3
Form 720 (Rev. 1-2016)
Page
Excise Tax Liability (see instructions)
Schedule A
Note: You must complete Schedule A if you have a liability for any tax in Part I of Form 720. Do not complete Schedule A for
Part II taxes or for a one-time filing of the gas guzzler tax.
1 Regular method taxes
Period
(a) Record of Net
Tax Liability
1st–15th day
16th–last day
First month
A
B
C
D
Second month
Third month
E
F
Special rule for September * .
.
.
.
.
.
.
.
.
G
▶
(b) Net liability for regular method taxes. Add the amounts for each semimonthly period.
2 Alternative method taxes (IRS Nos. 22, 26, 28, and 27)
Period
(a) Record of Taxes
Considered as
1st–15th day
16th–last day
Collected
M
N
First month
Second month
O
P
Third month
Q
R
Special rule for September * .
S
.
.
.
.
.
.
.
.
▶
(b) Alternative method taxes. Add the amounts for each semimonthly period.
*Complete only as instructed (see instructions).
Two-Party Exchange Information Reporting (see instructions)
Schedule T
Fuel
Number of gallons
Diesel fuel, gallons received in a two-party exchange within a terminal, included
on IRS No. 60(a) on Form 720
Diesel fuel, gallons delivered in a two-party exchange within a terminal
Kerosene, gallons received in a two-party exchange within a terminal, included on IRS No. 35(a),
69, 77, or 111 on Form 720
Kerosene, gallons delivered in a two-party exchange within a terminal
Gasoline, gallons received in a two-party exchange within a terminal, included on IRS No. 62(a)
on Form 720
Gasoline, gallons delivered in a two-party exchange within a terminal
Aviation gasoline, gallons received in a two-party exchange within a terminal,
included on IRS No. 14 on Form 720
Aviation gasoline, gallons delivered in a two-party exchange within a terminal
720
Form
(Rev. 1-2016)