Form 720 Part I 720 Part I Quarterly Federal Excise Tax Return - Part I

Quarterly Federal Excise Tax Return

2010 Draft Part I- Form 720

2010 Draft - 720 Part I

OMB: 1545-0023

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720

Form
(Rev. July 2010)
Department of the Treasury
Internal Revenue Service

Check here if:
Final return
Address change

delete
January

Quarterly Federal Excise Tax Return

Version A, Cycle 3

deletions blue
OMB No. 1545-0023

See the Instructions for Form 720.

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, state, and ZIP code. (If you have a foreign address, see the instructions.)

Part I
IRS No.

18
21
98
19
22
26
28
27

104
105
107
119
35
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

Tax

18
21
98
19
Tax

22
26
28
27

DRAFT AS OF}
July 29, 2010 }

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
Other fuels (see instructions)
(a) Gasoline, tax on removal at terminal rack
(b) Gasoline, tax on taxable events other than removal at terminal rack
(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
Liquid fuel derived from biomass
Liquefied natural gas (LNG)
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

.244
.198
.001
.001
.001
.244
.244
.219
.044
.001

.184
.194
.183
.184
.183
.184

104
105
107
119
35
69
77
111
79

}

14
112
118
120
121

.244
.244
.243
Rate

122
123
124
Tax

12% of sales price
Rate

33
Tax

$3 per person
Amount of obligations

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

delete see A

Rate

$.244
.244

.184
.184

Number of persons

IRS No.

Rate

$ .01
Cat. No. 10175Y

29
Tax

31
Form 720 (Rev. 7-2010)

Version A, Cycle 3

720

Form
(Rev. July 2010)
Department of the Treasury
Internal Revenue Service (77)

Quarterly Federal Excise Tax Return
OMB No. 1545-0023
a

See the Instructions for Form 720.

FOR IRS USE ONLY
F

Cross out any errors
and print the correct
information.

T
FF
FD
FP
I

Check here if:
Final return
Address change

Part I
IRS No.

18
21
98
19
22
26
28
27

104
105
107
119
35
69
77
111
79

62
14
112
118
120
121
122
123
124
33
29
31

Tax

18
21
98
19
Tax

22
26
28
27
Rate

DRAFT AS OF}
July 29, 2010 }

.244
.198
.001
.001
.001
.244
.244
.219
.044
.001

.184
.194
.183
.184
.183
.184

104
105
107
119
35
69
77
111
79

}

14
112
118
120
121
122
123
124

.244
.244
.243
Rate

Tax

12% of sales price
Rate

33
Tax

$3 per person
Amount of obligations

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

delete see A

Tax

$.244
.244

.184
.184

Number of persons

IRS No.

Rate

$ .01
Cat. No. 10175Y

29
Tax

31
Form 720 (Rev.. 7-2010)

Version A, Cycle 3

delete see B
Form 720 (Rev. 7-2010)
IRS No.

Page

Manufacturers Taxes

36
37
38
39

Number of tons

Sales price

Rate

Tax

$1.10 per ton
4.4% of sales price
$ .55 per ton

Coal—Underground mined
Coal—Surface mined

36
37
38
39

4.4% of sales price
Tax

Number of tires

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)

108
109
113
40
97

Foreign Insurance Taxes— Policies issued by foreign insurers
Casualty insurance and indemnity bonds

30
1

IRS No.

108
109
113
40
97

. . . .

Premiums paid

Rate

$ .04
.01
.01

Life insurance, sickness and accident policies, and annuity contracts
Reinsurance
Total. Add all amounts in Part I. Complete Schedule A unless one-time filing

IRS No.

Tax

}
a

IRS No.

30
$

Part II
IRS No.

41
110
42
114
44
106
140

DRAFT AS OF
D
July 29, 2010
Number of gallons

Part III

6
7
8
9
10
11

Tax

Rate

Do you want to allow another person to discuss this return with the IRS (see instructions)?

64
125
51
117
20
$

9
10

11
Yes. Complete the following.

Phone
no. a

Designee
g
name a

41
110
42
114
44
106
140

$ .20
.001

Total tax. Add Part I, line 1, and Part II, line 2 . . . . . . . . . . . . . . . . .
Claims (see instructions; complete Schedule C) . . . . . . . a
4
Deposits made for the quarter . . . . a
5
Check here if you used the safe harbor rule to make your deposits.
Overpayment from previous quarters . . a
6
Enter the amount from Form 720X included
on line 6, if any . . . . . . . . . a
7
deleted C
Add lines 5 and 6 . . . . . . . . . . . . . . . . . a
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

IRS No.

10% of sales price
10% of sales price
3% of sales price
3% of sales price
11% of sales price
$ .45 per shaft
10% of amount paid

64 Inland waterways fuel use tax
125 LUST tax on inland waterways fuel use (see instructions)
51 Alcohol and cellulosic biofuel sold as but not used as fuel
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
3
4
5

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
Indoor tanning services

Personal identification
number (PIN) a

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.

Signature

Deletion D

Type or print name below signature.
F

Firm’s name (or
yours if self-employed),
address, and ZIP code

deleted line and "Total" and moved "Floor Stocks Tax"
delete see A

Title

Telephone number
Date

Paid
Preparer’s
Use Only

Preparer’s
signature

Date

Sign
Here

Check if
selfemployed

Preparer’s SSN or PTIN

EIN
Phone no.
Form 720 (Rev. 7-2010)

File Type	application/pdf
File Title	Project File Checksheet.doc
Author	RMDFB
File Modified	2010-08-09
File Created	2010-08-09