly or indirectly provide the ultimate vendor with reimbursement Claimant. The person that exported dyed diesel fuel or of the tax; and dyed kerosene during the period of claim is the only • Has in its possession an unexpired certificate from the person eligible to make this claim. See Exported taxable ultimate purchaser and has no reason to believe any of fuel, earlier. the information in the certificate is false. See Model Certificate R in Pub. 510. Paperwork Reduction Act Notice. We ask for the information on Form 4136 to carry out the Internal If any of these conditions isn’t met, the credit card Revenue laws of the United States. We need it to ensure issuer must collect the tax from the ultimate purchaser that you are complying with these laws and to allow us to and only the ultimate purchaser can make the claim. figure and collect the right amount of tax. Allowable sales. The diesel fuel, kerosene, or kerosene You aren’t required to provide the information for use in aviation must have been purchased with a credit requested on a form that is subject to the Paperwork card issued to the ultimate purchaser during the period of Reduction Act unless the form displays a valid OMB claim for the exclusive use by a state or local government control number. Books or records relating to a form or its (including essential government use by an Indian tribal instructions must be retained as long as their contents government). may become material in the administration of any Internal Registration number. Enter your CC registration Revenue law. Generally, tax returns and return number in the space provided. information are confidential, as required by section 6103. For line 13c, if the kerosene was taxed at $.244, The time needed to complete and file this form will vary ! the claim rate is $.243. Write “Taxed at $.244” in depending on individual circumstances. The estimated CAUTION the space to the left of column (b). Enter $.243 in burden for individual taxpayers filing this form is approved column (b). under OMB control number 1545-0162 and is included in the estimates shown in the Instructions for Form 1040. The estimated burden for all other taxpayers is: Line 14. Nontaxable Use of a Diesel-Water Fuel Recordkeeping, 36 hr., 56 min.; Learning about the Emulsion law or the form, 30 min.; Preparing, copying, Claimant. The ultimate purchaser of the diesel-water fuel assembling, and sending the form to the IRS, 59 min. emulsion is the only person eligible to make this claim. If you have comments concerning the accuracy of Allowable uses. For line 14a, the diesel-water fuel these time estimates or suggestions for making Form emulsion must have been used during the period of claim 4136 simpler, we’d be happy to hear from you. You can for type of use 1, 2, 5, 6, 7, 8, 11, 13, 14, or 15. For write to us at the address listed in the instructions of the line 14b, the diesel-water fuel emulsion must have been tax return with which Form 4136 is filed. Instructions for Form 4136 (2022) -7- |