Form Ia 4136 - Iowa Fuel Tax Credit - 2015 Page 2

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IA 4136, page 2
4. Undyed Biodiesel Fuel - Blends B11 or Higher
Invoice
Invoice
Highway
Tax
Fuel Tax
Fuel Tax
Claimed
Sales
Date
Gallons
Gallons
Rate
Paid
Credit
Gallons
Tax
01/01/2015
to
4a.
$0.225
$
$
$
02/28/2015
03/01/2015
to
4b.
$0.325
$
$
$
06/30/2015
07/01/2015
to end of
4c.
$0.295
$
$
$
tax year
5. Special Fuel - LPG
Invoice
Invoice
Highway
Tax
Fuel Tax
Fuel Tax
Claimed
Sales
Date
Gallons
Gallons
Rate
Paid
Credit
Gallons
Tax
01/01/2015
to
5a.
$0.20
$
$
$
02/28/2015
03/01/2015
to end of
5b.
$0.30
$
$
$
tax year
6. Total Fuel Tax Credit
0
Add Fuel Tax Credit column for all fuel types ........................................................................ $
41-036b (09/11/15)

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