Tax Form 720 Fill in and Calculate Online

Form 720: Collection Information Statement

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Collection Information Statement
Part I
IRS No.	Environmental Taxes (attach Form 6627)				Tax	IRS No.
18	Domestic petroleum oil spill tax					18
21	Imported petroleum products oil spill tax					21
98	Ozone-depleting chemicals (ODCs)					98
19	ODC tax on imported products					19
IRS No.	Communications and Air Transportation Taxes (see instructions)				Tax	IRS No.
22	Local telephone service and teletypewriter exchange service					22
26	Transportation of persons by air					26
28	Transportation of property by air					28
27	Use of international air travel facilities					27
60	Fuel Taxes		Number of gallons	Rate	Tax
	(a) Diesel, tax on removal at terminal rack
	(b) Diesel, tax on taxable events other than removal at terminal rack					60
	(c) Diesel, tax on sale or removal of biodiesel mixture (not at terminal rack)
104	Diesel-water fuel emulsion					104
105	Dyed diesel, LUST tax					105
107	Dyed kerosene, LUST tax					107
119	LUST tax, other exempt removals (see instructions)					119
35	(a) Kerosene, tax on removal at terminal rack (see instructions)
	(b) Kerosene, tax on taxable events other than removal at terminal rack					35
69	Kerosene for use in aviation (see instructions)					69
77	Kerosene for use in commercial aviation (other than foreign trade)					77
111	Kerosene for use in aviation, LUST tax on nontaxable uses					111
79	Other fuels (see instructions)					79
62	(a) Gasoline, tax on removal at terminal rack
	(b) Gasoline, tax on taxable events other than removal at terminal rack					62
13	Any liquid fuel used in a fractional ownership program aircraft					13
14	Aviation gasoline					14
112	Liquefied petroleum gas (LPG) (see instructions)					112
118	“P Series” fuels					118
120	Compressed natural gas (CNG) (see instructions)					120
121	Liquefied hydrogen					121
122	Fischer-Tropsch process liquid fuel from coal (including peat)					122
123	Liquid fuel derived from biomass					123
124	Liquefied natural gas (LNG) (see instructions)					124
IRS No.				Rate	Tax	IRS No.
33	Retail Tax—Truck, trailer, and semitrailer chassis and bodies, and tractor					33
29	Ship Passenger Tax		Number of persons	Rate	Tax
	Transportation by water					29
31	Other Excise Tax		Number of persons	Rate	Tax
	Obligations not in registered form					31
30	Foreign Insurance Taxes—Policies issued by foreign insurers		Premiums paid	Rate	Tax	IRS No.
	Casualty insurance and indemnity bonds
	Life insurance, sickness and accident policies, and annuity contracts					30
	Reinsurance
	Manufacturers Taxes	Number of tons	Sales price
36	Coal—Underground mined					36
37						37
38	Coal—Surface mined					38
39						39
				Number of tires	Tax	IRS No.
108	Taxable tires other than bias ply or super single tires					108
109	Taxable bias ply or super single tires (other than super single tires designed for steering)					109
113	Taxable tires, super single tires designed for steering					113
40	Gas guzzler tax. Attach Form 6197. Check if one-time filing					40
97	Vaccines (see instructions)					97
136	Reserved		Sales price	2.3% of sales price		136

1	Total. Add all amounts in Part I. Complete Schedule A unless one-time filing ▸				$
Part II
IRS No.	Patient Centered Outcomes Research Fee (see instructions)	(a) Avg. number of lives covered (see inst.)	(b) Rate for avg. covered life	(c) Fee (see instructions)	Tax	IRS No.
133	Specified health insurance policies					133
	(a) With a policy year ending before October 1, 2016		$
	(b) With a policy year ending on or after October 1, 2016, and before October 1, 2017		$
	Applicable self ‐insured health plans
	(c) With a plan year ending before October 1, 2016		$
	(d) With a plan year ending on or after October 1, 2016, and before October 1, 2017		$
41	Sport fishing equipment (other than fishing rods and fishing poles)			Rate
						41
110	Fishing rods and fishing poles (limits apply, see instructions)					110
42	Electric outboard motors					42
114	Fishing tackle boxes					114
44	Bows, quivers, broadheads, and points					44
106	Arrow shafts					106
140	Indoor tanning services					140
64	Inland waterways fuel use tax		Number of gallons	Rate	Tax	64

125	LUST tax on inland waterways fuel use (see instructions)					125
51	Section 40 fuels (see instructions)					51
117	Biodiesel sold as but not used as fuel					117
20	Floor Stocks Tax—Ozone-depleting chemicals (floor stocks). Attach Form 6627.					20
2	Total. Add all amounts in Part II ▸				$
Part III
3	Total tax. Add Part I, line 1, and Part II, line 2 ▸					3
4	Claims (see instructions; complete Schedule C) ▸				4
5	Deposits made for the quarter ▸			5
	Check here if you used the safe harbor rule to make your deposits.
6	Overpayment from previous quarters ▸			6
7	Enter the amount from Form 720X included on line 6, if any ▸			7
8	Add lines 5 and 6 ▸				8
9	Add lines 4 and 8 ▸					9
10	Balance Due. If line 3 is greater than line 9, enter the difference. Pay the full amount with the return (see instructions) ▸					10
11	Overpayment. If line 9 is greater than line 3, enter the difference. Check if you want the overpayment: Applied to your next return, or Refunded to you.					11
Schedule A Excise Tax Liability (see instructions)
Note: You must complete Schedule A if you have a liability for any tax in Part I of Form 720. Do not complete Schedule A for Part II taxes or for a one-time filing of the gas guzzler tax.
1	Regular method taxes
	(a) Record of Net Tax Liability			Period
				1st–15th day	16th–last day
	First month			A	B
	Second month			C	D
	Third month			E	F
	Special rule for September ▸				G
	(b) Net liability for regular method taxes. Add the amounts for each semimonthly period.
2	Alternative method taxes (IRS Nos. 22, 26, 28, and 27)
	(a) Record of Taxes Considered as Collected			Period
				1st–15th day	16th–last day
	First month			M	N
	Second month			O	P
	Third month			Q	R
	Special rule for September ▸				S
	(b) Alternative method taxes. Add the amounts for each semimonthly period.
	*Complete only as instructed (see instructions).
Schedule T Two-Party Exchange Information Reporting (see instructions)
Fuel						Number of gallons
Diesel fuel, gallons received in a two-party exchange within a terminal, included on IRS No. 60(a) on Form 720
Diesel fuel, gallons delivered in a two-party exchange within a terminal
Kerosene, gallons received in a two-party exchange within a terminal, included on IRS No. 35(a), 69, 77, or 111 on Form 720
Kerosene, gallons delivered in a two-party exchange within a terminal
Gasoline, gallons received in a two-party exchange within a terminal, included on IRS No. 62(a) on Form 720
Gasoline, gallons delivered in a two-party exchange within a terminal
Aviation gasoline, gallons received in a two-party exchange within a terminal, included on IRS No. 14 on Form 720
Aviation gasoline, gallons delivered in a two-party exchange within a terminal
Schedule C Claims Month your income tax year ends ▸
• Complete Schedule C for claims only if you are reporting liability in Part I or II of Form 720. • Attach a statement explaining each claim as required. Include your name and EIN on the statement (see instructions). Caution: Claimant has the name and address of the person(s) who sold the fuel to the claimant, the dates of purchase, and if exported, the required proof of export. For claims on lines 1a and 2b (type of use 13 and 14), 3c, 4b, and 5, claimant has not waived the right to make the claim.
1	Nontaxable Use of Gasoline Note: CRN is credit reference number. Period of claim ▸
a	Gasoline (see Caution above line 1)	Type of use	Rate	Gallons	Amount of claim	CRN
						362
b	Exported (see Caution above line 1)					411
2	Nontaxable Use of Aviation Gasoline Period of claim ▸
a	Used in commercial aviation (other than foreign trade)	Type of use	Rate	Gallons	Amount of claim	CRN
						354
b	Other nontaxable use (see Caution above line 1)					324
c	Exported (see Caution above line 1)					412
d	LUST tax on aviation fuels used in foreign trade					433
3	Nontaxable Use of Undyed Diesel Fuel Period of claim ▸
	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 a detailed explanation and check here ▸
a	Nontaxable use	Type of use	Rate	Gallons	Amount of claim	CRN
						360
b	Use in trains					353
c	Use in certain intercity and local buses (see Caution above line 1)					350
d	Use on a farm for farming purposes					360
e	Exported (see Caution above line 1)					413
4	Nontaxable Use of Undyed Kerosene (Other Than Kerosene Used in Aviation) Period of claim ▸
	Claimant certifies that the kerosene did not contain visible evidence of dye. Exception. If any of the kerosene included in this claim did contain visible evidence of dye, attach a detailed explanation and check here ▸
a	Nontaxable use	Type of use	Rate	Gallons	Amount of claim	CRN
						362
b	Use in certain intercity and local buses (see Caution above line 1)					347
c	Use on a farm for farming purposes					346
d	Exported (see Caution above line 1)					414
e	Nontaxable use taxed at $0.044					377
f	Nontaxable use taxed at $0.219					369
5	Kerosene Used in Aviation (see Caution above line 1) Period of claim ▸
a	Kerosene used in commercial aviation (other than foreign trade) taxed at $0.244	Type of use	Rate	Gallons	Amount of claim	CRN
						417
b	Kerosene used in commercial aviation (other than foreign trade) taxed at $0.219					355
c	Nontaxable use (other than use by state or local government) taxed at $0.244					346
d	Nontaxable use (other than use by state or local government) taxed at $0.219					369
e	LUST tax on aviation fuels used in foreign trade					433
6	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	Liquefied petroleum gas (LPG) (see instructions)	Type of use	Rate	Gallons, or gasoline or diesel gallon equivalents	Amount of claim	CRN
					$	419
b	“P Series” fuels					420
c	Compressed natural gas (CNG) (see instructions)					421
d	Liquefied hydrogen					422
e	Fischer-Tropsch process liquid fuel from coal (including peat)					423
f	Liquid fuel derived from biomass					424
g	Liquefied natural gas (LNG) (see instructions)					425
h	Liquefied gas derived from biomass					435
7	Sales by Registered Ultimate Vendors of Undyed Diesel Fuel				Period of claim ▸
					Registration number ▸
	Claimant certifies that it sold the diesel fuel at a tax-excluded price, repaid the amount of tax to the buyer, or has obtained written consent of the buyer to make the claim. 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 a detailed explanation and check here ▸
a	Use by a state or local government		Rate	Gallons	Amount of claim	CRN
					$	360
b	Use in certain intercity and local buses					350
8	Sales by Registered Ultimate Vendors of Undyed Kerosene (Other Than Kerosene For Use in Aviation)				Period of claim ▸
					Registration number ▸
	Claimant certifies that it sold the kerosene at a tax-excluded price, repaid the amount of tax to the buyer, or has obtained the written consent of the buyer to make the claim. Claimant certifies that the kerosene did not contain visible evidence of dye. Exception. If any of the kerosene included in this claim did contain visible evidence of dye, attach a detailed explanation and check here ▸
a	Use by a state or local government		Rate	Gallons	Amount of claim	CRN
					$	346
b	Sales from a blocked pump
c	Use in certain intercity and local buses					347
9	Sales by Registered Ultimate Vendors of Kerosene For Use in Aviation Registration number ▸
Claimant sold the kerosene for use in aviation at a tax-excluded price and has not collected the amount of tax from the buyer, repaid the amount of tax to the buyer, or has obtained written consent of the buyer to make the claim. See the instructions for additional information to be submitted.
a	Use in commercial aviation (other than foreign trade) taxed at $0.219	Type of use	Rate	Gallons, or gasoline or diesel gallon equivalents	Amount of claim	CRN
					$	355
b	Use in commercial aviation (other than foreign trade) taxed at $0.244				$	417
c	Nonexempt use in noncommercial aviation				$	418
d	Other nontaxable uses taxed at $0.244				$	346
e	Other nontaxable uses taxed at $0.219				$	369
f	LUST tax on aviation fuels used in foreign trade				$	433
10	Sales by Registered Ultimate Vendors of Gasolin Registration number ▸
Claimant sold the gasoline at a tax-excluded price and has not collected the amount of tax from the buyer, repaid the amount of tax to the buyer, or has obtained written consent of the buyer to take the claim; and obtained an unexpired certificate from the buyer and has no reason to believe any information in the certificate is false. See the instructions for additional information to be submitted.
a	Use by a nonprofit educational organization		Rate	Gallons	Amount of claim	CRN
					$	362
b	Use by a state or local government
11	Sales by Registered Ultimate Vendors of Aviation Gasoline Registration number ▸
Claimant sold the aviation gasoline at a tax-excluded price and has not collected the amount of tax from the buyer, repaid the amount of tax to the buyer, or has obtained written consent of the buyer to take the claim; and obtained an unexpired certificate from the buyer and has no reason to believe any information in the certificate is false. See the instructions for additional information to be submitted.
a	Use by a nonprofit educational organization		Rate	Gallons	Amount of claim	CRN
					$	324
b	Use by a state or local government
12	Biodiesel or Renewable Diesel Mixture Credit Period of claim ▸ Registration number ▸
	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, 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, Statement of Biodiesel Reseller, both of which have been edited as discussed in the instructions for line 13. See the instructions for line 13 for information about renewable diesel used in aviation.
			Rate	Gallons	Amount of claim	CRN
a	Biodiesel (other than agri-biodiesel) mixtures					388
b	Agri-biodiesel mixtures					390
c	Renewable diesel mixtures					307
13	Alternative Fuel Credit and Alternative Fuel Mixture Credit Registration number ▸
	For the alternative fuel mixture credit, claimant produced a mixture by mixing taxable fuel with alternative fuel. Claimant certifies that it (a) produced the alternative fuel, or (b) has in its possession the name, address, and EIN of the person(s) that sold the alternative fuel to the claimant; the date of purchase; and an invoice or other documentation identifying the amount of the alternative fuel. The claimant also certifies that it made no other claim for the amount of the alternative fuel, or has repaid the amount to the government. The alternative fuel mixture was sold by the claimant to any person for use as a fuel or was used as a fuel by the claimant.
			Rate	Gallons	Amount of claim	CRN
a	Liquefied petroleum gas (LPG)					426
b	“P Series” fuels					427
c	Compressed natural gas (CNG)					428
d	Liquefied hydrogen					429
e	Fischer-Tropsch process liquid fuel from coal (including peat)					430
f	Liquid fuel derived from biomass					431
g	Liquefied natural gas (LNG)					432
h	Liquefied gas derived from biomass					436
i	Compressed gas derived from biomass					437
14	Other claims. See the instructions. For lines 14b and 14c, see the Caution above line 1 on page 5.				Amount of claim	CRN
a	Section 4051(d) tire credit (tax on vehicle reported on IRS No. 33)				$	366
b	Exported dyed diesel fuel and exported gasoline blendstocks taxed at $.001					415
c	Exported dyed kerosene					416
d	Diesel-water fuel emulsion
e	Registered credit card issuers
f	Taxable tires other than bias ply or super single tires			Number of tires	Amount of claim	CRN
						396
g	Taxable tires, bias ply or super single tires (other than super single tires designed for steering)					304
h	Taxable tires, super single tires designed for steering					305
i
j
k
15	Total claims. Add amounts on lines 1 through 14. Enter the result here and on Form 720, Part III, line 4.				15

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