Form 8849 (Schedule 2) - Sales By Registered Ultimate Vendors Of Undyed Diesel Fuel And Undyed Kerosene

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Schedule 2
Department of the Treasury—Internal Revenue Service
Sales by Registered Ultimate Vendors
(Form 8849)
OMB No. 1545-1420
of Undyed Diesel Fuel and Undyed Kerosene
(Rev. January 2002)
Attach to Form 8849. Do not file with any other schedule.
Name as shown on Form 8849
EIN
Total refund (see instructions)
$
Period of claim: Enter month, day, and year
From
To
in MMDDYYYY for mat.
Note: UV claimant must
Claimant’s Registration No.
U V
complete line 3 on the back.
U P
(Complete only for line 2c.)
1
Sales by Registered Ultimate Vendors of Undyed Diesel Fuel
Claimant sold the diesel fuel at a tax-excluded price, repaid the amount of tax to the buyer, or obtained written consent
of the buyer to make the claim; and obtained the required certificate from the buyer and has no reason to believe any
information in the certificate or statement is false.
Claimant certifies that the diesel fuel did not contain visible evidence of dye.
Exception. If any of the diesel fuel included in this claim did contain visible evidence of dye, attach a detailed explanation
and check here
(a) Rate
(b) Gallons
(c) Amount of refund
(d)
CRN
Multiply col. (a) by col. (b)
a
Use on a farm for farming purposes
$
.244
$
360
b
Use by a state or local government
.244
Sales by Registered Ultimate Vendors of Undyed Kerosene
2
Claimant sold the kerosene at a tax-excluded price, repaid the amount of tax to the buyer, or obtained written consent
of the buyer to make the claim; and obtained the required certificate (for lines 2a and 2b) from the buyer or has the
statement required by Regulations section 48.6427-10(e)(4) (for line 2c) and has no reason to believe any information
in the certificate or statement is false.
Claimant certifies that the kerosene did not contain visible evidence of dye.
Exception. If any of the kerosene included in this claim did contain visible evidence of dye, attach a detailed explanation
and check here
(a) Rate
(b) Gallons
(c) Amount of refund
(d)
CRN
Multiply col. (a) by col. (b)
a
Use on a farm for farming purposes
$
.244
$
346
b
Use by a state or local government
.244
c
Sales from a blocked pump
.244
For Privacy Act and Paperwork Reduction Act Notice, see Form 8849 instructions.
Cat. No. 27450U
Schedule 2 (Form 8849) (Rev. 1-2002)

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