Form 4136 - Credit For Federal Tax Paid On Fuels - 2015 Page 3

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3
Form 4136 (2015)
Page
9
Reserved
Registration No.
(c) Gallons of
(b) Rate
(e) CRN
(d) Amount of credit
alcohol
a
Reserved
b
Reserved
10
Registration No.
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 process, 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, the Statement of Biodiesel Reseller, both of which have been edited as discussed in the Instructions for Form 4136. See the
instructions for line 10 for information about renewable diesel used in aviation.
(b) Rate
(c) Gallons of
(e) CRN
(d) Amount of credit
biodiesel or
renewable
diesel
a
$
Biodiesel (other than agri-biodiesel) mixtures
$1.00
388
b
Agri-biodiesel mixtures
$1.00
390
c
Renewable diesel mixtures
$1.00
307
11
Nontaxable Use of Alternative Fuel
Caution: There is a reduced credit rate for use in certain intercity and local buses (type of use 5) (see instructions).
(a) Type of use
(b) Rate
(e) CRN
(c) Gallons
(d) Amount of credit
or gasoline
gallon
equivalents (GGE)
a
Liquefied petroleum gas (LPG)
$
$ .183
419
b
“P Series” fuels
.183
420
c
Compressed natural gas (CNG) (GGE = 126.67 cu. ft.)
.183
421
d
Liquefied hydrogen
.183
422
e
Fischer-Tropsch process liquid fuel from coal (including
.243
423
peat)
f
Liquid fuel derived from biomass
.243
424
g
Liquefied natural gas (LNG)
.243
425
h
Liquefied gas derived from biomass
.183
435
12
Alternative Fuel Credit
Registration No.
(b) Rate
(e) CRN
(c) Gallons
(d) Amount of credit
or gasoline
gallon
equivalents (GGE)
a
$
Liquefied petroleum gas (LPG)
$ .50
426
b
“P Series” fuels
.50
427
c
Compressed natural gas (CNG) (GGE = 121 cu. ft.)
.50
428
d
Liquefied hydrogen
.50
429
e
Fischer-Tropsch process liquid fuel from coal (including peat)
.50
430
f
Liquid fuel derived from biomass
.50
431
g
Liquefied natural gas (LNG)
.50
432
h
Liquefied gas derived from biomass
.50
436
i
Compressed gas derived from biomass (GGE = 121 cu. ft.)
.50
437
4136
Form
(2015)

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