Iowa Department of Revenue
2011 IA 137
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Ethanol Promotion 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
Tax Period Ending
Pass-through entity (if applicable).
Pass-through FEIN
Attach a list if multiple pass-through entities.
PART I – Determination of Biofuel Distribution Percentage and Biofuel Threshold Percentage Disparity
Indicate determination method:
2011 GALLONS
2012 GALLONS
Company-wide
Site-by-site
Beginning of tax year through 12-31-11
01-01-12 through end of tax year
A
B
C (A x B)
D
E
F (D x E)
1. E10 gallons sold ......................................................... 1. __________________ 10% ___________________
1. _________________ 10% __________________
2. E15 gallons sold ......................................................... 2. __________________ 15% ___________________
2. _________________ 15% __________________
3. E85 gallons sold ......................................................... 3. __________________ 79% ___________________
3. _________________ 79% __________________
4. Ethanol gallons other than E10, E15, or E85 sold ... 4. ____________________ % ___________________
4. ___________________ % __________________
5. Total ethanol sold. Add lines 1 through 4 ................ 5. __________________________________________
5. ________________________________________
6. Non-ethanol gasoline gallons sold ............................ 6. __________________________________________
6. ________________________________________
7. Total gasoline gallons sold. Add lines 1,2,3,4 & 6.. 7. __________________________________________
7. ________________________________________
8. Gallons of biodiesel sold
B2 gallons .................................... a.
___________________ 2% _________________________________________ 2% __________________
B5 gallons .................................... b.
___________________ 5% _________________________________________ 5% __________________
B10 gallons ................................. c.
__________________ 10% ________________________________________ 10% __________________
B20 gallons ................................. d.
__________________ 20% ________________________________________ 20% __________________
Other biodiesel gallons ............... e.
____________________ % __________________________________________ % __________________
8. Total biodiesel sold. Add lines a through e..................
8.
8.
9. Total biofuel sold. Add lines 5 and 8. ........................ 9. __________________________________________
9. ________________________________________
10. Divide line 9 by line 7, round to 2 decimal places;. 10. _________________________________________
%
10. ________________________________________
%
i.e. 12.05% (Biofuel distribution percentage)
%
%
11. Biofuel threshold percentage ................................... 11. __________________________________________ 11. ________________________________________
Fiscal year filers see instructions to annualize line 7.
If line 7 for 2011 for all sites is 200,000 gallons or less, enter 10%.
If line 7 for 2012 for all sites is 200,000 gallons or less, enter 11%.
.
If line 7 for 2011 for all sites is more than 200,000 gallons, enter 12%
If line 7 for 2012 for all sites is more than 200,000 gallons, enter 13%.
12. Subract line 10 from line 11, to 2 decimal places. If zero or less, enter
zero. (Biofuel threshold percentage disparity) ....... 12. __________________________________________ 12. _____________________________________
%
%
If line 12 is 4.01% or more, you are not eligible for the credit.
41-151a (08/23/11)