6
Form 720 (Rev. 1-2016)
Page
12
Reserved
Registration number
Period of claim
▶
▶
Reserved
Rate
Gallons
Amount of claim
CRN
a Reserved
b Reserved
13
Biodiesel or Renewable Diesel Mixture Credit Period of claim
Registration number
▶
▶
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, 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, Statement
of Biodiesel Reseller, both of which have been edited as discussed in the instructions for line 13. See the instructions for line 13 for information
about renewable diesel used in aviation.
Gal. of biodiesel or
Rate
Amount of claim
CRN
renewable diesel
a Biodiesel (other than agri-biodiesel) mixtures
$
388
$1.00
b Agri-biodiesel mixtures
390
1.00
c Renewable diesel mixtures
307
1.00
14
Alternative Fuel Credit and Alternative Fuel Mixture Credit
Registration number
▶
For the alternative fuel mixture credit, claimant produced a mixture by mixing taxable fuel with alternative fuel. Claimant certifies that it (a)
produced the alternative fuel, or (b) has in its possession the name, address, and EIN of the person(s) that sold the alternative fuel to the
claimant; the date of purchase; and an invoice or other documentation identifying the amount of the alternative fuel. The claimant also
certifies that it made no other claim for the amount of the alternative fuel, or has repaid the amount to the government. The alternative fuel
mixture was sold by the claimant to any person for use as a fuel or was used as a fuel by the claimant.
Gallons, or
Rate
Amount of claim
CRN
gasoline or diesel
gallon equivalents
(see instructions)
a Liquefied petroleum gas (LPG)
$
426
$.50
b "P Series" fuels
427
.50
c Compressed natural gas (CNG)
428
.50
d Liquefied hydrogen
429
.50
e Fischer-Tropsch process liquid fuel from coal (including peat)
430
.50
f
Liquid fuel derived from biomass
431
.50
g Liquefied natural gas (LNG)
432
.50
h Liquefied gas derived from biomass
436
.50
i
Compressed gas derived from biomass
437
.50
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. 1-2016)