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                                                                                      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



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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)



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        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-



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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 

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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-



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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)



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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-






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