8864
Biodiesel and Renewable Diesel Fuels Credit
OMB No. 1545-1924
2015
Form
Attach to your tax return.
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Attachment
Department of the Treasury
141
Information about Form 8864 and its separate instructions is at
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Sequence No.
Internal Revenue Service
Identifying number
Name(s) shown on return
Caution: You cannot claim any amounts on Form 8864 that you claimed (or will claim) on Form 720 (Schedule C), Form
8849, or Form 4136.
Claimant has a certificate from the producer or importer of biodiesel or renewable diesel reported on lines 1 through 6
below and, if applicable, claimant also has a statement from the reseller. Claimant has no reason to believe that the
information in the certificate or statement is false. Claimant may need to attach a copy of the certificate and statement.
See Certification in the instructions.
(a)
(c)
(b)
Type of Fuel
Number of Gallons
Rate
Column (a) x Column (b)
Sold or Used
1
Biodiesel (other than agri-biodiesel) .
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1
$1.00
Agri-biodiesel
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2
2
$1.00
Renewable diesel .
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3
3
$1.00
4
Biodiesel (other than agri-biodiesel) included in a biodiesel
$1.00
mixture .
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4
Agri-biodiesel included in a biodiesel mixture .
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5
5
$1.00
Renewable diesel included in a renewable diesel mixture .
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6
6
$1.00
Qualified agri-biodiesel production
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7
7
$
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8
Add lines 1 through 7. Include this amount in your income for 2015 (see instructions) .
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8
9
Biodiesel and renewable diesel fuels credit from partnerships, S corporations, cooperatives,
estates, and trusts (see instructions) .
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9
10
Add lines 8 and 9. Cooperatives, estates, and trusts, go to line 11. Partnerships and
S corporations, stop here and report this amount on Schedule K. All others, stop here and report
this amount on Form 3800, Part III, line 1l
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10
11
Amount allocated to patrons of the cooperative or beneficiaries of the estate or trust (see
instructions) .
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11
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Cooperatives, estates, and trusts, subtract line 11 from line 10. Report this amount on Form 3800,
Part III, line 1l
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8864
For Paperwork Reduction Act Notice, see separate instructions.
Form
(2015)
Cat. No. 25778F