Federal Free Printable Form 720 (Rev. April 2017) for 2017 Federal Quarterly Federal Excise Tax Return

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Quarterly Federal Excise Tax Return
Form 720 (Rev. April 2017)

720 Quarterly Federal Excise Tax Return Form (Rev. April 2017) Department of the Treasury Internal Revenue Service Check here if: Final return Address change OMB No. 1545-0023 See the Instructions for Form 720. ▶ Information about Form 720 and its separate instructions is at www.irs.gov/form720. ▶ FOR IRS USE ONLY Name Quarter ending Number, street, and room or suite no. (If you have a P.O. box, see the instructions.) Employer identification number T FF FD FP I City or town, state or province, country, and ZIP or foreign postal code T Part I IRS No. 18 21 98 19 22 26 28 27 60 104 105 107 119 35 69 77 111 79 62 13 14 112 118 120 121 122 123 124 Environmental Taxes (attach Form 6627) Domestic petroleum oil spill tax Imported petroleum products oil spill tax Ozone-depleting chemicals (ODCs) ODC tax on imported products Communications and Air Transportation Taxes (see instructions) Local telephone service and teletypewriter exchange service Transportation of persons by air Transportation of property by air Use of international air travel facilities Number of gallons Fuel Taxes (a) Diesel, tax on removal at terminal rack (b) Diesel, tax on taxable events other than removal at terminal rack (c) Diesel, tax on sale or removal of biodiesel mixture (not at terminal rack) Diesel-water fuel emulsion Dyed diesel, LUST tax Dyed kerosene, LUST tax LUST tax, other exempt removals (see instructions) (a) Kerosene, tax on removal at terminal rack (see instructions) (b) Kerosene, tax on taxable events other than removal at terminal rack Kerosene for use in aviation (see instructions) Kerosene for use in commercial aviation (other than foreign trade) Kerosene for use in aviation, LUST tax on nontaxable uses Other fuels (see instructions) (a) Gasoline, tax on removal at terminal rack (b) Gasoline, tax on taxable events other than removal at terminal rack Any liquid fuel used in a fractional ownership program aircraft Aviation gasoline 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) For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Tax IRS No. 18 21 98 19 Tax 22 26 28 27 Rate $.244 .244 .244 .198 .001 .001 .001 .244 .244 .219 .044 .001 .184 .184 .141 .194 .183 .184 .183 .184 .244 .244 .243 Cat. No. 10175Y } } } Tax 60 104 105 107 119 35 69 77 111 79 62 13 14 112 118 120 121 122 123 124 Form 720 (Rev. 4-2017) Form 720 (Rev. 4-2017) Page Rate IRS No. Tax 12% of sales tax Retail Tax—Truck, trailer, and semitrailer chassis and bodies, and tractor Number of persons Rate Ship Passenger Tax $3 per person Transportation by water Amount of obligations Rate Other Excise Tax $ .01 Obligations not in registered form 33 29 31 Foreign Insurance Taxes—Policies issued by foreign insurers Casualty insurance and indemnity bonds Life insurance, sickness and accident policies, and annuity contracts Reinsurance Number of tons Manufacturers Taxes 30 36 37 38 39 Premiums paid Rate $ .04 .01 .01 33 Tax 29 Tax 31 Tax } IRS No. 30 Sales price 36 37 38 39 $1.10 per ton 4.4% of sales price $.55 per ton 4.4% of sales price Coal—Underground mined Coal—Surface mined Tax Number of tires 108 109 113 40 97 2 IRS No. Taxable tires other than bias ply or super single tires Taxable bias ply or super single tires (other than super single tires designed for steering) Taxable tires, super single tires designed for steering Gas guzzler tax. Attach Form 6197. Check if one-time filing . . . . . . . Vaccines (see instructions) IRS No. 108 109 113 40 97 . . . . . Sales price 136 Reserved 1 Total. Add all amounts in Part I. Complete Schedule A unless one-time filing 2.3% of sales price ▶ 136 $ Part II IRS No. 133 Patient‐Centered Outcomes Research Fee (see instructions) Specified health insurance policies (a) Avg. number of lives covered (see inst.) (b) Rate for avg. covered life (a) With a policy year ending before October 1, 2016 $ 2.17 (b) With a policy year ending on or after October 1, 2016, and before October 1, 2017 $ 2.26 (c) Fee (see instructions) } Applicable self‐insured health plans (c) With a plan year ending before October 1, 2016 $ 2.17 (d) With a plan year ending on or after October 1, 2016, and before October 1, 2017 $ 2.26 Tax IRS No. 133 Rate 41 110 42 114 44 106 140 Sport fishing equipment (other than fishing rods and fishing poles) Fishing rods and fishing poles (limits apply, see instructions) Electric outboard motors Fishing tackle boxes Bows, quivers, broadheads, and points Arrow shafts Indoor tanning services 10% of sales price 10% of sales price 3% of sales price 3% of sales price 11% of sales price $ .50 per shaft 10% of amount paid Number of gallons 64 Inland waterways fuel use tax 125 LUST tax on inland waterways fuel use (see instructions) 51 Section 40 fuels (see instructions) 117 Biodiesel sold as but not used as fuel 20 Floor Stocks Tax—Ozone-depleting chemicals (floor stocks). Attach Form 6627. 2 Total. Add all amounts in Part II 41 110 42 114 44 106 140 Rate Tax 64 125 51 117 20 $ .29 .001 ▶ $ Form 720 (Rev. 4-2017) Form 720 (Rev. 4-2017) Page 3 Part III 3 4 5 6 7 8 9 10 11 Total tax. Add Part I, line 1, and Part II, line 2 . . . . . . . . . . . . . . . . . Claims (see instructions; complete Schedule C) . . . . . . . ▶ 4 Deposits made for the quarter . . . . ▶ 5 Check here if you used the safe harbor rule to make your deposits. Overpayment from previous quarters . . ▶ 6 Enter the amount from Form 720X included on line 6, if any . . . . . . . . . ▶ 7 Add lines 5 and 6 . . . . . . . . . . . . . . . . . ▶ 8 Add lines 4 and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . Balance Due. If line 3 is greater than line 9, enter the difference. Pay the full amount with the return (see instructions) Overpayment. If line 9 is greater than line 3, enter the difference. Check if you want the overpayment: Applied to your next return, or Refunded to you. Third Party Designee 9 10 ▶ 11 No Personal identification number (PIN) ▶ Signature Date Type or print name below signature. ▶ Print/Type preparer’s name Preparer’s signature ▲ Paid Preparer Use Only ▶ Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. ▲ Sign Here Phone no. ▶ 3 Yes. Complete the following. Do you want to allow another person to discuss this return with the IRS (see instructions)? Designee name ▶ ▶ Title Telephone number ▶ Date PTIN Check if self-employed Firm’s name ▶ Firm’s EIN Firm’s address ▶ Phone no. ▶ Form 720 (Rev. 4-2017) Form 720 (Rev. 4-2017) Schedule A Page 4 Excise Tax Liability (see instructions) Note: You must complete Schedule A if you have a liability for any tax in Part I of Form 720. Do not complete Schedule A for Part II taxes or for a one-time filing of the gas guzzler tax. 1 Regular method taxes (a) Record of Net Tax Liability First month A Second month C Third month E Special rule for September* . Period 1st–15th day . . . . . . 16th–last day . . ▶ B D F G (b) Net liability for regular method taxes. Add the amounts for each semimonthly period. 2 Alternative method taxes (IRS Nos. 22, 26, 28, and 27) (a) Record of Taxes Considered as 1st–15th day Collected First month M Second month O Third month Q Special rule for September* . . . . . . . . Period 16th–last day . ▶ N P R S (b) Alternative method taxes. Add the amounts for each semimonthly period. *Complete only as instructed (see instructions). Schedule T Two-Party Exchange Information Reporting (see instructions) Fuel Diesel fuel, gallons received in a two-party exchange within a terminal, included on IRS No. 60(a) on Form 720 Number of gallons Diesel fuel, gallons delivered in a two-party exchange within a terminal Kerosene, gallons received in a two-party exchange within a terminal, included on IRS No. 35(a), 69, 77, or 111 on Form 720 Kerosene, gallons delivered in a two-party exchange within a terminal Gasoline, gallons received in a two-party exchange within a terminal, included on IRS No. 62(a) on Form 720 Gasoline, gallons delivered in a two-party exchange within a terminal Aviation gasoline, gallons received in a two-party exchange within a terminal, included on IRS No. 14 on Form 720 Aviation gasoline, gallons delivered in a two-party exchange within a terminal Form 720 (Rev. 4-2017) Form 720 (Rev. 4-2017) Page 5 Schedule C Claims Month your income tax year ends ▶ • Complete Schedule C for claims only if you are reporting liability in Part I or II of Form 720. • Attach a statement explaining each claim as required. Include your name and EIN on the statement (see instructions). Caution: Claimant has the name and address of the person(s) who sold the fuel to the claimant, the dates of purchase, and if exported, the required proof of export. For claims on lines 1a and 2b (type of use 13 and 14), 3c, 4b, and 5, claimant has not waived the right to make the claim. 1 Nontaxable Use of Gasoline Note: CRN is credit reference number. Type of use Type of use 3 4 5 Amount of claim CRN Rate Gallons 362 411 Amount of claim Rate Gallons CRN 354 324 412 433 . . . Amount of claim $ $.243 .243 .17 .243 .244 Nontaxable Use of Undyed Kerosene (Other Than Kerosene Used in Aviation) Period of 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 a detailed explanation and check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of use Rate Gallons 360 353 350 360 413 . . Amount of claim $ $.243 .17 .243 .244 .043 .218 Period of claim ▶ Nontaxable use Use in certain intercity and local buses (see Caution above line 1) Use on a farm for farming purposes Exported (see Caution above line 1) Nontaxable use taxed at $.044 Nontaxable use taxed at $.219 Kerosene Used in Aviation (see Caution above line 1) Type of use Rate Gallons ▶ CRN Nontaxable use Use in trains Use in certain intercity and local buses (see Caution above line 1) Use on a farm for farming purposes Exported (see Caution above line 1) Caution: Claims cannot be made on line 4 for kerosene sales from a blocked pump. a b c d e f Gallons $ Used in commercial aviation (other than foreign trade) $.15 .193 Other nontaxable use (see Caution above line 1) Exported (see Caution above line 1) .194 .001 LUST tax on aviation fuels used in foreign trade Nontaxable Use of Undyed Diesel Fuel Period of claim ▶ 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 a detailed explanation and check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of use a b c d e Rate $ $.183 .184 Period of claim ▶ a Gasoline (see Caution above line 1) b Exported (see Caution above line 1) 2 Nontaxable Use of Aviation Gasoline a b c d Period of claim ▶ . ▶ CRN 346 347 346 414 377 369 Amount of claim CRN a Kerosene used in commercial aviation (other than foreign trade) taxed at $.244 b Kerosene used in commercial aviation (other than foreign trade) taxed at $.219 c Nontaxable use (other than use by state or local government) taxed at $.244 d Nontaxable use (other than use by state or local government) taxed at $.219 e LUST tax on aviation fuels used in foreign trade $.200 $ 417 .175 355 .243 346 .218 .001 369 433 Form 720 (Rev. 4-2017) Form 720 (Rev. 4-2017) 6 Page 6 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). Type of use a b c d e f g h 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 Rate Gallons, or gasoline or diesel gallon equivalents Amount of claim $ $.183 .183 .183 .183 .243 .243 .243 .183 CRN 419 420 421 422 423 424 425 435 Period of claim ▶ Registration number ▶ Claimant certifies that it sold the diesel fuel at a tax-excluded price, repaid the amount of tax to the buyer, or has obtained written consent of the buyer to make the claim. 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 a detailed explanation and check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ 7 Sales by Registered Ultimate Vendors of Undyed Diesel Fuel Rate Gallons Amount of claim CRN $ a Use by a state or local government 360 $.243 b Use in certain intercity and local buses .17 350 8 Sales by Registered Ultimate Vendors of Undyed Kerosene Period of claim ▶ (Other Than Kerosene For Use in Aviation) Registration number ▶ 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 a detailed explanation and check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ Rate a Use by a state or local government b Sales from a blocked pump c Use in certain intercity and local buses 9 Sales by Registered Ultimate Vendors of Kerosene For Use in Aviation Amount of claim Gallons $ $.243 .243 .17 CRN 346 347 Registration number ▶ 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 written consent of the buyer to make the claim. See the instructions for additional information to be submitted. Type of use a b c d e f 10 Use in commercial aviation (other than foreign trade) taxed at $.219 Use in commercial aviation (other than foreign trade) taxed at $.244 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 Sales by Registered Ultimate Vendors of Gasoline Rate Gallons Amount of claim $ $.175 .200 .025 .243 .218 .001 CRN 355 417 418 346 369 433 Registration number ▶ Claimant sold the gasoline 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 written consent of the buyer to take the claim; and obtained an unexpired certificate from the buyer and has no reason to believe any information in the certificate is false. See the instructions for additional information to be submitted. Rate a Use by a nonprofit educational organization b Use by a state or local government $.183 .183 Gallons Amount of claim $ CRN 362 Form 720 (Rev. 4-2017) Form 720 (Rev. 4-2017) 11 Page 7 Sales by Registered Ultimate Vendors of Aviation Gasoline Registration number Claimant sold the aviation gasoline 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 written consent of the buyer to take the claim; and obtained an unexpired certificate from the buyer and has no reason to believe any information in the certificate is false. See the instructions for additional information to be submitted. ▶ Rate a Use by a nonprofit educational organization b Use by a state or local government 12 Biodiesel or Renewable Diesel Mixture Credit Period of claim ▶ Gallons Amount of claim $ $.193 .193 CRN 324 Registration number ▶ 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, 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, Statement of Biodiesel Reseller, both of which have been edited as discussed in the instructions for line 13. See the instructions for line 13 for information about renewable diesel used in aviation. Caution: As of the publishing of this form, these credits expired for fuel sold or used after December 31, 2016. Don't use line 12 unless they've been extended. See IRS.gov/Form720. a b c 13 Biodiesel (other than agri-biodiesel) mixtures Agri-biodiesel mixtures Renewable diesel mixtures Alternative Fuel Credit and Alternative Fuel Mixture Credit Rate Gal. of biodiesel or renewable diesel Amount of claim $ $1.00 1.00 1.00 CRN 388 390 307 Registration number ▶ For the alternative fuel mixture credit, claimant produced a mixture by mixing taxable fuel with alternative fuel. Claimant certifies that it (a) produced the alternative fuel, or (b) has in its possession the name, address, and EIN of the person(s) that sold the alternative fuel to the claimant; the date of purchase; and an invoice or other documentation identifying the amount of the alternative fuel. The claimant also certifies that it made no other claim for the amount of the alternative fuel, or has repaid the amount to the government. The alternative fuel mixture was sold by the claimant to any person for use as a fuel or was used as a fuel by the claimant. Caution: As of the publishing of this form, these credits expired for fuel sold or used after December 31, 2016. Don't use line 13 unless they've been extended. See IRS.gov/Form720. Rate Gallons, or gasoline or diesel gallon equivalents (see instructions) Amount of claim CRN a b c d e f g h i 14 a b c d e $ Liquefied petroleum gas (LPG) $.50 "P Series" fuels .50 Compressed natural gas (CNG) .50 Liquefied hydrogen .50 Fischer-Tropsch process liquid fuel from coal (including peat) .50 Liquid fuel derived from biomass .50 .50 Liquefied natural gas (LNG) .50 Liquefied gas derived from biomass .50 Compressed gas derived from biomass Amount of claim Other claims. See the instructions. For lines 14b and 14c, see the Caution above line 1 on page 5. $ Section 4051(d) tire credit (tax on vehicle reported on IRS No. 33) Exported dyed diesel fuel and exported gasoline blendstocks taxed at $.001 Exported dyed kerosene Diesel-water fuel emulsion Registered credit card issuers 426 427 428 429 430 431 432 436 437 f g h i j k 15 Taxable tires other than bias ply or super single tires Taxable tires, bias ply or super single tires (other than super single tires designed for steering) Taxable tires, super single tires designed for steering Number of tires Total claims. Add amounts on lines 1 through 14. Enter the result here and on Form 720, Part III, line 4. Amount of claim $ CRN 366 415 416 CRN 396 304 305 15 Form 720 (Rev. 4-2017) Form 720-V, Payment Voucher Purpose of Form Complete Form 720-V if you are making a payment by check or money order with Form 720, Quarterly Federal Excise Tax Return. We will use the completed voucher to credit your payment more promptly and accurately, and to improve our service to you. If you have your return prepared by a third party and a payment is required, provide this payment voucher to the return preparer. Do not file Form 720-V if you are paying the balance due on line 10 of Form 720 using EFTPS. Specific Instructions Box 1. If you do not have an EIN, you may apply for one online. Go to the IRS website at www.irs.gov/businesses/small and click on the “Employer ID Numbers (EINs)” link. You may also apply for an EIN by faxing or mailing Form SS-4, Application for Employer Identification Number, to the IRS. However, if you are making a one-time filing, enter your social security number. ▼ Detach Here and Mail With Your Payment and Form 720. 720-V Form 720-V (2017) ▼ Payment Voucher Department of the Treasury Internal Revenue Service 1 Box 2. Enter the amount paid from line 10 of Form 720. Box 3. Darken the circle identifying the quarter for which the payment is made. Darken only one circle. Box 4. Enter your name and address as shown on Form 720. • Enclose your check or money order made payable to “United States Treasury.” Be sure to enter your EIN, (SSN for one-time filing), “Form 720,” and the tax period on your check or money order. Do not send cash. Do not staple this voucher or your payment to the return (or to each other). • Detach the completed voucher and send it with your payment and Form 720. See Where To File in the Instructions for Form 720. ▶ OMB No. 1545-0023 Dollars Enter the amount of your payment. ▶ Make your check or money order payable to “United States Treasury.” 4 3 Tax Period 2017 Do not staple or attach this voucher to your payment. 2 Enter your employer identification number (EIN) (see instructions). Enter your business name (individual name if sole proprietor). 1st Quarter 3rd Quarter Enter your address. 2nd Quarter 4th Quarter City or town, state or province, country, and ZIP or foreign postal code. Cents
Extracted from PDF file 2016-federal-form-720.pdf, last modified May 2017

More about the Federal Form 720 Other TY 2016

We last updated the Quarterly Federal Excise Tax Return in May 2017, so this is the latest version of Form 720, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 720 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 720 from the Internal Revenue Service in May 2017.

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Historical Past-Year Versions of Federal Form 720

We have a total of six past-year versions of Form 720 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 720

Form 720 (Rev. April 2017)

Quarterly Federal Excise Tax Return 2015 Form 720

Form 720 (Rev. January 2016)

Quarterly Federal Excise Tax Return 2014 Form 720

Form 720 (Rev. October 2014)

Quarterly Federal Excise Tax Return 2013 Form 720

Form 720 (Rev. April 2013)

Quarterly Federal Excise Tax Return 2012 Form 720

Form 720 (Rev. October 2012)

Quarterly Federal Excise Tax Return 2011 Form 720

Form 720 (Rev. January 2012)


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