Form 4136 - Credit For Federal Tax Paid On Fuels - 2015 Page 4

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4
Form 4136 (2015)
Page
13
Registered Credit Card Issuers
Registration No.
▶
(b) Rate
(c) Gallons
(d) Amount of credit
(e) CRN
a
Diesel fuel sold for the exclusive use of a state or local government
$
$ .243
360
b
Kerosene sold for the exclusive use of a state or local government
.243
346
c
Kerosene for use in aviation sold for the exclusive use of a state or local
government taxed at $.219
.218
369
14
Nontaxable Use of a Diesel-Water Fuel Emulsion
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
(c) Gallons
(d) Amount of credit
(e) CRN
a
Nontaxable use
$
$ .197
309
b
Exported
.198
306
15
Diesel-Water Fuel Emulsion Blending
Registration No.
▶
(b) Rate
(c) Gallons
(e) CRN
(d) Amount of credit
Blender credit
$
$ .046
310
16
Exported Dyed Fuels and Exported Gasoline Blendstocks
(b) Rate
(c) Gallons
(d) Amount of credit
(e) CRN
a
$
Exported dyed diesel fuel and exported gasoline blendstocks taxed at $.001
$ .001
415
b
Exported dyed kerosene
.001
416
17
Total income tax credit claimed. Add lines 1 through 16, column (d). Enter here and on Form
1040, line 72; Form 1120, Schedule J, line 19b; Form 1120S, line 23c; Form 1041, line 24g; or
the proper line of other returns.
17
$
▶
4136
Form
(2015)

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