Form 8849 (Schedule 1) - Nontaxable Use Of Fuels
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1
2Schedule 1
Department of the Treasury—Internal Revenue Service
(Form 8849)
Nontaxable Use of Fuels
OMB No. 1545-1420
(Rev. January 2001)
Attach to Form 8849.
Name as shown on Form 8849
EIN or SSN
Total refund
$
Period of claim: Enter month, day, and year
From
To
in MMDDYYYY for mat.
(b) Rate
(c) Gallons
(d) Amount of refund
(e)
(a)
1
Nontaxable Use of
CRN
Type
Gasoline and Gasohol
of use
Enter whole gallons only.
Multiply col. (b) by col. (c)
$
.184
$
a
Gasoline
301
.184
b
10% gasohol
.131
c
7.7% gasohol
.14319
312
d
5.7% gasohol
.15379
2
Nontaxable Use of Aviation Gasoline
a
Use in commercial aviation (other
.15
$
$
than foreign trade)
307
.194
b
Other nontaxable use
.194
3
Nontaxable Use of Undyed Diesel Fuel and Undyed Kerosene
Claimant has the name and address of the person(s) who sold the fuel to the claimant and the date(s) of the purchase(s)
and if exported, the required proof of export.
Claimant certifies that the fuel did not contain visible evidence of dye.
Exception. If any of the fuel included in this claim did contain visible evidence of dye, attach a detailed explanation
and check here
Caution: Claims cannot be made on line 3 for fuel used on a far m for far ming purposes or for the exclusive use by a state
or local gover nment, or for kerosene sold from a blocked pump. Only registered ultimate vendors may make those claims on
Schedule 2.
(b) Rate
(c) Gallons
(d) Amount of refund
(e)
(a)
CRN
Type
of use
Enter whole gallons only.
Multiply col. (b) by col. (c)
$
.244
$
a
Nontaxable use (see Caution
303
above)
.244
b
Use in trains
305
.20
c
Use in certain intercity and local
.17
303
buses
4
Nontaxable Use of Aviation Fuel
a
Use in commercial aviation (other
.175
$
$
than foreign trade)
310
.219
b
Other nontaxable use
.044
5
Use of LPG in Certain Buses
a
Use in certain intercity and local
.062
$
$
buses
304
b
Use in qualified local and school
.136
buses
For Privacy Act and Paperwork Reduction Act Notice, see Form 8849 instructions.
Cat. No. 27449T
Schedule 1 (Form 8849) (Rev. 1-2001)
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