Form 8933 Carbon Dioxide Sequestration Credit

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FORM 8933, PAGE 1 of 2
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8933

Department of the Treasury
Internal Revenue Service
Name(s) shown on return

Action

Date

Signature

O.K. to print
Revised proofs
requested

OMB No. 1545-2132

Carbon Dioxide Sequestration Credit

2009

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Attach to your tax return.

Attachment
Sequence No.
Identifying number

165

Qualified carbon dioxide captured at a qualified facility and disposed of in secure geological
storage and, if captured after February 17, 2009, not used as a tertiary injectant in a qualified
enhanced oil or natural gas recovery project.
1

× $20.00

Metric tons captured and disposed of (see instructions)

1

Qualified carbon dioxide captured at a qualified facility and used as a tertiary injectant in
a qualified enhanced oil or natural gas recovery project and, if captured after
February 17, 2009, disposed of in secure geological storage.

× $10.00

2

2

Metric tons captured and used (see instructions)

3

Carbon dioxide sequestration credit from partnerships and S corporations

3

4

Add lines 1, 2, and 3. Partnerships and S corporations, report this amount on Schedule K, all
others, report this amount on Form 3800, line 1x

4

For Paperwork Reduction Act Notice, see back of form.

Cat. No. 37748H

Form

8933

(2009)