Schedule 3 (Form 8849) - Certain Fuel Mixtures And The Alternative Fuel Credit

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Schedule 3

Certain Fuel Mixtures

(Form 8849)

and the Alternative Fuel Credit

OMB No. 1545-1420

(Rev.December 2010)

Department of the Treasury

Attach to Form 8849. Do not file with any other schedule.

▶

Internal Revenue Service

Name as shown on Form 8849

EIN or SSN

Total refund (see instructions)

Caution. The alcohol fuel mixture credit, biodiesel mixture credit, renewable diesel mixture credit, and alternative fuel mixture credit must first

be taken as a credit against your taxable fuel liability (gasoline, diesel fuel, and kerosene) reported on Form 720. Similarly, the alternative fuel

credit must first be taken on Form 720 as a credit against your alternative fuel or CNG tax liability. If you have these tax liabilities and you did

not make the claim on Schedule C (Form 720) as a credit against those liabilities, you must first file Form 720X, Amended Quarterly Federal

Excise Tax Return, before Form 8849, Schedule 3, can be used for the refund. You cannot claim any amounts on Form 8849 that you claimed

(or will claim) on Schedule C (Form 720), Form 720X, or Form 4136, Credit for Federal Tax Paid on Fuels. NOTE: This rule does not apply to

claims for calendar year 2010 except the alcohol fuel mixture credit (line 1) and the credit for liquefied hydrogen (line 3(d)). Claims for

calendar year 2010 for the other credits cannot be made on Form 720 or Form 720X. See the instructions.

Claimant’s registration no.

▶

Enter your registration number, including the prefix. Line 3 claimants must enter their AL or AM registration number.

Note: Period of claim may include 2010 for one-time claims, see instructions.

Period of claim: Enter month, day, and year in

MMDDYYYY format.

From

▶

Alcohol Fuel Mixture Credit

Claimant produced an alcohol fuel mixture by mixing taxable fuel with alcohol. The alcohol fuel mixture was sold by the claimant to any person

for use as a fuel or was used as a fuel by the claimant.

(a)

(b)

(d)

Rate

Gallons of alcohol

CRN

Multiply col. (a) by col. (b).

Alcohol fuel mixtures containing ethanol

393

$ .45

Alcohol fuel mixtures containing alcohol (other than ethanol)

394

.60

Biodiesel or Renewable Diesel Mixture Credit

Biodiesel mixtures. Claimant produced a mixture by mixing biodiesel with diesel fuel. The biodiesel used to produce the mixture met

ASTM D6751 and met EPA’s registration requirements for fuels and fuel additives. The mixture was sold by the claimant to any person for use

as a fuel or was used as a fuel by the claimant. Claimant has attached the Certificate for Biodiesel and, if applicable, the Statement of Biodiesel

Reseller. Renewable diesel mixtures. Claimant produced a mixture by mixing renewable diesel with liquid fuel (other than renewable diesel).

The renewable diesel used to produce the renewable diesel mixture was derived from biomass, and met EPA’s registration requirements for

fuels and fuel additives, and met ASTM D975, D396, or other equivalent standard approved by the IRS. The mixture was sold by the claimant

to any person for use as a fuel or was used as a fuel by the claimant. Claimant has attached the Certificate for Biodiesel and, if applicable,

Statement of Biodiesel Reseller, both of which have been edited as discussed in the instructions for line 2. See the instructions for line 2 for

information about renewable diesel used in aviation.

(a)

(b)

(d)

Rate

Gallons of biodiesel

CRN

Multiply col. (a) by col. (b).

or renewable diesel

Biodiesel (other than agri-biodiesel) mixtures

388

$1.00

Agri-biodiesel mixtures

390

1.00

Renewable diesel mixtures

307

1.00

Alternative Fuel Credit and Alternative Fuel Mixture Credit

For the alternative fuel mixture credit, claimant produced a mixture by mixing taxable fuel with alternative fuel. Claimant certifies that it (a)

produced the alternative fuel, or (b) has in its possession the name, address, and EIN of the person(s) that sold the alternative fuel to the

claimant; the date of purchase; and an invoice or other documentation identifying the amount of the alternative fuel. The claimant also certifies

that it made no other claim for the amount of the alternative fuel, or has repaid the amount to the government. The alternative fuel mixture was

sold by the claimant to any person for use as a fuel or was used as a fuel by the claimant.

(a)

(b)

(d) CRN

Rate

Gallons or gasoline

Multiply col. (a) by col. (b).

gallon equivalents (GGE)

Liquefied petroleum gas (LPG)

426

$ .50

"P Series" fuels

427

.50

Compressed natural gas (CNG)(GGE = 121 cu. ft.)

428

.50

Liquefied hydrogen

429

.50

Any liquid fuel derived from coal (including peat) through the

Fischer-Tropsch process

430

.50

Liquid fuel derived from biomass

431

.50

Liquefied natural gas (LNG)

432

.50

Liquefied gas derived from biomass

436

.50

Compressed gas derived from biomass (GGE = 121 cu. ft.)

437

.50

Send this schedule with completed Form 8849 to: Internal Revenue Service, P.O. Box 312, Covington, KY 41012-0312; on the envelope write “Fuel Mixture Claim”.

For Privacy Act and Paperwork Reduction Act Notice, see Form 8849 instructions.

Schedule 3 (Form 8849) (Rev. 12-2010)

Cat. No. 27451F