Form Ia 8864 - Biodiesel Blended Fuel Tax Credit (Fillable)

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2011 IA 8864

Iowa Department of Revenue

Biodiesel Blended Fuel Tax Credit

This is not a motor fuel tax credit or refund form. It is an income tax form.

Attach a copy to your Iowa individual or corporation income tax return.

Name(s)

SSN or FEIN

Pass-through entity (if applicable).

Pass-through FEIN

Attach a list if multiple pass-through entities.

Tax Period Ending

Part I - Determination of Credit

Name and Address of Retail Motor Fuel Site: __________________________________________________________

________________________________________________________________________________________________

Total diesel fuel gallons, including biodiesel fuel gallons, sold

through motor fuel pumps in Iowa during the tax year. Include

..................................................................... 1. ____________________

all diesel fuel and biodiesel fuel gallons.

Total biodiesel fuel gallons sold through motor fuel pumps in

Iowa during the tax year containing a minimum of 2% biodiesel.....................................2. ____________________

Divide line 2 by line 1 and enter the percentage here......................................................3. ____________________

If line 3 is less than 50%, STOP. You are not eligible for the

credit. If line 3 equals or exceeds 50%, continue to line 4.

Enter gallons from line 2 sold through December 31, 2011.............................................4. ____________________

Multiply line 4 by .03 (three cents)...................................................................................5. ____________________

Enter gallons from line 2 sold from January 1, 2012 through the

end of the tax year that contain a minimum of 2% biodiesel, but

less than 5% biodiesel (fiscal year filers only).................................................................6. ____________________

Multiply line 6 by .02 (two cents) ...................................................................................

Enter gallons from line 2 sold from January 1, 2012 through the

end of the tax year that contain a minimum of 5% biodiesel

(fiscal year filers only)...................................................................................................... 8. ____________________

Multiply line 8 by .045 (four and one half cents) ..............................................................9. ____________________

10. Biodiesel blended fuel tax credit (add lines 5, 7 and 9) .................................................10. _____________________

Part II - Final Credit Calculation

1. Total Biodiesel Blended Fuel Tax Credit. Add all line 10’s from all

Part I’s for retailers with multiple sites, or use line 10 from

Part I above for single-site retailer.................................................................1. ____________________

2. Pass-through tax credit from partnership, LLC, S corporation, estate, or trust.

Enter on Part II of the IA 148 Tax Credits Schedule and provide pass-through

information on Part IV of the IA 148 Tax Credits Schedule.............................................2. ____________________

NOTE: Complete only one Part II.

*1141149019999*

41-149a (08/23/11)

Form Ia 8864 - Biodiesel Blended Fuel Tax Credit (Fillable) - 2011

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