Form 720 - Quarterly Federal Excise Tax Return Page 3

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2
Form 720 (Rev. 4-2017)
Page
Rate
Tax
IRS No.
IRS No.
33
Retail Tax
Truck, trailer, and semitrailer chassis and bodies, and tractor
33
12% of sales price
Ship Passenger Tax
Number of persons
Rate
Tax
$3 per person
29
Transportation by water
29
Other Excise Tax
Amount of obligations
Rate
Tax
31
Obligations not in registered form
$ .01
31
Foreign Insurance Taxes—Policies issued by foreign insurers
Tax
Premiums paid
Rate
IRS No.
}
$ .04
Casualty insurance and indemnity bonds
Life insurance, sickness and accident policies, and annuity
30
contracts
.01
30
Reinsurance
.01
Manufacturers Taxes
Number of tons
Sales price
36
36
$1.10 per ton
Coal—Underground mined
37
4.4% of sales price
37
38
$.55 per ton
38
Coal—Surface mined
39
39
4.4% of sales price
Tax
Number of tires
IRS No.
108
Taxable tires other than bias ply or super single tires
108
109
Taxable bias ply or super single tires (other than super single tires designed for steering)
109
113
Taxable tires, super single tires designed for steering
113
. . . . . . . . . . . .
40
Gas guzzler tax. Attach Form 6197. Check if one-time filing
40
97
Vaccines (see instructions)
97
Sales price
136
Reserved
136
2.3% of sales price
1
Total. Add all amounts in Part I. Complete Schedule A unless one-time filing
$
Part II
(a) Avg. number
(b) Rate for
Patient‐Centered Outcomes Research Fee (see
of lives covered
avg.
(c) Fee (see
instructions)
IRS No.
}
(see inst.)
covered life
instructions)
Tax
IRS No.
Specified health insurance policies
$ 2.17
(a) With a policy year ending before October 1, 2016
(b) With a policy year ending on or after October 1, 2016,
$ 2.26
and before October 1, 2017
133
133
Applicable self‐insured health plans
$ 2.17
(c) With a plan year ending before October 1, 2016
(d) With a plan year ending on or after October 1, 2016, and
$ 2.26
before October 1, 2017
Rate
41
Sport fishing equipment (other than fishing rods and fishing poles)
10% of sales price
41
110
Fishing rods and fishing poles (limits apply, see instructions)
10% of sales price
110
42
Electric outboard motors
3% of sales price
42
114
Fishing tackle boxes
3% of sales price
114
44
Bows, quivers, broadheads, and points
11% of sales price
44
106
Arrow shafts
$ .50 per shaft
106
140
Indoor tanning services
10% of amount paid
140
Number of gallons
Rate
Tax
64
Inland waterways fuel use tax
$ .29
64
125
LUST tax on inland waterways fuel use (see instructions)
.001
125
51
51
Section 40 fuels (see instructions)
117
Biodiesel sold as but not used as fuel
117
20
Floor Stocks Tax—Ozone-depleting chemicals (floor stocks). Attach Form 6627.
20
$
2
Total. Add all amounts in Part II
720
Form
(Rev. 4-2017)

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