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

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Certain Fuel Mixtures

Schedule 3

(Form 8849)

and the Alternative Fuel Credit

OMB No. 1545-1420

(Rev. January 2015)

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

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Department of the Treasury

Information about Schedule 3 (Form 8849) and its instructions is at

Internal Revenue Service

▶

Name as shown on Form 8849

EIN or SSN

Total refund (see instructions)

Caution. You can only use this revision of Schedule 3 (Form 8849) to claim the biodiesel mixture credit, the renewable diesel

mixture credit, and the alternative fuel credit for fuel sold or used in calendar year 2014. Do not claim these credits on

Form 720 or Form 720X for fuel sold or used in 2014. You cannot claim any amounts on Form 8849 that you claimed (or will

claim) on Form 4136, Credit for Federal Tax Paid on Fuels, or Form 8864, Biodiesel and Renewable Diesel Fuels Credit.

Do not use this revision of Schedule 3 (Form 8849) to claim any credit for fuel sold or used during calendar year 2015.

Claimant’s registration no.

▶

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

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

MMDDYYYY format.

From

▶

Reserved

(a)

(b)

(d)

Rate

Gallons of alcohol

CRN

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

Reserved

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, 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.

(b)

(a)

Gallons of

(d)

Rate

biodiesel or

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

CRN

renewable diesel

Biodiesel (other than agri-biodiesel) mixtures

388

$1.00

390

Agri-biodiesel mixtures

1.00

307

Renewable diesel mixtures

1.00

Alternative Fuel Credit

(b)

(a)

(d)

Gallons or

Rate

CRN

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

gasoline gallon

equivalents (GGE)

426

Liquefied petroleum gas (LPG)

$.50

427

“P” Series fuels

.50

428

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

.50

Liquefied hydrogen

429

.50

Fischer-Tropsch process liquid fuel from coal (including peat)

430

.50

431

Liquid fuel derived from biomass

.50

432

Liquefied natural gas (LNG)

.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.

Cat. No. 27451F

Schedule 3 (Form 8849) (Rev. 1-2015)