OMB No.1545-0162 Fom 4136 Oepartrrent of the Treasury Internal Revenue Service MS) Name (as shown on your income tax ream) Credit for Federal Tax Paid on Fuels ► Go to wwwirs.gov/Fom14136 for instructions and the latest Information. 2018 Attachment Sequence No.23 Taxpayer identification number Caution: Claimant has the name and address of the person who sold the fuel to the claimant and the dates of purchase. For claims on lines lc and 2b (type of use 13 or 14), 3d, 4c, and 5, claimant has not waived the right to make the claim. For claims on lines lc and 2b (type of use 13 or 14), claimant certifies that a certificate has not been provided to the credit card issuer. 1 Nontaxable Use of Gasoline Note: CRN Is credit reference number. a Off-highway business use (a) Type of use (b) Rate (e) Gallons (d) Amount of credit (e) CRN $ .183 $ 362 b Use on a farm for farming purposes .183 } c Other nontaxable use (see Caution above line 1) .183 d Exported .184 411 2 Nontaxable Use of Aviation Gasoline a Use in commercial aviation (other than foreign trade) (a) Type of use (b) Rate (e) Gallons (d) Amount of credit (e) CRN $ .15 $ 354 b Other nontaxable use (see Caution above line 1) .193 324 c Exported .194 412 d WST tax on aviation fuels used in foreign trade s .001 433 3 Nontaxable Use of Undyed Diesel Fuel Claimant certifies that the diesel fuel did not contain visible evidence of dye. Exception. If any of the diesel fuel included in this claim did contain visible evidence of dye, attach an explanation and check here II. a Nontaxable use (a) Type of use (b) Rate (e) Gallons (d) Amount of credit (e) CRN $ .243 b Use on a farm for farming purposes .243 c Use in trains .243 353 d Use in certain intercity and local buses (see Caution above line 1) .17 350 e Exported .244 413 4 Nontaxable Use of Undyed Kerosene (Other Than Kerosene Used in Aviation) Claimant certifies that the kerosene did not contain vi