Form Ia 4136 - Iowa Fuel Tax Credit - 2016 Page 2

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IA 4136, page 2
5. Special Fuel - LPG
Invoice
Invoice
Highway
Claimed
Tax
Fuel Tax
Sales
Fuel Tax
Date
Gallons
Gallons
Gallons
Rate
Paid
Tax
Credit
01/01/2016
to end of
$0.30
$
$
$
tax year
6. Pass-Through Fuel Tax Credit
Report
pass-through Fuel Tax Credit from partnership, LLC,
S corporation, estate, or trust.
.............................................................................................6.
7. Total Fuel Tax Credit
Add Fuel Tax Credit columns from lines 1 through 5 and line 6. Report on line 59
of the IA 1040, line 29 of the IA 1041, or on line 1 of Schedule C1 on the IA
1120.
.........7.
41-036b (06/13/16)

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