Download:
pdf |
pdfCumulative Changes
TLS, have you
transmitted all R
text files for this
cycle update?
Date
Version C
1
(OTC)
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 720, PAGE 1 of 8 (OTC)
MARGINS: TOP 13mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
TRIM SIZE: 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON THE FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
O.K. to print
Revised proofs
requested
Additional changes by TLS shown in red.
Review changes
Deleted entity instructions
and moved check boxes up.
Quarterly Federal Excise Tax Return
OMB No. 1545-0023
(Rev. January 2008)
Department of the Treasury
(77)
Internal Revenue Service
Check here if:
Final return
Address change
©
See the Instructions for Form 720.
Name
Number, street, and room or suite no.
(If you have a P.O. box, see the instructions.)
FOR IRS USE ONLY
Quarter ending
T
FF
FD
Employer identification number
FP
I
T
City, state, and ZIP code. (If you have a foreign address, see the instructions.)
Deleted note.
Part I
IRS No.
18
21
98
19
22
26
28
27
Deleted IRS
No. 71
60
104
105
107
119
35
Keep
remaining
text on
one line.
69
77
111
79
62
14
112
118
120
121
122
123
124
33
29
31
Signature
Deletions shown in blue.
✔
Ok to print as corrected □
720
Date
Changes shown in yellow.
Ok to print as is □
Form
Action
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 fuel, tax on removal at terminal rack
(b) Diesel fuel, tax on taxable events other than removal at terminal rack
(c) Diesel fuel, tax on sale or removal of biodiesel mixture
other than removal at terminal rack
Diesel-water fuel emulsion
Dyed diesel fuel, 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, including foreign trade
Tax
22
26
28
27
Rate
$.244
.244
%
%
.184
.184
.184
.194
.183
.184
.183
.184
Tax
60
104
105
107
119
Deleted $.044
rate.
35
69
77
Delete rule in shading 111
.001
(c) Gasoline, tax on sale or removal of alcohol fuel
mixture other than removal at terminal rack
Aviation gasoline
Liquefied petroleum gas (LPG)
“P Series” fuels
Compressed natural gas (CNG) (GGE = 126.67 cu. ft.)
Liquefied hydrogen
Any liquid fuel derived from coal (including peat) through
the Fischer-Tropsch process
IRS No.
18
21
98
19
.244
.198
.001
.001
.001
.244
.244
.219
.044
Other fuels (see instructions)
(a) Gasoline, tax on removal at terminal rack
(b) Gasoline, tax on taxable events other than removal at terminal rack
Liquid fuel derived from biomass
Liquefied natural gas (LNG)
Delete rule.
Retail Tax
Truck, trailer, and semitrailer chassis and bodies, and tractors
Ship Passenger Tax
Transportation by water
Other Excise Tax
Obligations not in registered form
Tax
%
79
62
Deleted $.044
rate.
14
112
118
120
121
.244
.244
.243
Rate
122
123
124
Tax
12% of sales price
Number of persons
Rate
33
Tax
$3 per person
Amount of obligations
For Privacy Act and Paperwork Reduction Act Notice, see the instructions.
Moved IRS Nos. 29 and 31
from page 2.
Rate
29
Tax
$ .01
Cat. No. 10175Y
31
Form
720
(Rev. 1-2008)
Delete rule over 29.
Version C
(Mailout)
1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 720, PAGE 1 of 8 (Mailout)
MARGINS: TOP 13mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
TRIM SIZE: 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON THE FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Moved information up.
Form
720
Quarterly Federal Excise Tax Return
OMB No. 1545-0023
(Rev. January 2008)
Department of the Treasury
Internal Revenue Service (77)
©
See the Instructions for Form 720.
FOR IRS USE ONLY
Cross out any
errors and print the
correct information.
©
T
FF
FD
FP
I
T
Check here if:
Final return
Address change
Deleted note.
Part I
IRS No.
18
21
98
19
22
26
28
27
Deleted IRS
No. 71
60
104
105
107
119
35
Keep
remaining
text on
one line.
69
77
111
79
62
14
112
118
120
121
122
123
124
33
29
31
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 fuel, tax on removal at terminal rack
(b) Diesel fuel, tax on taxable events other than removal at terminal rack
(c) Diesel fuel, tax on sale or removal of biodiesel mixture
other than removal at terminal rack
Diesel-water fuel emulsion
Dyed diesel fuel, 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, including foreign trade
Tax
22
26
28
27
Rate
$.244
.244
%
%
.184
.184
.184
.194
.183
.184
.183
.184
Tax
60
104
105
107
119
35
69
77
Deleted $.044
rate.
Delete rule in shading
.001
(c) Gasoline, tax on sale or removal of alcohol fuel
mixture other than removal at terminal rack
Aviation gasoline
Liquefied petroleum gas (LPG)
“P Series” fuels
Compressed natural gas (CNG) (GGE = 126.67 cu. ft.)
Liquefied hydrogen
Any liquid fuel derived from coal (including peat) through
the Fischer-Tropsch process
IRS No.
18
21
98
19
.244
.198
.001
.001
.001
.244
.244
.219
.044
Other fuels (see instructions)
(a) Gasoline, tax on removal at terminal rack
(b) Gasoline, tax on taxable events other than removal at terminal rack
Liquid fuel derived from biomass
Liquefied natural gas (LNG)
Delete rule.
Retail Tax
Truck, trailer, and semitrailer chassis and bodies, and tractors
Ship Passenger Tax
Transportation by water
Other Excise Tax
Obligations not in registered form
Tax
%
79
62
Deleted $.044
rate.
.244
.244
.243
Rate
Rate
Tax
33
Tax
$3 per person
Amount of obligations
For Privacy Act and Paperwork Reduction Act Notice, see the instructions.
Moved IRS Nos. 29 and 31
from page 2.
Rate
29
Tax
$ .01
Cat. No. 10175Y
14
112
118
120
121
122
123
124
12% of sales price
Number of persons
111
31
Form
720
(Rev. 1-2008)
Delete rule over 29.
1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 720, PAGE 2 OF 8
MARGINS; TOP 13mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Page
Form 720 (Rev. 1-2008)
IRS No.
36
37
38
39
108
109
113
40
97
Manufacturers Taxes
Number of tons
Sales price
Rate
Tax
$1.10 per ton
Coal—Underground mined
36
37
38
39
108
109
113
40
97
4.4% of sales price
$ .55 per ton
Coal—Surface mined
4.4% of sales price
Taxable tires other than biasply or super single tires (see instructions)
Taxable biasply or super single tires (other than super single tires designed for steering) (see instructions)
Taxable tires, super single tires designed for steering (see instructions)
Gas guzzler tax. Attach Form 6197. Check if one-time filing.
Vaccines (see instructions)
Premiums paid
Rate
Foreign Insurance Taxes
Policies issued by foreign insurers (see instructions)
Casualty insurance and indemnity bonds
$ .04
Life insurance, sickness and accident policies, and annuity contracts
.01
30
.01
Reinsurance
© $
1 Total. Add all amounts in Part I. Complete Schedule A unless one-time filing
Tax
%
Rate
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
Inland waterways fuel use tax
LUST tax on inland waterways fuel use (see instructions)
Alcohol sold as but not used as fuel (see instructions)
Biodiesel sold as but not used as fuel (see instructions)
Floor Stocks Tax
20
Ozone-depleting chemicals (floor stocks). Attach Form 6627.
2 Total. Add all amounts in Part II
Tax
IRS No.
41
110
42
114
44
106
10% of sales price
10% of sales price
3% of sales price
3% of sales price
11% of sales price
$ .43 per shaft
Number of gallons
Insert
rule as
shown
in red.
30
Insert rules as shown in red.
Part II
IRS No.
41
110
42
114
44
106
2
IRS No.
Rate
64
125
51
117
Tax
$ .20
.001
64
125
51
117
Insert rules as shown in red.
Tax
20
©
$
Part III
3
4
5
6
7
8
9
10
11
©
4
insert space
Enter the amount from Form 720X
7
©
included on line 6, if any
8
©
Total of lines 5 and 6
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
Do you want to allow another person to discuss this return with the IRS (see the instructions)?
Phone
no. ©
Designee
name ©
3
©
Total tax. Add line 1, Part I, and line 2, Part II
Claims (see instructions; complete Schedule C)
5
©
Deposits made for the quarter
Check here if you used the safe harbor
rule to make your deposits.
6
©
Overpayment from previous quarters
(
9
10
©
©
Deleted payment instructions.
11
Yes. Complete the following.
No
Personal identification
number (PIN) ©
)
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
©
Paid
Preparer’s
Use Only
Signature
Date
Type or print name below signature.
Telephone number (
Date
©
Preparer’s
signature
Firm’s name (or
yours if self-employed),
address, and ZIP code
©
©
Title
)
Check
if selfemployed
Preparer’s SSN or PTIN
EIN
Phone no. (
Form
)
720
(Rev. 1-2008)
1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 720, PAGE 3 OF 8
MARGINS; TOP 13mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Page
Form 720 (Rev. 1-2008)
Schedule A
3
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
Period
1st–15th day
First month
A
Second month
C
Third month
E
Special rule for September*
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
Collected
Period
1st–15th day
M
First month
O
Second month
Q
Third month
Special rule for September*
16th–last day
©
N
P
R
S
(b) Alternative method taxes. Add the amounts for each semimonthly period.
*Complete only as instructed. See the 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. 1-2008)
1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 720, PAGE 4 OF 8
MARGINS; TOP 13mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
The dual credit rates and footnotes for lines 2a, 2b, 2c, 5b,
5d, 9a, 9c, 9e, 11a, and 11b were deleted.
Page
Form 720 (Rev. 1-2008)
4
Schedule C
Month your income tax year ends ©
Claims
● 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 the 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
Period of claim ©
Type of use
a Gasoline (see Caution above line 1)
b Exported (see Caution above line 1)
2 Nontaxable Use of Aviation Gasoline
Rate
CRN
362
411
©
Gallons
Amount of claim
$
CRN
Used in commercial aviation (other than foreign trade)
$.15
Other nontaxable use (see Caution above line 1)
.193
Exported (see Caution above line 1)
.194
354
324
412
LUST tax on aviation fuels used in foreign trade
.001
433
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
Nontaxable use
Rate
$.243
Amount of claim
Gallons
$
©
CRN
360
Use in trains
Use in certain intercity and local buses (see Caution above line 1)
Use on a farm for farming purposes
.243
.17
.243
353
Exported (see Caution above line 1)
.244
413
350
360
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
Caution. Claims cannot be made on line 4 for kerosene sales from a blocked pump. Type of use
a
b
c
d
e
f
5
Amount of claim
$
Period of claim
Type of use
a
b
c
d
e
4
Gallons
.184
Type of use
a
b
c
d
3
Rate
$.183
Nontaxable use
Rate
$.243
Gallons
Amount of claim
$
©
CRN
346
347
Use in certain intercity and local buses (see Caution above line 1)
.17
Use on a farm for farming purposes
.243
346
Exported (see Caution above line 1)
.244
414
Nontaxable use taxed at $.044
.043
377
Nontaxable use taxed at $.219
.218
Kerosene Used in Aviation (see Caution above line 1)
369
Period of claim
Type of use
Rate
©
Amount of claim
Gallons
CRN
a Kerosene used in commercial aviation (other than foreign
trade) taxed at $.244
$.200
417
$
b Kerosene used in commercial aviation (other than foreign trade)
taxed at $.219
.175
355
.243
346
.218
369
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
433
.001
Form
720
(Rev. 1-2008)
1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 720, PAGE 5 OF 8
MARGINS; TOP 13mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Page
Form 720 (Rev. 1-2008)
5
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 the Instructions for
Form 720 for the credit rate.
6
Type of use
a
b
c
d
e
Liquefied petroleum gas (LPG)
Gallons or gasoline
gallon equivalents
(GGE)
Amount of claim
$
$.183
420
421
422
.183
.183
Any liquid fuel derived from coal (including peat) through
the Fischer-Tropsch process
CRN
419
.183
“P Series” fuels
Compressed natural gas (CNG) (GGE = 126.67 cu. ft.)
Liquefied hydrogen
423
424
425
.243
.243
f Liquid fuel derived from biomass
g Liquefied natural gas (LNG)
7
Rate
.243
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.
Sales by Registered Ultimate Vendors of Undyed Diesel Fuel
Exception. If any of the diesel fuel 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 Use in certain intercity and local buses
8 Sales by Registered Ultimate Vendors of Undyed Kerosene
(Other Than Kerosene For Use in Aviation)
Gallons
$.243
Amount of claim
©
CRN
360
$
.17
350
Period of claim ©
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
$
$.243
.243
.17
Sales by Registered Ultimate Vendors of Kerosene For Use in Aviation
Amount of claim
Gallons
©
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
Rate
Gallons
Amount of claim
CRN
Use in commercial aviation (other than foreign trade) taxed at $.219
$.175
Use in commercial aviation (other than foreign trade) taxed at $.244
.200
Nonexempt use in noncommercial aviation
.025
Other nontaxable uses taxed at $.244
.243
Other nontaxable uses taxed at $.219
.218
346
369
LUST tax on aviation fuels used in foreign trade
.001
433
Sales by Registered Ultimate Vendors of Gasoline
Registration Number
355
417
418
©
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
Gallons
Amount of claim
$
CRN
362
.183
Form
720
(Rev. 1-2008)
1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 720, PAGE 6 OF 8
MARGINS; TOP 13mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Page
Form 720 (Rev. 1-2008)
Sales by Registered Ultimate Vendors of Aviation Gasoline
11
Registration Number
6
©
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
$.193
a Use by a nonprofit educational organization
b Use by a state or local government
12
Gallons
Amount of claim
$
324
.193
Period of Claim
Registration Number
Alcohol Fuel Mixture Credit
CRN
©
©
Claimant produced an alcohol fuel mixture by mixing taxable fuel with alcohol. The alcohol fuel mixture was sold by the claimant to any
person for use as a fuel or was used as a fuel by the claimant. See Line 12. Alcohol Fuel Mixture Credit on page 13
12 of the instructions.
Insert rules as shown in red.
a Alcohol fuel mixtures containing ethanol
b Alcohol fuel mixtures containing alcohol (other than ethanol)
13
Biodiesel or Renewable Diesel Mixture Credit
Rate
Gal. of Alcohol
$.51
Amount of claim
CRN
393
$
.60
394
Period of Claim
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 diesel fuel (other than
renewable diesel). The renewable diesel used to produce the renewable diesel mixture was derived from biomass (as defined in section
45K(c)(3)) using a thermal depolymerization process, met EPA’s registration requirements for fuels and fuel additives, and met ASTM D975
or D396. 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 720.
Rate
a
b
c
14
Biodiesel (other than agri-biodiesel) mixtures
Gal. of Biodiesel or
Renewable Diesel
Amount of claim
$
Agri-biodiesel mixtures
$.50
1.00
Renewable diesel mixtures
1.00
Alternative Fuel Credit and Alternative Fuel Mixture Credit
Registration Number
CRN
388
390
307
©
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. For the alternative fuel credit for the period, the claim is limited to the liability reported on Form 720 for IRS Nos. 79, 112, 118, 120,
121, 122, 123, and 124. See the Instructions for Form 720 for details.
Gallons or
Rate
Amount of claim
CRN
gasoline gallon
equivalents (GGE)
(see instructions)
a Liquefied petroleum gas (LPG)
$
$.50
426
.50
b “P Series” fuels
427
c
d
e
Delete
f
portion of
g
rule.
15
Compressed natural gas (CNG) (GGE = 121 cu. ft.)
.50
Liquefied hydrogen
Any liquid fuel derived from coal (including peat) through the Fischer-Tropsch process
.50
.50
Liquid fuel derived from biomass
Liquefied natural gas (LNG)
.50
430
431
.50
432
428
429
Other claims. See the instructions.
Amount of claim
a
b
c
d
e
f
g
h
i
16
$
Section 4051(d) tire credit (tax on vehicle reported on IRS No. 33)
CRN
366
415
Exported dyed diesel fuel (see Caution above line 1 on page 4)
Exported dyed kerosene (see Caution above line 1 on page 4)
416
Diesel-water fuel emulsion (see instructions)
Registered credit card issuers
Total claims. Add all amounts on lines 1–15. Enter the result here and on page 2, Part III, line 4 of Form 720.
16
Form
720
(Rev. 1-2008)
1
(OTC)
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 720, PAGE 7 OF 8 (PAGES 8 IS BLANK)
MARGINS; TOP 13mm (1⁄ 2 "), CENTER SIDES:
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: ON FOLD
VOUCHER: 3" from bottom of page
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
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 (EIN)” link. You may also apply
for an EIN by calling 1-800-829-4933, or you can fax
or mail 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.
Box 2. Enter the amount paid from line 10 of
Form 720.
Box 3. Darken the capsule identifying the quarter for
which the payment is made. Darken only one capsule.
Box 4. Enter your name and address as shown on
Form 720.
● Enclose your check or money order made payable to
the “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 on page 12
of the Instructions for Form 720.
Delete highlighting.
This is not a change.
Ä
Detach Here and Mail With Your Payment and Form 720.
720-V
Department of the Treasury
Internal Revenue Service (77)
2
3 Tax period
4
Dollars
Enter the amount of your payment.
©
Enter your business name (individual name if sole proprietor).
1st
Quarter
3rd
Quarter
Enter your address.
2nd
Quarter
4th
Quarter
Enter your city, state, and ZIP code.
(2008)
2008
Do not staple or attach this voucher to your payment.
1 Enter your employer identification
number.
720-V
OMB No. 1545-0023
Payment Voucher
©
Form
Ä
Cents
File Type | application/pdf |
File Title | Form 720 (Rev. January 2008) |
Subject | Quarterly Federal Excise Tax Return |
Author | SE:W:CAR:MP |
File Modified | 2008-03-05 |
File Created | 2008-03-05 |