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Form
8864
Department of the Treasury
Internal Revenue Service
Biodiesel and Renewable Diesel Fuels Credit
a
Attach to your tax return.
a
Information about Form 8864 and its instructions is at
www.irs.gov/form8864.
OMB No. 1545-1924
20
13
Attachment
Sequence No.
141
Name(s) shown on return
Identifying number
You cannot claim any amounts on Form 8864 that you claimed (or will claim) on Form 720 (Schedule C), Form 8849, or
Form 4136.
Caution.
Claimant has a certificate from the producer or importer of biodiesel or renewable diesel reported on lines 1 through 6 below a
nd, if
applicable, claimant also has a statement from the reseller. Claimant has no reason to believe that the information in the cer
tificate or
statement is false. Claimant may need to attach a copy of the certificate and statement. See
Certification
below.
Type of Fuel
(a)
Number of Gallons
Sold or Used
(b)
Rate
(c)
Column (a) x Column (b)
1
Biodiesel (other than agri-biodiesel)
.........
1
$1.00
2
Agri-biodiesel
................
2
$1.00
3
Renewable diesel
...............
3
$1.00
4
Biodiesel (other than agri-biodiesel) included in a biodiesel
mixture
..................
4
$1.00
5
Agri-biodiesel included in a biodiesel mixture
......
5
$1.00
6
Renewable diesel included in a renewable diesel mixture . .
6
$1.00
7
Qualified agri-biodiesel production
.........
7
$ .10
8
Add lines 1 through 7. Include this amount in your income for 2013 (see instructions)
.....
8
9
Biodiesel and renewable diesel fuels credit from partnerships, S corporations, cooperatives,
estates, and trusts (see instructions)
.....................
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, line 1l
......................
10
11
Amount allocated to patrons of the cooperative or beneficiaries of the estate or trust (see
instructions)
.............................
11
12
Cooperatives, estates, and trusts, subtract line 11 from line 10. Report this amount on Form 3800,
line 1l
...............................
12
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 25778F
Form
8864
(2013)
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