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Form 4136: Credit for Federal Tax Paid on Fuels

Use Tax Form 4136: Credit for Federal Tax Paid on Fuels as a stand alone tax form calculator to quickly calculate specific amounts for your 2017 tax return. Form 4136: Credit for Federal Tax Paid on Fuels is also integrated into our comprehensive US Tax Calculator where you can complete and save your calculations for later use. Alternatively you can use one of our Combined Federal and State Tax Estimator to quickly calculate your salary, tax and take home pay.

Credit for Federal Tax Paid on Fuels
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 or 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 or 14), claimant certifies that a certificate has not been provided to the credit card issuer.
1Nontaxable Use of Gasoline   Note: CRN is credit reference number.
(a) Type of use(b) rate(c) Gallons(d) Amount of credit(e) CRN
a$0.183$ 363
b0.183
c0.183
d0.184411
2Nontaxable Use of Aviation Gasoline
(a) Type of use(b) rate(c) Gallons(d) Amount of credit(e) CRN
a$0.15$ 354
b0.193324
c0.194412
d0.001433
3Nontaxable 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(b) rate(c) Gallons(d) Amount of credit(e) CRN
a$0.243$ 360
b0.243
c0.243353
d0.17350
e0.244413
4Nontaxable 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 $0.243$ 346
b0.243
c0.17347
d0.244414
e0.043377
f0.218369
5Kerosene Used in Aviation (see Caution above line 1)
(a) Type of use(b) rate(c) Gallons(d) Amount of credit(e) CRN
a$0.2$ 417
b0.175355
c0.243346
d0.218369
e0.001433
6Sales by Registered Ultimate Vendors of Undyed Diesel Fuel   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(c) Gallons(d) Amount of credit(e) CRN
a$0.243$ 360
b0.17360
7Sales by Registered Ultimate Vendors of Undyed Kerosene (Other Than Kerosene For Use in Aviation)   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(c) Gallons(d) Amount of credit(e) CRN
a$0.243$ 360
b0.243
c0.17347
8Sales by Registered Ultimate Vendors of Kerosene For Use in Aviation   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$0.175$ 355
b0.2417
c0.025418
d0.243346
e0.218369
f0.001433
9Reserved   Registration No. ▸
(b) Rate(c) Gallons of alcohol(d) Amount of credit(e) CRN
a
b
10Biodiesel or Renewable Diesel Mixture Credit   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(c) Gallons of biodiesel
or renewable diesel
(d) Amount of credit(e) CRN
a$1388
b$1390
c$1307
11Nontaxable Use of Alternative Fuel
Caution: There is a reduced credit rate for use in certain intercity and local buses (type of use 5) (see instructions).
(a) Type of use(b) Rate(c) Gallons, or gasoline
or diesel gallon equivalents
(d) Amount of credit(e) CRN
a$0.183$ 419
b0.183420
c0.183421
d0.183422
e0.243423
f0.243424
g0.243425
h0.183435
12Alternative Fuel Credit   Registration No. ▸
(b) Rate(c) Gallons, or gasoline
or diesel gallon equivalents
(d) Amount of credit(e) CRN
a$0.5$ 426
b0.5427
c0.5428
d0.5429
e0.5430
f0.5431
g0.5432
h0.5436
i0.5437
13Registered Credit Card Issuers   Registration No. ▸
(b) Rate(c) Gallons(d) Amount of credit(e) CRN
a$0.243$ 360
b 0.243346
c0.218369
14Nontaxable 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 instructions).
(a) Type of use(b) Rate(c) Gallons(d) Amount of credit(e) CRN
a$0.197$ 309
b$0.198306
15Diesel-Water Fuel Emulsion Blending   Registration No. ▸
(b) Rate(c) Gallons(d) Amount of credit(e) CRN
$0.046$ 310
16Exported Dyed Fuels and Exported Gasoline Blendstocks
(b) Rate(c) Gallons(d) Amount of credit(e) CRN
a$0.001$ 415
b0.001416
1717$

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