Form 4136 Form Field Reference for TY2011
| FORM 4136 Credit for Federal Tax Paid on Fuels | ||
| Field No. | Description | Line Ref. |
|
| ||
| 0008 | Statement in Lieu of Previously Field Certificate |
|
| 0010 | Off-Highway Business Use Gallons | 1a(c) |
| 0020 | Use on Farm For Farming Purpose Gallons | 1b(c) |
| 0030 | Nontaxable Use of Gasoline Type | 1c(a) |
| 0040 | Nontaxable Use of Gasoline Gallons | 1c(c) |
| 0070 | Nontaxable Use of Gasoline Cr. Amount | 1c(d) |
| 0080 | Exported Nontaxable Use of Gasoline Gallons | 1d(c) |
| 0090 | Exported Nontaxable Use of Gasoline Cr. Amount | 1d(d) |
| 0170 | Commercial Aviation Gasoline Gallons | 2a(c) |
| 0180 | Nontaxable Use of Commercial Aviation Gas Cr. Amt | 2a(d) |
| 0190 | Nontaxable Use of Aviation Gasoline Type | 2b(a) |
| 0200 | Nontaxable Use of Aviation Gasoline Gallons | 2b(c) |
| 0210 | Nontaxable Use of Aviation Gas Cr Amt | 2b(d) |
| 0215 | Exported Nontaxable Use of Aviation Gas Gallons | 2c(c) |
| 0220 | Exported Nontaxable Use of Aviation Cr Amount | 2c(d) |
| 0225 | Lust Tax on Aviation Fuel Gallons | 2d(c) |
| 0230 | Lust Tax on Aviation Fuel Cr Amt | 2d(d) |
| 0240 | Evidence of Dyed Diesel Fuel Explanation | 3 |
| 0250 | Evidence of Dyed Diesel Fuel Exception Box | 3 |
| 0260 | Nontaxable Use of Diesel Fuel Type | 3a(a) |
| 0270 | Nontaxable Use of Diesel Fuel Gallons | 3a(c) |
| 0303 | Diesel Fuel for Farming Purposes Gallons | 3b(c) |
| 0307 | Diesel Fuel for Farming Purposes Cr. Amount | 3b(d) |
| 0310 | Diesel Fuel Train Use Gallons | 3c(c) |
| 0320 | Diesel Fuel Train Use Cr. Amt | 3c(d) |
| 0330 | Diesel Fuel Certain Intercity Local Bus Use Gallon | 3d(c) |
| 0340 | Diesel Fuel Certain Intercity & Bus Use Cr. Amt | 3d(d) |
| 0343 | Diesel Fuel Exported Gallons | 3e(c) |
| 0347 | Diesel Fuel Exported Cr. Amount | 3e(d) |
| 0350 | Evidence of Dyed Kerosene Explanation | 4 |
| 0360 | Evidence of Dyed Kerosene Box | 4 |
| 0370 | Nontaxable Use of Kerosene Type | 4a(a) |
| 0380 | Nontaxable Use of Kerosene Gallons | 4a(c) |
| 0399 | Nontaxable Kerosene for Farming Purposes Gallons | 4b(c) |
| 0407 | Kerosene Use Farm Cr. Amount | 4b(d) |
| 0409 | Kerosene Use in Buses Gallons | 4c(c) |
| 0416 | Kerosene Use in Buses Cr. Amount | 4c(d) |
| 0418 | Nontaxable Use of Kerosene Exported Gallons | 4d(c) |
| 0420 | Nontaxable Use of Kerosene Exported Cr. Amount | 4d(d) |
| 0425 | Nontaxable Kerosene Aviation Rate 1 Type of Use | 4e(a) |
| 0430 | Nontaxable Kerosene Aviation Rate 1 Gallons | 4e(c) |
| 0435 | Nontaxable Kerosene Aviation Rate 1 Cr Amt | 4e(d) |
| 0440 | Nontaxable Kerosene Aviation Rate 2 Type of Use | 4f(a) |
| 0445 | Nontaxable Kerosene Aviation Rate 2 Gallons | 4f(c) |
| 0450 | Nontaxable Kerosene Aviation Rate 2 Cr Amt | 4f(d) |
| 0550 | Commercial Aviation Kerosene Gallons 1 | 5a(c) |
| 0555 | Commercial Aviation Kerosene Cr Amount 1 | 5a(d) |
| 0560 | Commercial Aviation Kerosene Gallons 2 | 5b(c) |
| 0565 | Commercial Aviation Kerosene Cr Amount 2 | 5b(d) |
| 0570 | Nontaxable Aviation Kerosene User Type 1 | 5c(a) |
| 0575 | Use of Nontaxable Aviation Kerosene Gal Type 1 | 5c(c) |
| 0580 | Use of Nontaxable Aviation Kerosene Amt Type 1 | 5c(d) |
| 0585 | Nontaxable Aviation Kerosene Use Type 2 | 5d(a) |
| 0590 | Use of Nontaxable Aviation Kerosene Gal Type 2 | 5d(c) |
| 0595 | Use of Nontaxable Aviation Kerosene Amt Type 2 | 5d(d) |
| 0600 | Lust Tax on Kerosene Gallons | 5e(c) |
| 0605 | Lust Tax on Kerosene Cr Amt | 5e(d) |
| 0608 | Undyed Diesel Fuel Registration No. | 6 |
| 0610 | Evidence of Dyed Diesel Fuel Explanation | 6 |
| 0615 | Evidence of Dyed Diesel Fuel Exception Box | 6 |
| 0620 | Use of Undyed Diesel by State or Local Gov Gallons | 6a(c) |
| 0625 | Use of Undyed Diesel by State or Local Gov Cr. Amt | 6a(d) |
| 0630 | Customer Information Attachment | 6a |
| 0635 | Use Undyed Diesel Intercity Buses Gallons | 6b(c) |
| 0640 | Use Undyed Diesel Intercity Buses Cr. Amount | 6b(d) |
| 0645 | Undyed Kerosene Registration No. | 7 |
| 0650 | Evidence of Dyed Kerosene Explanation | 7 |
| 0655 | Evidence of Dyed Kerosene Exception Box | 7 |
| 0660 | Use of Undyed Kero by State or Local Gov Gallons | 7a(c) |
| 0665 | Customer Information Attachment | 7a |
| 0670 | Kerosene Sales from Blocked Pump Gallons | 7b(c) |
| 0680 | Sales by Vendors of Undyed Kerosene Cr. Amount | 7b(d) |
| 0685 | Undyed Kerosene Use in Certain Buses Gallons | 7c(c) |
| 0695 | Undyed Kerosene Use in Certain Buses Cr. Amount | 7c(d) |
| 0705 | Vendors of Kerosene for Use of Aviation Reg. No. | 8 |
| 0715 | Used in Commercial Aviation Gallons Type 1 | 8a(c) |
| 0725 | Used in Commercial Aviation Cr. Amount Type 1 | 8a(d) |
| 0745 | Other Use in Commercial Aviation Gallons Type 2 | 8b(c) |
| 0750 | Other Use in Commercial Aviation Cr. Amount Type 2 | 8b(d) |
| 0755 | Nonexempt Use Gallons | 8c(c) |
| 0757 | Nonexempt Use Cr. Amount | 8c(d) |
| 0759 | Other Nontaxable Use Type 1 | 8d(a) |
| 0760 | Other Nontaxable Use Gallons 1 | 8d(c) |
| 0764 | Other Nontaxable Use Cr. Amount 1 | 8d(d) |
| 0768 | Other Nontaxable Use Type 2 | 8e(a) |
| 0770 | Other Nontaxable Use Gallons 2 | 8e(c) |
| 0775 | Other Nontaxable Use Cr. Amount 2 | 8e(d) |
| 0780 | Lust Tax on Kerosene Foreign Trade Gallons | 8f(c) |
| 0785 | Lust Tax on Kerosene Foreign Trade Cr Amt | 8f(d) |
| 0950 | Alcohol Fuel Mixture Registration No. | 9 |
| 0960 | Alcohol Mixtures Ethanol Gallons | 9a(c) |
| 0970 | Alcohol Mixtures Ethanol Cr. Amount | 9a(d) |
| 0980 | Alcohol Mixtures Other Than Ethanol Gallons | 9b(c) |
| 0990 | Alcohol Mixtures Other Than Ethanol Cr. Amount | 9b(d) |
| 3010 | Biodiesel Mixture Registration No. | 10 |
| 3020 | Biodiesel Mix Gallons | 10a(c) |
| 3030 | Biodiesel Mix Cr. Amount | 10a(d) |
| 3040 | Agri-biodiesel Mix Gallons | 10b(c) |
| 3050 | Agri-biodiesel Mix Cr. Amount | 10b(d) |
| 3060 | Renewable Diesel Mix Gallons | 10c(c) |
| 3070 | Renewable Diesel Mix Cr. Amount | 10c(d) |
| 3199 | LPG Use Type Literal | 11a(a) |
| 3200 | LPG Use Type | 11a(a) |
| 3210 | LPG Gallons | 11a(c) |
| 3220 | LPG Cr. Amount | 11a(d) |
| 3239 | "P Series" Fuels Use Type Literal | 11b(a) |
| 3240 | P Series Fuels Use Type | 11b(a) |
| 3260 | P Series Fuels Gallons | 11b(c) |
| 3280 | P Series Fuels Cr. Amount | 11b(d) |
| 3299 | CNG Use Type Literal | 11c(a) |
| 3300 | Compressed Natural Gas Use Type | 11c(a) |
| 3320 | Compressed Natural Gas Gallons | 11c(c) |
| 3340 | Compressed Natural Gas Cr. Amount | 11c(d) |
| 3359 | Liquefied Hydrogen Use Type Literal | 11d(a) |
| 3360 | Liquefied Hydrogen Use Type | 11d(a) |
| 3380 | Liquefied Hydrogen Gallons | 11d(c) |
| 3400 | Liquefied Hydrogen Cr. Amount | 11d(d) |
| 3419 | Liquid Fuel from Coal Use Type Literal | 11e(a) |
| 3420 | Liquid Fuel from Coal Use type | 11e(a) |
| 3440 | Liquid Fuel from Coal Gallons | 11e(c) |
| 3460 | Liquid Fuel from Coal Cr. Amount | 11e(d) |
| 3479 | Liquid Hydrocarbons Use Type Literal | 11f(a) |
| 3480 | Liquid Hydrocarbons Use Type | 11f(a) |
| 3500 | Liquid Hydrocarbons Gallons | 11f(c) |
| 3520 | Liquid Hydrocarbons Cr. Amount | 11f(d) |
| 3539 | Liquefied Natural Gas Use Type Literal | 11g(a) |
| 3540 | Liquefied Natural Gas Use Type | 11g(a) |
| 3560 | Liquefied Natural Gas Gallons | 11g(c) |
| 3580 | Liquefied Natural Gas Cr. Amount | 11g(d) |
| 3582 | Liquefied Gas from Biomass Use Type Literal | 11h(a) |
| 3583 | Liquefied Gas from Biomass Use Type | 11h(a) |
| 3585 | Liquefied Gas Derived from Biomass Gas Gallons | 11h(c) |
| 3587 | Liquefied Gas Derived from Biomass Credit Amount | 11h(d) |
| 3600 | Alternative Fuel Cr. Reg. No. | 12 |
| 3620 | LPG Gallons | 12a(c) |
| 3640 | LPG Cr. Amount | 12a(d) |
| 3660 | P Series Fuels Gallons | 12b(c) |
| 3680 | P Series Fuels Cr. Amount | 12b(d) |
| 3700 | Compressed Natural Gas Gallons | 12c(c) |
| 3720 | Compressed Natural Gas Cr. Amount | 12c(d) |
| 3740 | Liquefied Hydrogen Gallons | 12d(c) |
| 3760 | Liquefied Hydrogen Cr. Amount | 12d(d) |
| 3780 | Liquid Fuel from Coal Gallons | 12e(c) |
| 3800 | Liquid Fuel from Coal Cr. Amount | 12e(d) |
| 3820 | Liquid Hydrocarbons Gallons | 12f(c) |
| 3840 | Liquid Hydrocarbons Cr. Amount | 12f(d) |
| 3860 | Liquefied Natural Gas Gallons | 12g(c) |
| 3880 | Liquefied Natural Gas Cr. Amount | 12g(d) |
| 3881 | Liquefied Gas Derived from Biomass Gallons | 12h(c) |
| 3883 | Liquefied Gas Derived from Biomass Credit Amount | 12h(d) |
| 3885 | Compressed Gas Derived from Biomass Gallons | 12i(c) |
| 3887 | Compressed Gas Derived from Biomass Credit Amount | 12i(d) |
| 3900 | Registered Credit Card Issuers Registration No. | 13 |
| 3920 | Diesel Fuel for State or Local Government Gallons | 13a(c) |
| 3940 | Diesel Fuel for State or Local Government Cr. Amt | 13a(d) |
| 3960 | Kerosene Fuel Sold for State or Local Gov Gallons | 13b(c) |
| 3980 | Kerosene Fuel Sold for State or Local Gov Cr. Amt | 13b(d) |
| 4000 | Kerosene Use in Aviation - State/Local Gov Gallons | 13c(c) |
| 4020 | Kerosene Use in Aviation - State/Local Gov Cr. Amt | 13c(d) |
| 4119 | Diesel-Water Fuel Emulsion Nontax. Use Literal | 14a(a) |
| 4120 | Diesel-Water Fuel Emulsion Nontaxable Use Type | 14a(a) |
| 4140 | Diesel-Water Fuel Emulsion Nontaxable Gallons | 14a(c) |
| 4160 | Diesel-Water Fuel Emulsion Nontaxable Credit Amount | 14a(d) |
| 4180 | Diesel-Water Exported Gallons | 14b(c) |
| 4200 | Diesel-Water Exported Credit Amount | 14b(d) |
| 4220 | Diesel-Water Fuel Emulsion Blending Reg. No. | 15 |
| 4230 | Customer Information Statement | 15 |
| 4240 | Diesel-Water Fuel Emulsion Blending Gallons | 15a(c) |
| 4260 | Diesel-Water Fuel Emulsion Blending Credit Amount | 15a(d) |
| 4280 | Exported Dyed Diesel Fuel Gallons | 16a(c) |
| 4300 | Exported Dyed Diesel Fuel Credit Amount | 16a(d) |
| 4320 | Exported Dyed Kerosene Gallons | 16b(c) |
| 4340 | Exported Dyed Kerosene Credit Amount | 16b(d) |
| 4360 | Total Income Tax Credit Amount | 17 |
