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pdf2009 Instructions for Form 4136
Purpose: This is the first circulated draft of the 2009 Instructions for Form 4136 for your
review and comments. See below for a discussion of the major changes.
TPCC Meeting: None, but may be arranged if requested.
Prior Version: The 2008 Instructions for Form 4136 are available at:
http://www.irs.gov/pub/irs-pdf/i4136.pdf
Form: The 2009 Form 4136, Credit for Federal Tax Paid on Fuels, was circulated earlier
and is attached.
Other Products: Circulations of draft tax forms, instructions, notices, and publications
are posted at:
http://taxforms.web.irs.gov/Circulations/index.htm
Comments: Please email, fax, call, or mail any comments by July 24, 2009.
Phone comments must be followed up with an email or fax.
Comments should also be sent to the reviewer at: [email protected].
Pamela E. Wright
Tax Forms and Publications
SE:W:CAR:MP:T:B:C
Email: [email protected]
Phone: 202-622-3179
Fax: 202-622-3262
Description of Major Changes to the Instructions for Form 4136
Page 1
What's New
Biodiesel and Renewable Diesel Mixture Credits. After December 31, 2009, these
credits will expire. P.L. 110-343 section 202(a).
Renewable Diesel. The definition and requirements of renewable diesel are modified.
For more information, see Line 13. Biodiesel or Renewable Diesel Mixture Credit.
P.L. 110-343 section 202(c).
Alternative Fuel Credit and Alternative Fuel Mixture Credit. After December 31,
2009, these credits are scheduled to expire, except liquefied hydrogen.
P.L. 110-343 section 204(a).
Agri-biodiesel. Camelina has been added to the definition of agri-biodiesel. P.L. 110-343
section 202(f) and IRC section 40A (d) (2) and IRC section 6426(d) (4).
Alternative fuel used in aviation. You can claim the alternative fuel credit for
alternative fuel sold for use as a fuel in aviation. P.L. 110-343 section 204(b).
Compressed gas and liquefied gas. You may be eligible to claim the alternative fuel
credit and alternative fuel mixture credit for compressed gas derived from biomass and
liquefied gas derived from biomass. For more information, see Line 12. Alternative Fuel
Credit and Alternative Fuel Mixture Credit. P.L. 110-343 section 204(d).
Aviation gasoline. After September 30, 2009, the credit rates for nontaxable use of
gasoline of aviation gasoline change because the tax rate changes to $.044 per gallon.
P.L. 111-12 section 2a.
Kerosene for use in aviation. After September 30, 2009, kerosene for use in
noncommercial aviation (taxed at $.219) is taxed at $.044 per gallon.
P.L. 111-12 section 2a.
Page 3
Line 2. Nontaxable Use of Aviation Gasoline. The credit rates for lines 2a, 2b, and 2c
change after September 30, 2009. P.L. 111-12 section 2a.
Line 5. Kerosene Used in Aviation. The credit rates for line 5b and 5d change after
September 30, 2009. P.L. 111-12 section 2a.
Page 4
Line 8a and 8b. Sales by Registered Ultimate Vendors of Kerosene for use in
Commercial Aviation (Other Than Foreign Trade). The credit rate for line 8a
changes after September 30, 2009. P.L. 111-12 section 2a.
Line 8c, 8d, 8e, and 8f. Sales by Registered Ultimate Vendors of Kerosene Sold for
use in Noncommercial Aviation. The credit rates for lines 8c and 8e change after
September 30, 2009. P.L. 111-12 section 2a.
Page 6
Line 13. Registered Credit Card Issuers. The credit rate for line 13c changes after
September 30, 2009. P.L. 111-12 section 2a.
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Instructions for Form 4136
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2009
Department of the Treasury
Internal Revenue Service
Instructions for Form 4136
Section references are to the Internal Revenue Code unless
otherwise noted.
What’s New
General Instructions
Purpose of Form
Aviation gasoline. After September 30, 2009, the credit
rates for nontaxable use of aviation gasoline change
because the tax rate changes to $.044 per gallon.
Kerosene for use in aviation. After September 30,
2009, kerosene for use in noncommercial aviation (taxed
at $.219) is taxed at $.044 per gallon. Therefore, the
credit rates shown on lines 5b, 5d, 8a, 8c, 8e, and 13c
change after September 30, 2009.
Renewable Diesel. The definition and requirements of
renewable diesel are modified. For more Information, see
Line 13. Biodiesel or Renewable Diesel Mixture Credit.
Alternative Fuel Credit and Alternative Fuel Mixture
Credit. After December 31, 2009, these credits will
expire, except for liquefied hydrogen.
Biodiesel and Renewable Diesel Mixture Credits.
After December 31, 2009, these credits will expire.
Agri-biodiesel. Camelina has been added to the
definition of agri-biodiesel.
Alternative fuel used in aviation. You can claim the
alternative fuel credit for alternative fuel sold for use as a
fuel in aviation.
Compressed gas and liquefied gas. You may be
eligible to claim the alternative fuel credit and the
alternative fuel mixture credit for compressed gas derived
from biomass and liquefied gas derived from biomass.
For more information, see Line 12. Alternative Fuel Credit
and Alternative Fuel Mixture Credit
Reminders
Aviation fuel used outside the propulsion system of
an aircraft. Use line 2b to make a claim for aviation
gasoline used outside the propulsion system of an
aircraft. Depending on the tax rate of the kerosene, use
line 4a, 4e, or 4f to make a claim for kerosene used
outside the propulsion system of an aircraft. For more
information, see Line 2. Nontaxable Use of Aviation
Gasoline and Line 4. Nontaxable Use of Undyed
Kerosene (Other Than Kerosene Used in Aviation).
Use Form 4136 to claim a credit for certain nontaxable
uses (or sales) of fuel during your income tax year. Also
use Form 4136 if you are claiming the alternative fuel
credit, a blender claiming a credit for a diesel-water fuel
emulsion, or a producer claiming a credit for an alcohol
fuel mixture, a biodiesel or renewable diesel mixture, or
an alternative fuel mixture.
Instead of waiting to claim an annual credit on Form
4136, you may be able to file:
• Form 8849, Claim for Refund of Excise Taxes, to claim
a periodic refund; or
• Form 720, Quarterly Federal Excise Tax Return, to
claim a credit against your taxable fuel liability.
!
CAUTION
You cannot claim any amounts on Form 4136 that
you claimed on Form 8849 or Schedule C (Form
720).
Partnerships. Partnerships (other than electing large
partnerships) cannot file this form. Instead, they must
include a statement on Schedule K-1 (Form 1065),
Partner’s Share of Income, Deductions, Credits, etc.,
showing the allocation to each partner specifying the
number of gallons of each fuel used during the tax year,
the applicable credit per gallon, the nontaxable use or
sale, and any additional information required to be
submitted.
Additional Information
• Publication 510, Excise Taxes, has more information
on nontaxable uses and the definitions of terms, such as
ultimate vendor and blocked pump. Pub. 510 also
contains information on fuel tax credits and refunds.
• Publication 225, Farmer’s Tax Guide, also includes
information on credits and refunds for the federal excise
tax on fuels applicable to farmers.
• Notice 2005-4. You can find Notice 2005-4 on page
289 of Internal Revenue Bulletin 2005-2 at www.irs.gov/
pub/irs-irbs/irb05-02.pdf.
• Notice 2005-24. You can find Notice 2005-24 on page
757 of Internal Revenue Bulletin 2005-12 at http://www.
irs.gov/pub/irs-irbs/irb05-12.pdf.
• Notice 2005-62. You can find Notice 2005-62 on page
443 of Internal Revenue Bulletin 2005-35 at www.irs.gov/
pub/irs-irbs/irb05-35.pdf.
• Notice 2005-80. You can find Notice 2005-80 on page
953 of Internal Revenue Bulletin 2005-46 at www.irs.gov/
pub/irs-irbs/irb05-46.pdf.
Cat. No. 48249T
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• Notice 2006-92. You can find Notice 2006-92 on page
Type of Use Table
774 of Internal Revenue Bulletin 2006-43 at www.irs.gov/
pub/irs-irbs/irb06-43.pdf.
• Notice 2007-37. You can find Notice 2007-37 on page
1002 of Internal Revenue Bulletin 2007-17 at www.irs.
gov/pub/irs-irbs/irb07-17.pdf.
• Notice 2007-97. You can find Notice 2007-97 on page
1092 of Internal Revenue Bulletin 2007-49 at www.irs.
gov/pub/irs-irbs/irb07-49.pdf.
The following table lists the nontaxable uses of fuels. You
must enter the number from the table in the Type of use
column on Form 4136.
No.
Type of Use
1
On a farm for farming purposes
2
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.
Off-highway business use (for business use
other than in a highway vehicle registered or
required to be registered for highway use)
3
Export
4
In a boat engaged in commercial fishing
Including the Fuel Tax Credit in Income
5
In certain intercity and local buses
6
In a qualified local bus
7
In a bus transporting students and employees of
schools (school buses)
8
For diesel fuel and kerosene (other than
kerosene used in aviation) used other than as a
fuel in the propulsion engine of a train or
diesel-powered highway vehicle (but not
off-highway business use)
How To Make A Claim
9
In foreign trade
Complete all information requested for each claim you
make. You must enter the number (when requested) from
the Type of Use Table, the number of gallons or gasoline
gallon equivalents (GGE) (compressed natural gas
(CNG) only), and the amount of credit. If you need more
space for any line (for example, for more types of use),
prepare a separate sheet using the same format as the
line.
10
Certain helicopter and fixed-wing aircraft uses
11
Exclusive use by a qualified blood collector
organization
12
In a highway vehicle owned by the United States
that is not used on a highway
13
Exclusive use by a nonprofit educational
organization
14
Exclusive use by a state, political subdivision of
a state, or the District of Columbia
15
In an aircraft or vehicle owned by an aircraft
museum
16
In military aircraft
Recordkeeping
You must include in your gross income the amount of the
credit from line 17 if you took a deduction on your tax
return that included the amount of the taxes and that
deduction reduced your income tax liability. See Pub. 510
for more information.
Specific Instructions
Attach separate sheets showing any additional
information required for your claim, such as the
computation of the amount to be credited. Be sure to
write your name and taxpayer identification number (TIN)
on each sheet.
Amount of credit. Generally, multiply the rate by the
number of gallons. For lines 9 and 10, enter the number
of gallons of alcohol or biodiesel/renewable diesel. For
lines 11 and 12, enter the number of gallons or gasoline
gallon equivalents (CNG only). Enter the result (or the
combined result as indicated by the brackets) in the
amount of credit column. Include amounts from any
separate sheets.
Exported taxable fuel. The claim rates for exported
taxable fuel are listed on lines 1d, 2c, 3e, 4d, 14b, 16a,
and 16b. Taxpayers making a claim for exported taxable
fuel must include with their records proof of exportation.
Proof of exportation includes:
• A copy of the export bill of lading issued by the
delivering carrier,
• A certificate by the agent or representative of the
export carrier showing actual exportation of the fuel,
• A certificate of lading signed by a customs officer of
the foreign country to which the fuel is exported, or
• A statement of the foreign consignee showing receipt
of the fuel.
Types of use 13 and 14. Generally, claims for sales of
diesel fuel, kerosene, kerosene for use in aviation,
gasoline, or aviation gasoline for the exclusive use of a
state or local government (and nonprofit educational
organization for gasoline or aviation gasoline) must be
made following the order below.
1. By the registered credit card issuer if the state or
local government (or nonprofit educational organization if
applicable) used a credit card and the credit card issuer
meets the four requirements discussed in Line 13.
Registered Credit Card Issuers on page 6.
2. By the registered ultimate vendor if the ultimate
purchaser did not use a credit card and waives his or her
right to make the claim and the registered credit card
issuer cannot make the claim.
3. By the ultimate purchaser if the ultimate purchaser
used a credit card and neither the registered credit card
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issuer nor the registered ultimate vendor is eligible to
make the claim.
Allowable uses. For line 3a, the diesel fuel must have
been used during the period of claim for type of use 2, 6,
7, 8, 11, 13, 14, or 15. For line 3d, the claimant has not
waived the right to make a claim. See Types of use 13
and 14 on page 2. Type of use 8 includes use as heating
oil and use in a motorboat.
For line 3e, the diesel fuel must have been exported
during the period of claim (Type of use 3). See Exported
taxable fuel on page 2.
Additional requirements that must be met are in Pub.
510.
An income tax credit for gasoline and aviation
gasoline can be claimed on Form 4136 by the
CAUTION ultimate purchaser only. Claims by registered
credit card issuers and registered ultimate vendors for
gasoline and aviation gasoline sold to a state or local
government or nonprofit educational organization must
be made on Schedule C (Form 720) or Form 8849.
!
Line 4. Nontaxable Use of Undyed Kerosene
(Other Than Kerosene Used in Aviation)
Claimant. The ultimate purchaser of the kerosene is the
only person eligible to make this claim.
Allowable uses. For line 4a, the kerosene must have
been used during the period of claim for type of use 2, 6,
7, 8, 11, 13, 14, or 15. Line 4b does not include claims for
kerosene used in aviation for farming purposes; instead,
see line 5. For line 4c, the claimant has not waived the
right to make a claim. See Types of use 13 and 14 on
page 2. Type of use 8 includes use as heating oil and
use in a motorboat.
For line 4d, the kerosene must have been exported
during the period of claim (Type of use 3). See Exported
taxable fuel on page 2.
For lines 4e and 4f, the kerosene must have been
used during the period of claim for type of use 2.
Line 1. Nontaxable Use of Gasoline
Claimant. The ultimate purchaser of the gasoline is the
only person eligible to make this claim.
Allowable uses. A claim cannot be made for personal
use of any fuel on line 1. Also, for lines 1a and 1c, a
claim cannot be made for any use in a motorboat, other
than commercial fishing.
For line 1a, the gasoline must have been used during
the period of claim for a business use other than in a
highway vehicle registered (or required to be registered)
for highway use (Type of use 2).
For line 1b, the gasoline must have been used during
the period of claim on a farm for farming purposes (Type
of use 1).
You may claim a credit for the tax on undyed
TIP kerosene you purchased (other than from a
blocked pump) and used in your home during
2009 for heating, lighting, or cooking.
To claim the credit on line 4a for home use:
1. Enter 8 in col. (a).
2. Enter the number of gallons of kerosene in col. (c).
3. Multiply the gallons in col. (c) by $.243. Enter the
result in col. (d).
4. If this is the only fuel tax credit you are claiming,
enter the amount from col. (d) on:
a. Line 17 of Form 4136, and
b. Line 70 of Form 1040. Also, check box “b” on line
70.
For line 1c, the gasoline must have been used during
the income tax year for type of use 4, 5, 7, 11, 13, 14, or
15. For type of use 13 or 14, claimant has not waived the
right to make a claim. See Types of use 13 and 14 on
page 2.
For line 1d, the gasoline must have been exported
during the period of claim (Type of use 3). See Exported
taxable fuel on page 2.
Line 2. Nontaxable Use of Aviation Gasoline
!
The credit rates for lines 2a, 2b, and 2c change
after September 30, 2009.
CAUTION
Claimant. The ultimate purchaser of the aviation
gasoline is the only person eligible to make this claim.
Line 5. Kerosene Used in Aviation
Allowable uses. For line 2b, the aviation gasoline must
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,
claimant has not waived the right to make a claim. See
Types of use 13 and 14 on page 2.
!
The credit rates for lines 5b and 5d change after
September 30, 2009.
CAUTION
Claimant. For lines 5a and 5b, the ultimate purchaser
of kerosene used in commercial aviation (other than
foreign trade) is eligible to make this claim. For lines 5c,
5d, and 5e, the ultimate purchaser of kerosene used in
noncommercial aviation (other than nonexempt,
noncommercial aviation and exclusive use by a state,
political subdivision of a state, or the District of Columbia)
is eligible to make this claim. Claimant certifies that the
right to make the claim has not been waived.
Allowable uses. For lines 5a and 5b, the kerosene
must have been used during the period of claim in
noncommercial aviation. If the claimant buys kerosene
For line 2c, the aviation gasoline must have been
exported during the period of claim (Type of use 3). See
Exported taxable fuel on page 2.
For line 2d, the aviation fuel must have been used in
foreign trade to claim a credit for the LUST tax paid (Type
of use 9).
Line 3. Nontaxable Use of Undyed Diesel Fuel
Claimant. The ultimate purchaser of the diesel fuel is
the only person eligible to make this claim.
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partly for use in commercial aviation and partly for use in
noncommercial aviation, see the rules in Notice 2005-80,
section 3(e)(3).
For lines 5c and 5d, the kerosene must have been
used during the period of claim for type of use 1, 9, 10,
11, 13, 15, or 16.
For line 5e, the kerosene must have been used during
the period of claim for type of use 9. This claim is made
in addition to the claim made on lines 5c and 5d for type
of use 9.
certificate is false. See Model Certificate P in Pub. 510.
For line 7b, claimant has a statement, if required, that
contains the date of sale, name and address of the
buyer, and the number of gallons of kerosene sold to the
buyer. For lines 7a and 7b, only one claim may be filed
for any gallon of kerosene.
Allowable sales. The fuel must have been sold during
the period of claim:
• For line 7a, use by a state or local government
(including essential government use by an Indian tribal
government), or
• For line 7b, from a blocked pump.
Information for Claims on Lines 6–8
Registration number. To make an ultimate vendor
claim on lines 6 –8 you must be registered. Enter your
registration number, including the prefix, on the
applicable line for your claim. If you are not registered,
use Form 637, Application for Registration (For Certain
Excise Tax Activities), to register.
Required certificates or waiver. The required
certificates or waivers for lines 6 –8 are listed in the line
instructions and are available in Pub. 510.
Registration number. Enter your UV or UP registration
number in the space provided.
Information to be submitted. For claims on line 7a,
attach a separate sheet with the name and TIN of each
governmental unit to whom the kerosene was sold and
the number of gallons sold to each.
Line 7c. Sales by Registered Ultimate Vendors
of Undyed Kerosene for Use in Certain Intercity
and Local Buses
Line 6a. Sales by Registered Ultimate Vendors
of Undyed Diesel Fuel
Claimant. For line 7c, the registered ultimate vendor of
the kerosene is eligible to make a claim only if the buyer
waives his or her right to make the claim by providing the
registered ultimate vendor with an unexpired waiver. See
Model Waiver N in Pub. 510. Only one claim may be filed
for any gallon of kerosene.
Claimant. For line 6a, the registered ultimate vendor of
the diesel fuel is the only person eligible to make this
claim and has obtained the required certificate from the
buyer and has no reason to believe any information in the
certificate is false. See Model Certificate P in Pub. 510.
Only one claim may be filed for any gallon of diesel fuel.
Allowable sales. The fuel must have been sold during
the period of claim for the exclusive use by a state or
local government (including essential government use by
an Indian tribal government).
Registration number. Enter your UV registration
number in the space provided.
Information to be submitted. For claims on line 6a,
attach a separate sheet with the name and TIN of each
governmental unit to whom the diesel fuel was sold and
the number of gallons sold to each.
Registration number. Enter your UB registration
number in the space provided.
Lines 8a and 8b. Sales By Registered Ultimate
Vendors of Kerosene For Use in Commercial
Aviation (Other Than Foreign Trade)
!
The credit rate for line 8a changes after
September 30, 2009.
CAUTION
Claimant. The registered ultimate vendor of the
kerosene sold for use in commercial aviation is eligible to
make this claim only if the buyer waives his or her right
by providing the registered ultimate vendor with an
unexpired waiver. See Model Waiver L in Pub. 510. Only
one claim may be filed for any gallon of kerosene sold for
use in commercial aviation.
Line 6b. Sales by Registered Ultimate Vendors
of Undyed Diesel Fuel for Use in Certain
Intercity and Local Buses
Claimant. For line 6b, the registered ultimate vendor of
the diesel fuel is eligible to make a claim only if the buyer
waives his or her right to make the claim by providing the
registered ultimate vendor with an unexpired waiver. See
Model Waiver N in Pub. 510. Only one claim may be filed
for any gallon of diesel fuel.
Registration number. Enter your UB registration
number in the space provided.
Allowable sales. The kerosene sold for use in
commercial aviation must have been sold during the
period of claim for use in commercial aviation (other than
foreign trade).
Lines 7a and 7b. Sales by Registered Ultimate
Vendors of Undyed Kerosene (Other Than
Kerosene for Use in Aviation)
Lines 8c, 8d, 8e, and 8f. Sales By Registered
Ultimate Vendors of Kerosene Sold For Use in
Noncommercial Aviation
Registration number. Enter your UA registration
number in the space provided.
Claimant. For line 7a, the registered ultimate vendor of
the kerosene is the only person eligible to make this
claim and has obtained the required certificate from the
buyer and has no reason to believe any information in the
!
CAUTION
-4-
The credit rates for lines 8c and 8e change after
September 30, 2009.
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Claimant. For line 8c, the registered ultimate vendor of
the kerosene sold for use in nonexempt, noncommercial
aviation is the only person eligible to make this claim and
has obtained the required certificate from the ultimate
purchaser. See Model Certificate Q in Pub. 510. For lines
8d, 8e, and 8f, the registered ultimate vendor of the
kerosene sold for nontaxable use in noncommercial
aviation (foreign trade for line 8f) is eligible to make this
claim only if the buyer waives his or her right to make the
claim by providing the registered ultimate vendor with an
unexpired waiver. See Model Waiver L in Pub. 510. For
type of use 14, see Model Certificate P in Pub. 510. Only
one claim may be filed for any gallon of kerosene sold for
use in noncommercial aviation.
eligible to make this claim. The credit is based on the
gallons of biodiesel or renewable diesel in the mixture.
The biodiesel used to produce the biodiesel mixture must
meet ASTM D6751 and meet the Environmental
Protection Agency’s (EPA) registration requirements for
fuels and fuel additives under section 211 of the Clean
Air Act. The renewable diesel used to produce the
renewable diesel mixture must be derived from biomass,
meet ASTM D975, D396, or other equivalent standard
approved by the IRS, and meet EPA’s registration
requirements for fuels and fuel additives under section
211 of the Clean Air Act. Renewable diesel fuel also
includes fuel derived from biomass that meets a
Department of Defense specification for military jet fuel or
an ASTM specification for aviation turbine fuel. For a
renewable diesel mixture used in aviation, kerosene is
treated as if it is diesel fuel.
Allowable sales. For line 8c, the kerosene must have
been sold for a nonexempt use in noncommercial
aviation. For lines 8d and 8e, the kerosene sold for use in
noncommercial aviation must have been sold during the
period of claim for type of use 1, 9, 10, 11, 13, 14, 15, or
16.
Certificate. The Certificate for Biodiesel and, if
applicable, Statement of Biodiesel Reseller must be
attached to the first claim filed that is supported by the
certificate or statement. For the renewable diesel mixture
credit, you must edit the certificate and, if applicable,
statement to indicate that the fuel to which the certificate
and statement relate is renewable diesel and state the
renewable diesel meets the requirements discussed
above under Claimant. See Model Certificate O and
Model Certificate S in Pub. 510. If the certificate and
statement are not attached to Form 4136 because they
are attached to a previously filed claim on Schedule C
(Form 720) or Schedule 3 (Form 8849) for the biodiesel
or renewable diesel, attach a separate sheet with the
following information.
1. Certificate identification number.
2. Total gallons of biodiesel or renewable diesel on
certificate.
3. Total gallons claimed on Schedule 3 (Form 8849).
4. Total gallons claimed on Schedule C (Form 720),
line 13.
For line 8f, the kerosene sold for use in
noncommercial aviation must have been sold during the
period of claim for type of use 9. This claim is made in
addition to the claim made on lines 8d and 8e for type of
use 9.
Registration number. Enter your UA (UV if type of use
14) registration number in the space provided.
Information for Claims on Lines 9, 10, and 12
The alcohol fuel mixture credit, biodiesel or renewable
diesel mixture credit, alternative fuel credit, and
alternative fuel mixture credit must first be taken on
Schedule C (Form 720) to reduce your taxable fuel
liability reported on Form 720. If you did not make these
claims on Schedule C (Form 720), you must make them
on Form 720X, Amended Quarterly Federal Excise Tax
Return, before making them on Form 4136.
Line 9. Alcohol Fuel Mixture Credit
Registration number. If you are a registered blender or
a taxable fuel registrant, enter your registration number,
including the prefix, on line 10.
Claimant. The person that produced and sold or used
the mixture in their trade or business is the only person
eligible to make this claim. The credit is based on the
gallons of alcohol in the mixture.
How to claim the credit. Any biodiesel or renewable
diesel mixture credit must first be taken on Schedule C
(Form 720) to reduce your taxable fuel liability reported
on Form 720. Any excess credit may be taken on
Schedule C (Form 720), Schedule 3 (Form 8849), Form
4136, or Form 8864. See Notice 2005-4 and Notice
2005-62 for more information.
Registration number. If you are a registered blender or
a taxable fuel registrant, enter your registration number,
including the prefix, on line 9.
How to claim the credit. Any alcohol fuel mixture credit
must first be taken on Schedule C (Form 720) to reduce
your taxable fuel liability reported on Form 720. Any
excess credit may be taken on Schedule C (Form 720),
Schedule 3 (Form 8849), Form 4136, or Form 6478. See
Notice 2005-4 and Notice 2005-62 for more information.
For line 10a, the credit rate for biodiesel mixtures sold
or used after December 31, 2008 increases to $1.00 per
gallon.
For line 9a, after December 31, 2008, the credit rate
for alcohol fuel mixtures containing ethanol changes to
$.45 per gallon.
Line 11. Nontaxable Use of Alternative Fuel
Claimant. The ultimate purchaser of the taxed
alternative fuel is the only person eligible to make this
claim.
Line 10. Biodiesel or Renewable Diesel Mixture
Credit
Allowable uses. The alternative fuel must have been
used during the period of claim for type of use 1, 2, 4, 5,
6, 7, 11, 13, 14, or 15.
Claimant. The person that produced and sold or used
the mixture in their trade or business is the only person
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Instructions for Form 4136
13:38 - 11-JUN-2009
The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
Type of use 5. Write “Bus” in the space to the left of
column (a). Enter the correct credit rate in column (b).
The credit rates for type of use 5 are listed below.
Line number
Credit rate
11a
$.109
11b
.110
11c
.109*
11d
.110
11e
.17
11f
.17
11g
.169
11h
.110
indirectly provide the ultimate vendor with reimbursement
of the tax; and
• Has in its possession an unexpired certificate from the
ultimate purchaser and has no reason to believe any of
the information in the certificate is false. See Model
Certificate R in Pub. 510.
If any of these conditions is not met, the credit card
issuer must collect the tax from the ultimate purchaser
and only the ultimate purchaser can make the claim.
Allowable sales. The diesel fuel, kerosene, or kerosene
for use in aviation must have been purchased with a
credit card issued to the ultimate purchaser during the
period of claim for the exclusive use by a state or local
government (including essential government use by an
Indian tribal government).
Registration number. Enter your CC registration
number in the space provided.
*This is the credit rate per gasoline gallon equivalent (126.67 cu. ft. of CNG).
For line 13c, if the kerosene was taxed at $.244,
the credit rate is $.243. Write “Taxed at $.244” in
CAUTION the space to the left of column (b). Enter $.243 in
column (b).
Line 12. Alternative Fuel Credit and Alternative
Fuel Mixture Credit
!
Claimant. For the alternative fuel credit, the registered
alternative fueler who (1) sold an alternative fuel at retail
and delivered it into the fuel supply tank of a motor
vehicle or motorboat, (2) sold an alternative fuel,
delivered it in bulk for taxable use in a motor vehicle or
motorboat, and received the required statement from the
buyer, (3) used an alternative fuel (not sold at retail or in
bulk as previously described) in a motor vehicle or
motorboat, or (4) sold an alternative fuel for use as a fuel
in aviation is the only person eligible to make this claim.
Line 14. Nontaxable Use of a Diesel-Water Fuel
Emulsion
Claimant. The ultimate purchaser of the diesel-water
fuel emulsion is the only person eligible to make this
claim.
Allowable uses. For line 14a, the diesel-water fuel
emulsion must have been used during the period of claim
for type of use 1, 2, 5, 6, 7, 8, 11, 13, 14, or 15. For line
14b, the diesel-water fuel emulsion must have been
exported during the period of claim (Type of use 3). See
Exported taxable fuel on page 2.
Type of use 5. Write “Bus” in the space to the left of
column (a). Enter the correct credit rate in column (b).
The credit rate for type of use 5 is $.124 per gallon.
For the alternative fuel mixture credit, the registered
alternative fueler that produced and sold or used the
mixture as a fuel in their trade or business is the only
person eligible to make this claim. The credit is based on
the gallons of alternative fuel in the mixture.
Registration number. You must enter your registration
number, including the prefix, in the space provided.
How to claim the credit. Any alternative fuel credit and
alternative fuel mixture credit must first be taken on
Schedule C (Form 720) to reduce your taxable fuel
liability reported on Form 720. Any excess alternative fuel
credit and alternative fuel mixture credit may be taken on
Schedule C (Form 720), Schedule 3 (Form 8849), or
Form 4136.
Line 15. Diesel-Water Fuel Emulsion Blending
Claimant. The person that produced (the blender) and
sold or used the diesel-water fuel emulsion is the only
person eligible to make this claim.
Registration number. Enter your M registration number
in the space provided.
Information to be submitted. The blender must attach
a statement to the claim certifying that:
• The diesel-water fuel emulsion contains at least 14%
water,
• The emulsion additive is registered by a United States
manufacturer with the EPA under section 211 of the
Clean Air Act,
• Undyed diesel fuel taxed at $.244 was used to produce
the diesel-water fuel emulsion, and
• The diesel-water fuel emulsion was used or sold for
use in the blender’s trade or business.
Line 13. Registered Credit Card Issuers
!
The credit rate for line 13c changes after
September 30, 2009.
CAUTION
Claimant. The registered credit card issuer is the only
person eligible to make this claim if the credit card issuer:
• Is registered by the IRS;
• Has not collected the amount of tax from the ultimate
purchaser or has obtained the written consent of the
ultimate purchaser to make the claim;
• Certifies that it has repaid or agreed to repay the
amount of tax to the ultimate vendor, has obtained the
written consent of the ultimate vendor to make the claim,
or has otherwise made arrangements which directly or
Line 16. Exported Dyed Fuel
Claimant. The person that exported dyed diesel fuel or
dyed kerosene during the period of claim is the only
person eligible to make this claim. See Exported taxable
fuel on page 2.
-6-
Page 7 of 7
Instructions for Form 4136
13:38 - 11-JUN-2009
The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
estimated burden for individual taxpayers filing this form
is approved under OMB control number 1545-0074 and
is included in the estimates shown in the instructions for
Form 1040. The estimated burden for all other taxpayers
is: Recordkeeping, 34 hr., 55 min.; Learning about the
law or the form, 36 min.; Preparing and sending the
form to the IRS, 1 hr., 12 min.
If you have comments concerning the accuracy of
these time estimates or suggestions for making Form
4136 simpler, we would be happy to hear from you. You
can write to the Internal Revenue Service at the address
listed in the instructions of the tax return with which Form
4136 is filed.
Paperwork Reduction Act Notice. We ask for the
information on Form 4136 to carry out the Internal
Revenue laws of the United States. We need it to ensure
that you are complying with these laws and to allow us to
figure and collect the right amount of tax.
You are not required to provide the information
requested on a form that is subject to the Paperwork
Reduction Act unless the form displays a valid OMB
control number. Books or records relating to a form or its
instructions must be retained as long as their contents
may become material in the administration of any Internal
Revenue law. Generally, tax returns and return
information are confidential, as required by section 6103.
The time needed to complete and file this form will
vary depending on individual circumstances. The
-7-
2009 Form 4136, Credit for Federal Tax Paid on Fuels
Purpose: This is the first circulated draft of the 2009 Form 4136 for your review and
comments. See below for a discussion of the major changes.
TPCC Meeting: None, but may be arranged if requested.
Prior Version: The 2009 Form 4136 is available at:
http://www.irs.gov/pub/irs-pdf/f4136.pdf
Instructions: The 2009 Instructions for Form 4136 will be circulated at a later date.
Other Products: Circulations of draft tax forms, instructions, notices, and publications
are posted at:
http://taxforms.web.irs.gov/Circulations/index.htm
Comments: Please email, fax, call, or mail any comments by July 22, 2009.
Phone comments must be followed up with an email or fax.
Comments should also be sent to the reviewer at: [email protected]
Pamela E. Wright
Tax Forms and Publications
SE:W:CAR:MP:T:B:C
Email: [email protected]
Phone: 202-927-4268
Fax: 202-622-3262
Major Changes
The aviation fuel rates have been extended from March 31, 2009 to September 30, 2009.
The reference is to Line 2, Line 5, Line 8, and Line 13. P.L. 111-12 section 2a.
The alcohol fuel mixture credit rate has changed from $0.51 to $0.45. The reference is to
Line 9a. P.L. 110-264 section 15331 and IRC 40.
The new definition and requirement for renewable diesel mixtures are provided. The
reference is in the caption under Line 10 for Biodiesel or Renewable Diesel Mixture
Credit. P.L. 110-343 section 202(c) and 40A (f).
Renewable diesel fuel as aviation fuel in which kerosene is treated as diesel fuel. The
reference is in the caption under Line 10. P.L. 110-343 section 202(e) and 40A (f).
The alternative fuel credit and the alternative fuel credit mixture credit, except for
liquefied hydrogen, are scheduled to expire after December 31, 2009. The reference is
made in the subscript under Line 12. P.L. 110-343 section 204(a) and IRC 6424(e) (3).
Line 17 on the form has been changed because the WRN for the Form 1040 for 2009 has
renumbered the line to claim the credit from Form 4136. The credit is now claimed on
Line 70 instead of Line 68 on the 2009 Form 1040.
Version A, Cycle 2
Form
4136
Credit for Federal Tax Paid on Fuels
OMB No. 1545-0162
2009
© See the separate instructions.
Department of the Treasury
Internal Revenue Service (99)
Attachment
Sequence No. 23
© Attach this form to your income tax return.
Name (as shown on your income tax return)
Taxpayer identification number
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 and 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 and 14), claimant certifies that a certificate has not been provided to the credit card issuer.
1
Nontaxable Use of Gasoline
(a) Type of use
a
b
c
d
2
Off-highway business use
Use on a farm for farming purposes
Other nontaxable use (see Caution above line 1)
(b) Rate
(c) Gallons
%
$ .183
.183
.183
Exported
(d) Amount of credit
(e) CRN
362
$
.184
411
Nontaxable Use of Aviation Gasoline
(a) Type of use
a
b
c
d
3
Use in commercial aviation (other than foreign trade)
Other nontaxable use (see Caution above line 1)
Exported
(b) Rate
(c) Gallons
(d) Amount of credit
$ .15/.000*
.193/.043*
.194/.044*
354
324
412
$
DRAFT AS OF
June 22, 2008
LUST tax on aviation fuels used in foreign trade
*This rate applies after September 30, 2009.
(e) CRN
.001
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
a
b
c
d
Nontaxable use
Use on a farm for farming purposes
Use in trains
Use in certain intercity and local buses (see Caution
above line 1)
e
Exported
4
(b) Rate
(c) Gallons
%
$ .243
.243
.243
(d) Amount of credit
(e) CRN
360
353
$
.17
.244
350
413
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
(b) Rate
(c) Gallons
(d) Amount of credit
(e) CRN
a
b
c
Nontaxable use taxed at $.244
d
e
f
Exported
.17
.244
347
414
Nontaxable use taxed at $.044
Nontaxable use taxed at $.219
.043
.218
377
369
Use on a farm for farming purposes
Use in certain intercity and local buses (see Caution
above line 1)
For Paperwork Reduction Act Notice, see the separate instructions.
$ .243
.243
Cat. No. 12625R
%
$
346
Form 4136 (2009)
Version A, Cycle 2
Page 2
Form 4136 (2009)
5
Kerosene Used in Aviation (see Caution above line 1)
(a) Type of use
(b) Rate
(c) Gallons
(d) Amount of credit
(e) CRN
a
Kerosene used in commercial aviation (other than foreign
trade) taxed at $.244
$ .200
b
Kerosene used in commercial aviation (other than foreign
trade) taxed at $.219/.044*
.175/.000*
355
c
Nontaxable use (other than use by state or local
government) taxed at $.244
.243
346
d
Nontaxable use (other than use by state or local
government) taxed at $.219/.044*
e
LUST tax on aviation fuels used in foreign trade
*This rate applies after September 30, 2009.
.218/.043*
.001
369
433
6
Sales by Registered Ultimate Vendors of Undyed Diesel Fuel
417
$
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.
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
a
b
7
Use by a state or local government
Use in certain intercity and local buses
(c) Gallons
$ .243
.17
.
.
.
.
.
©
(e) CRN
360
350
$
DRAFT AS OF
June 22, 2008%
Sales by Registered Ultimate Vendors of Undyed Kerosene (Other Than
Kerosene For Use in Aviation)
.
(d) Amount of credit
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
a
b
c
8
Use by a state or local government
Sales from a blocked pump
Use in certain intercity and local buses
Sales by Registered Ultimate Vendors of Kerosene For Use in Aviation
(c) Gallons
.
.
.
.
.
(d) Amount of credit
.
©
(e) CRN
$ .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/.044*
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/.044*
LUST tax on aviation fuels used in foreign trade
*This rate applies after September 30, 2009.
$ .175/.000*
$
355
.200
.025/.200*
.243
417
418
346
.218/.043*
.001
369
433
Form 4136 (2009)
Version A, Cycle 2
Page 3
Form 4136 (2009)
9
Alcohol Fuel Mixture Credit
Registration No. ©
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.
(b) Rate
a
b
10
Alcohol fuel mixtures containing ethanol
$ .45
Alcohol fuel mixtures containing alcohol (other than ethanol)
.60
Biodiesel or Renewable Diesel Mixture Credit
(c) Gallons of
alcohol
(d) Amount of credit
(e) CRN
393
$
394
Registration No. ©
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
b
c
(c) Gallons of
biodiesel or
renewable
diesel
$1.00/.000*
$1.00/.000*
$1.00/.000*
Biodiesel (other than agri-biodiesel) mixtures
Agri-biodiesel mixtures
Renewable diesel mixtures
(d) Amount of credit
388
390
307
$
DRAFT AS OF
June 22, 2008
(e) CRN
*This rate applies after December 31, 2009.
11
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 page 5 in the Instructions for Form 4136 for the credit rate.
(a) Type of use
a
b
c
d
e
Liquefied petroleum gas (LPG)
f
g
h
12
(b) Rate
$ .183
“P Series” fuels
Compressed natural gas (CNG) (GGE = 126.67 cu. ft.)
Liquefied hydrogen
(d) Amount of credit
(c) Gallons
or gasoline
gallon
equivalents (GGE)
(e) CRN
419
$
.183
.183
.183
420
421
422
Liquid fuel derived from biomass
.243
.243
423
424
Liquefied natural gas (LNG)
Liquefied gas derived from biomass
.243
.183
425
435
Any liquid fuel derived from coal (including peat) through the
Fischer-Tropsch process
Alternative Fuel Credit and Alternative Fuel Mixture Credit
Registration No. ©
(b) Rate
a
b
c
d
e
Liquefied petroleum gas (LPG)
“P Series” fuels
Compressed natural gas (CNG) (GGE = 121 cu. ft.)
f
g
h
i
Liquid fuel derived from biomass
Liquefied natural gas (LNG)
Liquefied gas derived from biomass
Liquefied hydrogen
Any liquid fuel derived from coal (including peat) through the
Fischer-Tropsch process
Compressed gas derived from biomass (GGE = 121 cu. ft.)
*This rate applies after December 31, 2009.
$ .50/000*
.50/
.50/.000*
.50/.000*
.50/.000*
.50/.000*
.50/.000*
.50/.000*
.50/.000*
.50/.000*
(d) Amount of credit
(c) Gallons
or gasoline
gallon
equivalents (GGE)
$
(e) CRN
426
427
428
429
430
431
432
436
437
Form 4136 (2009)
Version A, Cycle 2
Page 4
Form 4136 (2009)
13
Registered Credit Card Issuers
Registration No. ©
(b) Rate
a
b
c
Diesel fuel sold for the exclusive use of a state or local government
Kerosene sold for the exclusive use of a state or local government
Kerosene for use in aviation sold for the exclusive use of a state or local
government taxed at $.219/.044*
(c) Gallons
$ .243
(d) Amount of credit
(e) CRN
360
$
.243
346
.218/.043*
369
*This rate applies after September 30, 2009.
14
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 page 6 in the Instructions for Form 4136 for the credit rate.
(a) Type of use
a
b
15
Nontaxable use
Exported
(b) Rate
$ .197
.198
Diesel-Water Fuel Emulsion Blending
16
(e) CRN
309
306
$
DRAFT AS OF
June 22, 2008
(c) Gallons
$ .046
(d) Amount of credit
(e) CRN
310
$
Exported Dyed Fuels and Exported Gasoline Blendstocks
(b) Rate
a
b
17
(d) Amount of credit
Registration No. ©
(b) Rate
Blender credit
(c) Gallons
Exported dyed diesel fuel and exported gasoline blendstocks taxed at $.001
Exported dyed kerosene
(c) Gallons
$ .001
(d) Amount of credit
$
.001
Total income tax credit claimed. Add lines 1 through 16, column (d). Enter here and on Form 1040,
line 70 (also check box b on line 70); Form 1120, line 32f(2); Form 1120S, line 23c; Form 1041, line 24g;
or the proper line of other returns. ©
(e) CRN
415
416
17 $
Form 4136 (2009)
File Type | application/pdf |
File Title | 2007 Instructions for Form 1120S, U |
Author | WGNJB |
File Modified | 2009-06-24 |
File Created | 2009-06-24 |