Form Ia 4136 - Iowa Fuel Tax Credit - 2016
ADVERTISEMENT
1
22016 IA 4136
Iowa Fuel Tax Credit
https://tax.iowa.gov
Name(s)
SSN or FEIN
Pass-Through Entity (if applicable) ___________________________________________________________
Pass-Through FEIN __________________________________ Tax Period Ending Date
Check appropriate box(es):
Fuel used for: 1.Farming ☐ 2.Commercial ☐ 3.Commercial Fishing ☐ 4.Other ☐
(specify)
1. Gasoline
Invoice
Invoice
Highway
Claimed
Tax
Fuel Tax
Sales
Fuel Tax
Date
Gallons
Gallons
Gallons
Rate
Paid
Tax
Credit
01/01/2016
to
1a.
$0.308
$
$
$
06/30/2016
07/01/2016
to
1b.
$0.307
$
$
$
06/30/2017
07/01/2017
to end of
1c.
$0.305
$
$
$
tax year
2. Ethanol - Blended Gasoline
Invoice
Highway
Claimed
Tax
Fuel Tax
Sales
Fuel Tax
Invoice
Gallons
Gallons
Gallons
Rate
Paid
Tax
Credit
Date
01/01/2016
to
2a.
$0.293
$
$
$
06/30/2016
07/01/2016
to end of
2b.
$0.29
$
$
$
tax year
3. Undyed Diesel Fuel - B0 to B10
Invoice
Invoice
Highway
Claimed
Tax
Fuel Tax
Sales
Fuel Tax
Date
Gallons
Gallons
Gallons
Rate
Paid
Tax
Credit
01/01/2016
to end of
$0.325
$
$
$
tax year
4. Undyed Biodiesel Fuel - Blends B11 or Higher
Invoice
Invoice
Highway
Claimed
Tax
Fuel Tax
Sales
Fuel Tax
Date
Gallons
Gallons
Gallons
Rate
Paid
Tax
Credit
$
01/01/2016
to end of
$0.295
$
$
tax year
41-036a (04/23/17)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial