Irs Publication 595 - Tax Highlights For Commercial Fishermen - 2001 Page 10

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Table 4. Sample Exemption Certificate
Your credit is for a claim group, explained
next, for which you did not previously file a
EXEMPTION CERTIFICATE
claim on Form 4136 for the tax year.
(To support vendor’s claim for credit or payment under section 6421 of the Internal Revenue Code)
Claims on Form 4136 (other than for gasohol
blending) are separated into seven claim
groups. Once you file Form 4136 with a claim
Name and Address of Seller
for a group, you cannot file an amended return
The undersigned buyer (“Buyer”) hereby certifies the following under penalties of
with another claim for that group. However, you
perjury:
can file an amended return with a claim for
A. Buyer will use the gasoline to which this certificate relates in a boat engaged in
another group.
commercial fishing.
Claim group table. Tables 2 and 3 show
B. Buyer bought or will buy the gasoline to which this certificate relates from the above
which claims are in each group. The numbers in
named seller at a price that does not include the excise tax.
the second column of each table refer to the line
numbers on Form 4136. The numbers in the
C.
This certificate applies to the following (complete as applicable):
third column are from the Type of Use Table in
1.
If this is a single purchase certificate, check here
and enter the number
the Form 4136 instructions.
of gallons of gasoline
Table 2. Claim Groups for Tax
2.
If this is a certificate covering all purchases, check here
.
Years Before 2001
If Buyer uses the gasoline to which this certificate relates for a use other than
stated in the certificate, Buyer will so notify the person to whom Buyer gives this
Group
Line Number
Type of Use
certificate.
Buyer has not and will not claim a refund or credit under section 6421 of the Internal
I
1b, 1d-f, 2b
1
Revenue Code for the excise tax on the gasoline to which this certificate relates.
II
1a, 1d-f
2
Buyer understands that the fraudulent use of this certificate may subject Buyer
and all parties making such fraudulent use of this certificate to a fine or
2a
See line instructions
imprisonment, or both, together with the costs of prosecution.
III
1c-f
5, 7
Signature and Date Signed
IV
1c-f, 2b
3, 4, 9
V
3c, 7
5, 7
Printed or Typed Name and Title of Buyer
VI
3a-b, 4, 5, 6
See line instructions
Name, Address, and Taxpayer Identification Number of Buyer
VII
2b
10
return to claim the credit for that fuel tax because
credit for that amount on your income tax return,
that would be a Group II claim.
as discussed earlier.
Table 3. Claim Groups for Tax
Years After 2000
How to claim a credit. As an individual, you
claim the credit on line 65 of Form 1040. Check
Including the Credit or Refund in
Group
Line Number
Type of Use
box “b” on line 65. If you would not otherwise
Income
have to file an income tax return, you must do so
to claim a fuel tax credit.
I
1b, 1d-f, 2b
1
Include any credit or refund of excise taxes on
fuels in your gross income if you claimed the
II
1a, 1d-f
2
total cost of the fuel (including the excise taxes)
Claiming a Refund
as an expense deduction that reduced your in-
2a
See line instructions
come tax liability.
You can file a claim for refund for any quarter of
If you use the cash method of accounting
your tax year for which you can claim $750 or
III
1c-f
5, 7
and file a claim for refund, include the refund in
more. This amount is the excise tax on all fuels
your gross income for the tax year in which you
used for any nontaxable use during that quarter
IV
1c-f, 2b
3, 4, 9
receive the refund. If you claim a credit on your
or any prior quarter (for which no other claim has
income tax return, include the credit in gross
V
3c, 4c, 8
5, 7
been filed) during the tax year.
income for the tax year in which you file Form
If you cannot claim at least $750 at the end of
3a-b, 4a-b,
4136. If you file an amended return and claim a
a quarter, you carry the amount over to the next
VI
See line instructions
5, 6, 7
credit, include the credit in gross income for the
quarter of your tax year to determine if you can
tax year in which you receive the credit.
claim at least $750 for that quarter. If you cannot
VII
2b
10
claim at least $750 at the end of the fourth
Example. Ed Brown, a cash basis fisher-
quarter of your tax year, you must claim a credit
For each tax year, you can make only one
man, filed his 2000 Form 1040 on March 1,
on your income tax return, using Form 4136.
claim for each group.
2001. On his Schedule C, Ed deducted the total
Only one claim can be filed for a quarter.
cost of gasoline (including $110 of excise taxes)
How to file a quarterly claim. You make a
Example. You file your income tax return
used in his boat while engaged in commercial
claim for a refund on Form 8849. File the claim
and claim a fuel tax credit. Form 4136 shows an
fishing operations. Then, on Form 4136, he
by filling out Schedule 1 (Form 8849) and attach-
amount on line 1c for use of gasoline in a boat
claimed the $110 as a credit. Ed reports the
ing it to Form 8849. Send it to the address
engaged in commercial fishing. This is a Group
$110 as additional income on his 2001 Schedule
shown in the instructions.
IV claim. You cannot amend your return to claim
C.
a credit for an amount on line 1d for use of
When to file a quarterly claim. You must file
gasohol in a boat engaged in commercial fishing
How To Buy Fuel Tax Free
a quarterly claim by the last day of the quarter
(Type of Use 4), since that is also a Group IV
following the last quarter included in the claim. If
claim. However, if you used the gasohol in an
you do not file a timely refund claim for the fourth
Instead of paying the fuel tax and filing a claim
off-highway business use, you can amend your
quarter of your tax year, you will have to claim a
for credit or refund when the fuel is used for a
Page 10

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