Form 637 Questionnaires

Form 637 Questionnaires

NB Questionnaire 02-01-2006

Form 637 Questionnaires

OMB: 1545-1835

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Name:

EIN:

Address:

Registration No:

City, State, Zip



"NB" QUESTIONNAIRE (Revision 02-01-2006)


Producers and importers of biodiesel (other than agri-biodiesel), including renewable diesel. Bio-diesel is the fuels made from recycle oils. Renewable diesel is any organic material other than (1) oil and natural gas (or any product thereof or (2) coal, including lignite (or any product thereof). The Energy Bill mentions the term “offal” in describing renewable diesel. Offal is defined as waste parts, especially from butchered animals


Review Form 637, "Application for Registration" for any updates or changes. This includes Part I, II, and III. Attach the updates or changes to questionnaire. Notate if no updates or changes have been made since last visitation.


  1. Who is responsible for the preparation and filing of Form 8849 or Form 4136? From what address are they filed? _________________________________________________________________________________________________________________________________________________________________________________________________________


  1. Does the company, related company, or any of its owners incur any liability for excise tax? If so, name the type of tax. ______________________________________________________________________________________________________________________________________



  1. Does the company sell or plan to sell any biodiesel fuel to a related company? If so, describe the arrangements.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


  1. Has the company's excise, employment, or income tax returns been examined by the State or IRS during the previous five years? If so, what were the results of the examination?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


  1. List the name and address of all the company's suppliers of biodiesel fuel.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________




  1. Does the company store any biodiesel fuel to which it does not hold title? If so, where is this inventory stored? For whom is it stored? Are separate inventory records maintained?

_________________________________________________________________________________________________________________________________________________________________________________________________________


  1. List all locations and storage facilities where biodiesel fuel is stored. List the expected volume (in gallons) of biodiesel fuel sold to these entities. Attach additional sheets if needed. (CEP and major oil companies may be exempted from this question.)


Name of Facility

Address of Facility

Capacity of Biodiesel

Fuel Tank(s)

Expected Annual Volume



































  1. Please list the types of biodiesel being produce and imported.


__________% Biodiesel (other than agri-biodiesel) recycle oils.


  1. Is the biodiesel produced or imported by you a pure fuel or is it blended with petroleum diesel? If yes, please list the percentage of blend.

__________ % by volume biodiesel.

__________ % by volume petroleum diesel


  1. Please list all production agreements with biodiesel marketing firms that you plan on

implementing with the year.




  1. Are you or your customers reimbursed for the federal excise tax on biodiesel fuel for any credit card sales? If so, explain.

_________________________________________________________________________________________________________________________________________________________________________________________________________


  1. What are your procedures for securing exemption certificates from customers who purchase without the federal excise tax?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


  1. List the names and addresses of all customers that you have sold or plan to sell biodiesel without the federal excise tax? Indicate with an * any customer who purchases in bulk quantities.

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


  1. Do you sell biodiesel as a distributor?

_____________________________________________________________________


  1. Does the company store any biodiesel fuel to which it does not hold title? If so, where is this inventory stored? For whom is it stored? Are separate inventory records maintained? Who is filing claims for the production or importation of the fuel?

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


  1. Do you sell biodiesel on consignment? If so, where is this inventory stored? For whom is it stored? Are separate inventory records maintained? Who is filing claims for the production or importation of the fuel?

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


17. Do you export or plan to export any biodiesel fuel product?



TIN - DATE -

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title"UP" QUESTIONNAIRE
AuthorNational Office Excise
File Modified0000-00-00
File Created2021-02-03

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