Form 720 - Quarterly Federal Excise Tax Return Page 6

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6
Form 720 (Rev. 10-2014)
Page
Registration number
12
Reserved
Period of claim
▶
▶
Reserved
Rate
Gallons
Amount of claim
CRN
a Reserved
b Reserved
13
Reserved
Period of claim
Registration number
▶
▶
Reserved
Gal. of biodiesel or
Rate
CRN
Amount of claim
renewable diesel
a Reserved
b Reserved
c Reserved
14
Reserved
Registration number
▶
Reserved
Gallons or
gasoline gallon
Rate
Amount of claim
CRN
equivalents (GGE)
(see instructions)
a Reserved
b Reserved
c Reserved
d Reserved
e Reserved
f
Reserved
g
Reserved
h
Reserved
i
Reserved
15
Other claims. See the instructions. For lines 15b and 15c, see the Caution above line 1 on page 4.
Amount of claim
CRN
a Section 4051(d) tire credit (tax on vehicle reported on IRS No. 33)
$
366
b Exported dyed diesel fuel and exported gasoline blendstocks taxed at $.001
415
c Exported dyed kerosene
416
d Diesel-water fuel emulsion
e Registered credit card issuers
Number of tires
Amount of claim
CRN
f
Taxable tires other than bias ply or super single tires
$
396
g
Taxable tires, bias ply or super single tires (other than super single tires designed for steering)
304
h
Taxable tires, super single tires designed for steering
305
i
j
k
16
16
Total claims. Add amounts on lines 1 through 15. Enter the result here and on Form 720, Part III, line 4.
720
Form
(Rev. 10-2014)

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