Schedule 1
(Form 8849)
(Rev. August 2016)
Department of the Treasury
Internal Revenue Service
Nontaxable Use of Fuels
Attach to Form 8849.
See instructions.
OMB No. 1545-1420
Name as shown on Form 8849 EIN or SSN
Total refund (see instructions)
$
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 1a and 2b (types of use 13 and 14), 3d, 4c, and 5, claimant has not waived the right to make the claim. For claims
on lines 1a and 2b (types of use 13 and 14), claimant certifies that a certificate has not been provided to the credit card issuer.
Period of claim:
Enter month, day, and year
in MMDDYYYY format.
From
To
1
Nontaxable Use of Gasoline
(a) Type
of use
(b) Rate (c) Gallons
(d) Amount of refund
Multiply col. (b) by col. (c)
(e)
CRN
a Gasoline (see Caution above line 1) $ .183 $ 362
b Exported .184 411
2 Nontaxable Use of Aviation Gasoline
a
Use in commercial aviation
(other than foreign trade)
$ .15 $
354
b
Other nontaxable use (see Caution above line 1)
.193 324
c
Exported .194 412
d
LUST tax on aviation fuels used in foreign trade
.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 a detailed explanation
and check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(a) Type
of use
(b) Rate (c) Gallons
(d) Amount of refund
Multiply col. (b) by col. (c)
(e)
CRN
a Nontaxable use $ .243
b Use on a farm for farming purposes .243
}
$
360
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 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Caution: Claims cannot be made on line 4 for kerosene sales from a blocked pump. Only registered ultimate vendors may
make those claims using Schedule 2.
(a) Type
of use
(b) Rate (c) Gallons
(d) Amount of refund
Multiply col. (b) by col. (c)
(e)
CRN
a Nontaxable use taxed at $.244 $ .243
b Use on a farm for farming purposes .243
}
$
346
c
Use in certain intercity and local buses
(see Caution above line 1)
.17 347
d
Exported .244 414
e
Nontaxable use taxed at $.044 .043 377
f Nontaxable use taxed at $.219
.218 369
5
Kerosene Used in Aviation (see Caution above line 1)
(a) Type
of use
(b) Rate (c) Gallons
(d) Amount of refund
Multiply col. (b) by col. (c)
(e)
CRN
a
Kerosene used in commercial aviation
(other than foreign trade) taxed at $.244
.200 $ 417
b
Kerosene used in commercial aviation
(other than foreign trade) taxed at $.219
.175 355
c
Nontaxable use (other than use by state or
local government) taxed at $.244
.243 346
d
Nontaxable use (other than by state or local
government) taxed at $.219
.218 369
e
LUST tax on aviation fuels used in foreign trade
.001 433
For Privacy Act and Paperwork Reduction Act Notice, see the Form 8849 instructions.
Cat. No. 27449T Schedule 1 (Form 8849) (Rev. 8-2016)
Schedule 1 (Form 8849) (Rev. 8-2016)
Page 2
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 page 4 for the credit rate.
(a) Type
of use
(b) Rate
(c) Gallons, or gasoline or
diesel gallon equivalents
(d) Amount of refund
Multiply col. (b) by col. (c)
(e)
CRN
a
Liquefied petroleum gas (LPG) (see instructions)
$ .183 $ 419
b
“P Series” fuels .183 420
c
Compressed natural gas (CNG) (see instructions)
.183 421
d
Liquefied hydrogen .183 422
e
Fischer-Tropsch process liquid fuel from coal
(including peat)
.243 423
f
Liquid fuel derived from biomass .243 424
g
Liquefied natural gas (LNG) (see instructions) .243 425
h Liquefied gas derived from biomass
.183 435
7
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 page 4 for the credit rate.
(a) Type
of use
(b) Rate (c) Gallons
(d) Amount of refund
Multiply col. (b) by col. (c)
(e)
CRN
a Nontaxable use $ .197 $ 309
b Exported
.198 306
8
Exported Dyed Fuels and Gasoline Blendstocks
(a) Type
of use
(b) Rate (c) Gallons
(d) Amount of refund
Multiply col. (b) by col. (c)
(e)
CRN
a
Exported dyed diesel fuel and exported
gasoline blendstocks taxed at $.001
$ .001 $ 415
b Exported dyed kerosene
.001 416
Schedule 1 (Form 8849) (Rev. 8-2016)
Schedule 1 (Form 8849) (Rev. 8-2016)
Page 3
What’s New
Alternative liquid fuel and compressed natural gas (CNG)
gasoline gallon equivalent (GGE) and diesel gallon
equivalent (DGE). For sales or uses of fuel after December 31,
2015, for taxation under section 4041, liquefied petroleum gas
(LPG) has a GGE of 5.75 pounds or 1.353 gallons of LPG,
liquefied natural gas (LNG) has a DGE of 6.06 pounds or 1.71
gallons of LNG, and CNG has a GGE of 5.66 pounds or 123.57
cubic feet of CNG. See Line 6. Nontaxable Use of Alternative
Fuel, later.
Reminders
The ultimate purchaser of aviation gasoline or kerosene used
in foreign trade is eligible to make a claim on line 2d or 5e for
the leaking underground storage tank (LUST) tax if the ultimate
purchaser has not waived his or her right to make the claim by
providing the registered ultimate vendor with an unexpired
waiver.
General Instructions
Purpose of Schedule
An ultimate purchaser of certain fuels uses Schedule 1 to make
a claim for refund. The fuels for which a claim can be made are
listed on the form. The fuel must have been used in a
nontaxable use. See Type of Use below and the instructions for
lines 1 through 8 for more information.
Claim Requirements
The following requirements must be met.
1. The amount claimed on Schedule 1 must be at least $750.
This amount may be met by:
a. Making a claim for fuel used during any quarter of a
claimant’s income tax year, or
b. Aggregating amounts from any quarters of the claimant’s
income tax year for which no other claim has been made.
2. The claim must be filed during the first quarter following
the last quarter included in the claim. For example, a claim for
the quarters consisting of July through September and October
through December must be filed between January 1 and March
31.
3. Only one claim may be filed for a quarter.
Note: If requirements 1–3 above are not met, see Annual
Claims under Additional Information for Schedules 1, 2, and 3 in
the Form 8849 instructions.
Total Refund
Add all amounts in column (d) and enter the result in the total
refund box at the top of the schedule.
Type of Use
The fuel must have been used for one or more of the types of
use listed in the instructions for lines 1 through 7. The
nontaxable uses are listed in the Type of Use Table in the Form
8849 instructions.
Exported taxable fuel. The claim rates for exported taxable
fuel are listed on lines 1b, 2c, 3e, 4d, 8a, and 8b. Taxpayers
making a claim for exported taxable fuel must include with their
records proof of exportation. Proof of exportation includes:
• A copy of the export bill of lading issued by the delivering
carrier,
• A certificate by the agent or representative of the export
carrier showing actual exportation of the fuel,
• A certificate of lading signed by a customs officer of the
foreign country to which the fuel is exported, or
• A statement of the foreign consignee showing receipt of the
fuel.
How To File
Attach Schedule 1 to Form 8849. Mail to the IRS at the address
under Where To File in the Form 8849 instructions.
Specific Instructions
Line 1. Nontaxable Use of Gasoline
Allowable uses. For line 1a, the gasoline must have been used
during the period of claim for type of use 2, 4, 5, 7, 11, 12, 13,
14, or 15. Type of use 2 does not include any personal use or
use in a motorboat. See Types of Use 13 and 14 in the Form
8849 instructions.
For line 1b, the gasoline must have been exported during the
period of claim (type of use 3). See Exported taxable fuel,
earlier.
Line 2. Nontaxable Use of Aviation Gasoline
Allowable uses. For line 2b, the aviation gasoline must have
been used during the period of claim for type of use 2, 9, 10,
11, 13, 14, 15, or 16. See Types of Use 13 and 14 in the Form
8849 instructions.
For line 2c, the aviation gasoline must have been exported
during the period of claim (type of use 3). See Exported taxable
fuel, earlier.
For line 2d, the aviation gasoline must have been used during
the period of claim for type of use 9. This claim is made in
addition to the claim made on line 2b for type of use 9.
Line 3. Nontaxable Use of Undyed Diesel Fuel
Allowable uses. For line 3a, the diesel fuel must have been
used during the period of claim for type of use 2, 6, 7, 8, 11, 12,
13, 14, or 15. Type of use 8 includes use as heating oil and use
in a boat. Type of use 2 does not include any personal use or
use in a motorboat. See Types of Use 13 and 14 in the Form
8849 instructions.
For line 3e, the diesel fuel must have been exported during
the period of claim (type of use 3). See Exported taxable fuel,
earlier.
Line 4. Nontaxable Use of Undyed Kerosene (Other
Than Kerosene Used in Aviation)
Allowable uses. For line 4a, the kerosene must have been
used during the period of claim for type of use 2, 6, 7, 8, 11, 12,
13, 14, or 15. Type of use 8 includes use as heating oil and use
in a boat. Type of use 2 does not include any personal use or
use in a motorboat. See Types of Use 13 and 14 in the Form
8849 instructions.
For line 4d, the kerosene must have been exported during the
period of claim (type of use 3). See Exported taxable fuel,
earlier.
For lines 4e and 4f, the kerosene must have been used during
the period of claim for type of use 2.
Line 5. Kerosene Used in Aviation
Claimant. Claimant certifies that the right to make the claim
has not been waived. For lines 5a and 5b, the ultimate
purchaser of kerosene used in commercial aviation (other than
foreign trade) is eligible to make this claim.
For lines 5c, 5d, and 5e, the ultimate purchaser of kerosene
used in noncommercial aviation (except for nonexempt,
noncommercial aviation and exclusive use by a state, political
Schedule 1 (Form 8849) (Rev. 8-2016)
Page 4
subdivision of a state, or the District of Columbia) is eligible to
make this claim. The ultimate purchaser certifies that the right to
make this claim has not been waived.
Allowable uses. For lines 5a and 5b, if the claimant buys
kerosene partly for use in commercial aviation and partly for
use in noncommercial aviation, see the rules in Notice 2005-80,
section 3(e)(3).
For lines 5c and 5d, the kerosene must have been used
during the period of claim for type of use 1, 9, 10, 11, 13, 15,
or 16.
For line 5e, the kerosene must have been used during the
period of claim for type of use 9. This claim is made in addition
to the claim made on lines 5c and 5d for type of use 9.
Line 6. Nontaxable Use of Alternative Fuel
Allowable uses. The taxed alternative fuel must have been
used during the period of claim for type of use 1, 2, 4, 5, 6, 7,
11, 13, 14, or 15.
Type of use 5. Write “Bus” in the space to the left of column
(a). Enter the correct credit rate in column (b). The credit rates
for type of use 5 are listed below.
Line number Credit rate
6a $.109*
6b .110
6c .109**
6d .110
6e .17
6f .17
6g .169***
6h .110
(*) This is the claim rate per GGE (5.75 pounds or 1.353 gallons of LPG)
(**) This is the claim rate per GGE (5.66 pounds or 123.57 cubic ft. of CNG)
(***) This is the claim rate per DGE (6.06 pounds or 1.71 gallons of LNG)
Type of use 5 example. 10,000 gallons of LPG ÷ 1.353 =
7,391 GGE x $0.109 = $805.62 claim amount.
Line 7. Nontaxable Use of a Diesel-Water Fuel
Emulsion
Allowable uses. For line 7a, the diesel-water fuel emulsion
must have been used during the period of claim for type of use
1, 2, 5, 6, 7, 8, 11, 12, 13, 14, or 15. For line 7b, the diesel-water
fuel emulsion must have been exported during the period of
claim (type of use 3). See Exported taxable fuel on page 3.
Type of use 5. Write “Bus” in the space to the left of column
(a). Enter the correct credit rate in column (b). The credit rate
for type of use 5 is $.124 per gallon.
Line 8. Exported Dyed Fuels and Gasoline
Blendstocks
A claim may be made for dyed diesel fuel or dyed kerosene
exported in a trade or business during the period of claim.
Claims for exported gasoline blendstocks taxed at $.001per
gallon are made on line 8a. See Exported taxable fuel on page 3.
!
CAUTION
Claims for exported gasoline blendstocks taxed at
$.184 per gallon are made on line 1b.