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Attach this form to your income tax return. Attachment 2009. Sequence No. 23. Name (as shown on your income tax return) 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.
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Information about Form 4136, Credit For Federal Tax Paid On Fuels, including recent updates, related forms and instructions on how to file. Use Form 4136 to claim a credit for certain nontaxable uses of fuel, the alternative fuel credit, and a credit for blending a diesel-water fuel emulsion.
