Form 720X Amended Quarterly Federal Excise Tax Return

3
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I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 720X, PAGE 1 OF 4
PRINTS: HEAD TO HEAD
MARGINS; TOP 13mm (1⁄2 "), CENTER SIDES.
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216mm (81⁄2 ") x 279mm (11")
PERFORATE: None
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Date

Action

Date

Signature

O.K. to print
Revised proofs
requested

720X

Form

Amended Quarterly Federal Excise Tax Return

(Rev. January 2009)
Department of the Treasury
Internal Revenue Service

Type
or
Print

䊳

OMB No. 1545-1759

Use to correct a previously filed Form 720.

Name (as shown on Form 720)

Employer identification number (EIN)

Number, street, and room or suite no.

Telephone number (optional)

(

)

City or town, state, and ZIP code

1

Adjustments to Liability Reported on Previously Filed Forms 720
(a)
Quarter
ending

2

(c)
Tax

(d)
Tax as originally reported
on Form 720 or as
previously adjusted

(f)
Change
(subtract col. (d)
from col. (e))

(e)
Adjusted tax

Adjustments to Schedule C (Form 720) (see instructions for allowable adjustments)
(a)
Quarter
ending

3

(b)
IRS No.

(b)
CRN

(c)
Credit

(d)
Credit as originally
reported on Form 720 or
as previously adjusted

(e)
Adjusted credit

(f)
Change
(subtract col. (e)
from col. (d))

Statement in Support of Adjustment. For tax decreases only, indicate below the statement that applies to the adjustment.
a For IRS Nos. 22, 26, 28, or 27, only collectors using the regular method for deposits check the box below.
The claimant has repaid the amount of the tax to the person from whom it was collected
or has obtained the consent of that person to the allowance of the adjustment.
b For all other IRS Nos. except for 18, 21, 98, 19, 29, 31, 30, 64, 125, 51, 117, and 20, or if the
tax was based on use for 71, 79, 112, 118, 120–124, 61, and 101, check the box below.
The claimant has not included the tax in the price of the article and has not collected the
tax from the purchaser, has repaid the tax to the ultimate purchaser, or has attached the
written consent of the ultimate purchaser to the allowance of the adjustment.
Caution. IRS No. 71 can only be adjusted for periods ending before January 1, 2008.
IRS Nos. 61 and 101 can only be adjusted for periods ending before October 1, 2006.

4

5

Total adjustments. Combine all amounts in column (f) for lines 1 and 2 and enter the amount
4
here
If the result is a balance due, pay the amount with this return. Enclose a check or money order with Form 720X and make
it payable to the “United States Treasury.” Write on the check or money order: “Form 720X,” your name, address, EIN, and
the date Form 720X was signed. Complete line 6 on page 2.
If the result is an overpayment, complete lines 5 and 6.

Check if you want the overpayment:
Refunded to you.
a
Applied to your next Form 720. Enter quarter ending date.
b
See Form 720 for how to apply your overpayment.

For Paperwork Reduction Act Notice, see the Instructions for Form 720.

䊳

Cat. No. 32661B

Form

720X

(Rev. 1-2009)

3
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 720X, PAGE 2 OF 4
PRINTS: HEAD TO HEAD
MARGINS; TOP 13mm (1⁄2 "), CENTER SIDES.
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216mm (81⁄2 ") x 279mm (11")
PERFORATE: None
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 720X (Rev. 1-2009)

6

Page

2

Explanation of adjustments. See the instructions for line 6 for requirements. Attach additional sheets with your name and
EIN if more space is needed.

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

䊳

Signature

Date

Title

Type or print name below signature.

Paid
Preparer’s
Use Only

Preparer’s
signature

䊳

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

Date

䊳

Check if
self-employed

Preparer’s SSN or PTIN

EIN
Phone no.

(

)

General Instructions

When To File

Section references are to the Internal Revenue Code unless otherwise
noted.

Generally, adjustments that decrease your tax liability for a prior quarter
must be made within 3 years from the time the return was filed or 2 years
from the time the tax was paid, whichever is later.

Purpose of Form
Use Form 720X to make adjustments to liability reported on Forms 720 you
have filed for previous quarters. Do not use Form 720X to make changes to
claims made on Schedule C (Form 720), except for the section 4051(d) tire
credit and section 6426 credits.
Caution. You must include in gross income (income tax return) any
overpayment from line 4 of Form 720X if you took a deduction on the
income tax return that included the amount of the taxes and that deduction
reduced the income tax liability. See Pub. 510, Excise Taxes, for more
information.

Where To File
If you are filing Form 720X separately, send Form 720X to the Department
of the Treasury, Internal Revenue Service, Cincinnati, OH 45999-0009.
Otherwise, attach Form 720X to your next Form 720.

Specific Instructions
Line 1
Report each adjustment separately on line 1. You can use line 6 for your
explanation or you can attach additional sheets with your name and EIN as
needed.

3
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 720X, PAGE 3 OF 4 (Page 4 is blank)
PRINTS: HEAD TO HEAD
MARGINS; TOP 13mm (1⁄2 "), CENTER SIDES.
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216mm (81⁄2 ") x 279mm (11")
PERFORATE: None
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 720X (Rev. 1-2009)

Page

Communications excise tax, toll telephone service. Collectors stopped
collecting and paying over the tax on nontaxable service billed after July
31, 2006. See Pub. 510 for the definition of nontaxable service. Collectors
using the regular method for deposits must use Form 720X to claim a
credit or refund for nontaxable service if the collector has repaid the tax to
the person from whom the tax was collected, or obtained the consent of
that person to the allowance of the credit or refund. The refund period is
for nontaxable service that was billed after February 28, 2003, and before
August 1, 2006. Collectors using the alternative method for deposits must
adjust their separate accounts. For more information, see the Instructions
for Form 720, Notice 2006-50, and Notice 2007-11. You can find Notice
2006-50 on page 1141 of Internal Revenue Bulletin 2006-25 at
www.irs.gov/pub/irs-irbs/irb06-25.pdf. You can find Notice 2007-11 on
page 405 of Internal Revenue Bulletin 2007-5 at
www.irs.gov/pub/irs-irbs/irb07-05.pdf.
The above paragraph applies to nontaxable service billed to customers
of the collector. All Form 720 taxpayers, including collectors, must request
a credit or refund on their 2006 federal income tax return for nontaxable
service paid by the taxpayer.
Column (a). Enter the quarter ending date of the Form 720 you are
amending. If you are amending more than one quarter, make sure each
quarter is clearly identified. Enter the date in the MMDDYYYY format. For
example, if you are adjusting the first quarter return for 2009, enter
“03312009.”
Column (d). Enter the tax amount for the IRS No. entered in column (b)
as originally reported on Form 720 or as later adjusted by you or the IRS.
Column (e). Enter the adjusted tax liability that should have been
reported for the IRS No. in column (b).
Column (f). If column (e) is greater than column (d), subtract column (d)
from column (e). This is an increase. If column (d) is greater than column
(e), subtract column (e) from column (d). This is a decrease. Show the
decrease in parentheses.

Line 2
4051(d) tire credit. You must use line 2 to report any adjustment to the
section 4051(d) tire credit for a prior quarter. For example, if you report an
additional taxable vehicle on line 1 for IRS No. 33, the applicable tire credit
is reported on line 2. Enter CRN 366 in column 2(b). See the Instructions
for Form 720 for more information on the tire credit.
6426 credits. You must use line 2 to report any adjustment to section 6426
credits, if (a) you are reporting a change to certain taxable fuel liability
(section 4081 liability in the case of mixtures or section 4041 liability in the
case of alternative fuel) on line 1, or (b) you were unable to claim the
credits against the section 4041 or 4081 liability on a prior Form 720
because you were not registered. Section 6426 credits include the alcohol
fuel mixture credit, biodiesel or renewable diesel mixture credit, alternative
fuel credit, and alternative fuel mixture credit. Use a separate line for each
adjustment. Enter the CRN from the table below in column 2(b). You must
also complete line 6.
Credit

CRN

Credit Rate

Alcohol fuel mixtures containing ethanol

393

$ .51/.45*

Alcohol fuel mixtures containing alcohol
(other than ethanol)

394

.60

Biodiesel (other than agri-biodiesel)
mixtures

388

.50/1.00*

Agri-biodiesel mixtures

390

1.00

Renewable diesel mixtures

307

1.00

Alcohol fuel mixture credit

Biodiesel or renewable diesel mixture credit

Alternative fuel credit and alternative fuel mixture credit

3

Line 3a
Collectors using the alternative method for deposits must adjust their
separate accounts for any credits or refunds made to customers of the
collector. Form 720X cannot be used for this purpose. For more
information, see Alternative method in the Instructions for Form 720.

Line 5
If you want your overpayment refunded to you, check the box for
line 5a.
If you want your overpayment applied to your next Form 720, check the
box for line 5b and enter the quarter ending date of your next Form 720.
You can file Form 720X separately or you can attach it to your next
Form 720.
Caution. If you checked the box on line 5b, be sure to include the
overpayment amount on lines 6 and 7 on your next Form 720. See Form
720 for details. If you owe other federal tax, interest, or penalty, the
overpayment will first be applied to the unpaid amounts.

Line 6
You can use line 6 for your explanation or you can attach additional sheets
with your name and EIN as needed.
Adjustments on line 1. For each adjustment, you must include a detailed
description of the adjustment and the computation of the amount.
Adjustments on line 2. Any section 6426 credits must first be applied
against your section 4041 or 4081 liability. To make an adjustment, you
must follow the instructions for lines 12, 13, and 14 in the Instructions for
Form 720. For each adjustment you must attach a detailed explanation of
the adjustment, including your registration number, and the computation of
the amount. Your computation must include the number of gallons (or
gasoline gallon equivalents for compressed gas) and credit rate (as shown
above). You must include any information that is requested in the
Instructions for Form 720, lines 12, 13, and 14. For example, the Certificate
for Biodiesel and, if applicable, Statement of Biodiesel Reseller must be
attached to Form 720X if it is the first claim filed that is supported by the
certificate or statement. See the Instructions for Form 720 for more
information.
Certifications. On line 6 or a separate sheet of paper, you must include
the applicable statement shown below.
Alcohol fuel mixture credit. 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.
Biodiesel mixture credit. 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 mixture credit. 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, 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, Statement of
Biodiesel Reseller, both of which have been edited as discussed in the
Instructions for Form 720.
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.

Liquefied petroleum gas (LPG)

426

.50

“P Series” fuels

427

.50

Compressed natural gas (CNG)

428

.50

Liquefied hydrogen

429

.50

Any liquid fuel derived from coal (including
peat) through the Fischer-Tropsch process

Signature

430

.50

431
432

.50
.50

Form 720X must be signed by a person authorized by the entity to sign this
return. You must sign Form 720X even if it is filed with Form 720 to apply
an overpayment.

436
437

.50
.50

Liquid fuel derived from biomass
Liquefied natural gas (LNG)
Liquefied gas derived from biomass
Compressed gas derived from biomass
* This rate applies after December 31, 2008.