6
Form 720 (Rev. 10-2012)
Page
11
Sales by Registered Ultimate Vendors of Aviation Gasoline
Registration number
▶
Claimant sold the aviation gasoline at a tax-excluded price and has not collected the amount of tax from the buyer, repaid the amount of
tax to the buyer, or has obtained written consent of the buyer to take the claim; and obtained an unexpired certificate from the buyer
and has no reason to believe any information in the certificate is false. See the instructions for additional information to be submitted.
Rate
Gallons
Amount of claim
CRN
a Use by a nonprofit educational organization
$
$.193
324
b Use by a state or local government
.193
12
Reserved
Period of claim
▶
Registration number
▶
Amount of claim
Rate
Gallons
CRN
a Reserved
b Reserved
Period of claim
▶
13
Biodiesel or Renewable Diesel Mixture Credit
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
CRN
Amount of claim
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
gasoline gallon
Rate
Amount of claim
CRN
equivalents (GGE)
(see instructions)
a Liquefied petroleum gas (LPG)
426
$
$.50
b “P” Series fuels
427
.50
c Compressed natural gas (CNG) (GGE = 121 cu. ft.)
428
.50
d Liquefied hydrogen
429
.50
e Fischer-Tropsch process liquid fuel from coal (including peat)
430
.50
Liquid fuel derived from biomass
f
431
.50
Liquefied natural gas (LNG)
g
432
.50
Liquefied gas derived from biomass
h
436
.50
Compressed gas derived from biomass (GGE = 121 cu. ft.)
i
437
.50
15
Other claims. See the instructions.
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. 10-2012)