Federal Free Printable 2016 Form 4136 for 2017 Federal Credit For Federal Tax Paid On Fuels

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Credit For Federal Tax Paid On Fuels
2016 Form 4136

Form 4136 Department of the Treasury Internal Revenue Service (99) OMB No. 1545-0162 Credit for Federal Tax Paid on Fuels ▶ Information about Form 4136 and its separate instructions is at www.irs.gov/form4136. 2016 Attachment Sequence No. 23 Taxpayer identification number Name (as shown on your income tax return) Caution: Claimant has the name and address of the person who sold the fuel to the claimant and the dates of purchase. For claims on lines 1c and 2b (type of use 13 or 14), 3d, 4c, and 5, claimant has not waived the right to make the claim. For claims on lines 1c and 2b (type of use 13 or 14), claimant certifies that a certificate has not been provided to the credit card issuer. 1 Nontaxable Use of Gasoline Note: CRN is credit reference number. (a) Type of use a b c d 2 Off-highway business use Use on a farm for farming purposes (b) Rate (c) Gallons $ .183 .183 Other nontaxable use (see Caution above line 1) Exported .183 .184 } (d) Amount of credit (e) CRN 362 $ 411 Nontaxable Use of Aviation Gasoline (a) Type of use a b c d 3 (b) Rate Use in commercial aviation (other than foreign trade) Other nontaxable use (see Caution above line 1) Exported $ .15 .193 .194 LUST tax on aviation fuels used in foreign trade .001 (c) Gallons (d) Amount of credit (e) CRN 354 324 412 $ 433 Nontaxable Use of Undyed Diesel Fuel Claimant certifies that the diesel fuel did not contain visible evidence of dye. Exception. If any of the diesel fuel included in this claim did contain visible evidence of dye, attach an explanation and check here ▶ (a) Type of use (b) Rate (c) Gallons } (d) Amount of credit (e) CRN Nontaxable use Use on a farm for farming purposes Use in trains Use in certain intercity and local buses (see Caution above line 1) .243 353 .17 350 e Exported .244 413 4 a b c d $ .243 .243 360 $ Nontaxable Use of Undyed Kerosene (Other Than Kerosene Used in Aviation) Claimant certifies that the kerosene did not contain visible evidence of dye. Exception. If any of the kerosene included in this claim did contain visible evidence of dye, attach an explanation and check here ▶ (a) Type of use a Nontaxable use taxed at $.244 b Use on a farm for farming purposes c Use in certain intercity and local buses (see Caution above line 1) d Exported e Nontaxable use taxed at $.044 f Nontaxable use taxed at $.219 For Paperwork Reduction Act Notice, see the separate instructions. (b) Rate (c) Gallons $ .243 .243 .17 .244 .043 .218 Cat. No. 12625R } (d) Amount of credit $ (e) CRN 346 347 414 377 369 Form 4136 (2016) Page 2 Form 4136 (2016) 5 Kerosene Used in Aviation (see Caution above line 1) (a) Type of use a Kerosene used in commercial aviation (other than foreign trade) taxed at $.244 (b) Rate (c) Gallons (d) Amount of credit $ $ .200 (e) CRN 417 b Kerosene used in commercial aviation (other than foreign c trade) taxed at $.219 .175 355 Nontaxable use (other than use by state or local government) taxed at $.244 .243 346 .218 .001 369 433 d Nontaxable use (other than use by state or local government) taxed at $.219 e 6 LUST tax on aviation fuels used in foreign trade Sales by Registered Ultimate Vendors of Undyed Diesel Fuel Registration No. ▶ Claimant certifies that it sold the diesel fuel at a tax-excluded price, repaid the amount of tax to the buyer, or has obtained the written consent of the buyer to make the claim. Claimant certifies that the diesel fuel did not contain visible evidence of dye. a b 7 Exception. If any of the diesel fuel included in this claim did contain visible evidence of dye, attach an explanation and check here ▶ (b) Rate (c) Gallons (d) Amount of credit (e) CRN Use by a state or local government $ $ .243 360 Use in certain intercity and local buses .17 350 Sales by Registered Ultimate Vendors of Undyed Kerosene (Other Than Kerosene For Use in Aviation) Registration No. ▶ Claimant certifies that it sold the kerosene at a tax-excluded price, repaid the amount of tax to the buyer, or has obtained the written consent of the buyer to make the claim. Claimant certifies that the kerosene did not contain visible evidence of dye. Exception. If any of the kerosene included in this claim did contain visible evidence of dye, attach an explanation and check here ▶ (b) Rate (c) Gallons (d) Amount of credit (e) CRN a Use by a state or local government b Sales from a blocked pump c Use in certain intercity and local buses 8 Sales by Registered Ultimate Vendors of Kerosene For Use in Aviation $ .243 .243 .17 } $ 346 347 Registration No. ▶ Claimant sold the kerosene for use in aviation at a tax-excluded price and has not collected the amount of tax from the buyer, repaid the amount of tax to the buyer, or has obtained the written consent of the buyer to make the claim. See the instructions for additional information to be submitted. (a) Type of use (b) Rate (c) Gallons (d) Amount of credit (e) CRN a Use in commercial aviation (other than foreign trade) taxed at $.219 $ .175 $ 355 b Use in commercial aviation (other than foreign trade) taxed at $.244 c d e f Nonexempt use in noncommercial aviation Other nontaxable uses taxed at $.244 Other nontaxable uses taxed at $.219 LUST tax on aviation fuels used in foreign trade .200 .025 .243 .218 .001 417 418 346 369 433 Form 4136 (2016) Page 3 Form 4136 (2016) 9 Reserved Registration No. ▶ (b) Rate (c) Gallons of alcohol (d) Amount of credit (e) CRN a Reserved b Reserved 10 Registration No. ▶ Biodiesel or Renewable Diesel Mixture Credit Biodiesel mixtures. Claimant produced a mixture by mixing biodiesel with diesel fuel. The biodiesel used to produce the mixture met ASTM D6751 and met EPA's registration requirements for fuels and fuel additives. The mixture was sold by the claimant to any person for use as a fuel or was used as a fuel by the claimant. Claimant has attached the Certificate for Biodiesel and, if applicable, the Statement of Biodiesel Reseller. Renewable diesel mixtures. Claimant produced a mixture by mixing renewable diesel with liquid fuel (other than renewable diesel). The renewable diesel used to produce the renewable diesel mixture was derived from biomass process, met EPA's registration requirements for fuels and fuel additives, and met ASTM D975, D396, or other equivalent standard approved by the IRS. The mixture was sold by the claimant to any person for use as a fuel or was used as a fuel by the claimant. Claimant has attached the Certificate for Biodiesel and, if applicable, the Statement of Biodiesel Reseller, both of which have been edited as discussed in the Instructions for Form 4136. See the instructions for line 10 for information about renewable diesel used in aviation. (b) Rate a Biodiesel (other than agri-biodiesel) mixtures b Agri-biodiesel mixtures c Renewable diesel mixtures 11 (c) Gallons of biodiesel or renewable diesel (d) Amount of credit $ $1.00 $1.00 $1.00 (e) CRN 388 390 307 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 a b c d e Liquefied petroleum gas (LPG) (see instructions) “P Series” fuels Compressed natural gas (CNG) (see instructions) Liquefied hydrogen Fischer-Tropsch process liquid fuel from coal (including peat) f Liquid fuel derived from biomass g Liquefied natural gas (LNG) (see instructions) h Liquefied gas derived from biomass 12 Alternative Fuel Credit (b) Rate $ .183 .183 .183 .183 Liquefied petroleum gas (LPG) (see instructions) “P Series” fuels Compressed natural gas (CNG) (see instructions) Liquefied hydrogen Fischer-Tropsch process liquid fuel from coal (including peat) Liquid fuel derived from biomass Liquefied natural gas (LNG) (see instructions) Liquefied gas derived from biomass Compressed gas derived from biomass (d) Amount of credit (e) CRN 419 420 421 422 $ .243 .243 .243 .183 423 424 425 435 Registration No. ▶ (b) Rate a b c d e f g h i (c) Gallons, or gasoline or diesel gallon equivalents $ .50 .50 .50 .50 .50 .50 .50 .50 .50 (c) Gallons, or gasoline or diesel gallon equivalents (d) Amount of credit $ (e) CRN 426 427 428 429 430 431 432 436 437 Form 4136 (2016) Page 4 Form 4136 (2016) 13 Registered Credit Card Issuers Registration No. ▶ (b) Rate a Diesel fuel sold for the exclusive use of a state or local government b Kerosene sold for the exclusive use of a state or local government c Kerosene for use in aviation sold for the exclusive use of a state or local government taxed at $.219 14 (c) Gallons (d) Amount of credit $ $ .243 .243 (e) CRN 360 346 .218 369 Nontaxable Use of a Diesel-Water Fuel Emulsion 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 a Nontaxable use b Exported 15 Diesel-Water Fuel Emulsion Blending (b) Rate $ .197 16 (d) Amount of credit $ (e) CRN 309 .198 306 Registration No. ▶ (b) Rate Blender credit (c) Gallons (c) Gallons $ .046 (d) Amount of credit (e) CRN 310 $ Exported Dyed Fuels and Exported Gasoline Blendstocks (b) Rate a Exported dyed diesel fuel and exported gasoline blendstocks taxed at $.001 b Exported dyed kerosene 17 (c) Gallons $ .001 .001 Total income tax credit claimed. Add lines 1 through 16, column (d). Enter here and on Form 1040, line 72; Form 1120, Schedule J, line 19b; Form 1120S, line 23c; Form 1041, line 24g; or the proper line of other returns. ▶ (d) Amount of credit $ (e) CRN 415 416 17 $ Form 4136 (2016)
Extracted from PDF file 2016-federal-form-4136.pdf, last modified December 2016

More about the Federal Form 4136 Other Tax Credit TY 2016

We last updated the Credit For Federal Tax Paid On Fuels in May 2017, so this is the latest version of Form 4136, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 4136 directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 4136 from the Internal Revenue Service in May 2017.

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Form 4136 is a Federal Other form. States often have dozens of even hundreds of various tax credits, which, unlike deductions, provide a dollar-for-dollar reduction of tax liability. Some common tax credits apply to many taxpayers, while others only apply to extremely specific situations. In most cases, you will have to provide evidence to show that you are eligible for the tax credit, and calculate the amount of the credit to which you are entitled.

Historical Past-Year Versions of Federal Form 4136

We have a total of six past-year versions of Form 4136 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 4136

2016 Form 4136

Credit for Federal Tax Paid on Fuels 2015 Form 4136

2015 Form 4136

Credit for Federal Tax Paid on Fuels 2014 Form 4136

2014 Form 4136

Credit for Federal Tax Paid on Fuels 2013 Form 4136

2013 Form 4136

Credit for Federal Tax Paid on Fuels 2012 Form 4136

2012 Form 4136

Credit for Federal Tax Paid on Fuels 2011 Form 4136

2011 Form 4136


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