File Form 8849 — Schedule 5 — Section 4081(e) Claims

Second-tax / prior-tax-paid claims. Requires your registration number. Filed on its own return.

$80 flat per filing. Form 8849 claims a refund of federal excise taxes; a person reviews and files every claim, which keeps out spam and fraudulent claims.

Claimant

The person or business claiming the refund.

EIN9 digits, no dashes.SSN (optional)Only if you file as an individual.

Business / claimant nameBusiness name, line 2 (optional)

In care of (optional)Must begin with "% " — e.g. "% John Smith".Name control (optional)The IRS 4-character name control, if you know it.

Street addressStreet address, line 2 (optional)

CityStateZIP

Authorized officer

The person signing the claim under penalty of perjury. Enter your own 5-digit PIN to sign yourself (the Practitioner PIN method), or leave it blank and Gideon Tax will assign and enter a PIN as your signature on your behalf. You confirm this choice on Form 8879-EX at checkout.

NameTitle (optional)

PIN (optional)5-digit signature PIN.Phone (optional)10 digits.Email (optional)

Direct deposit of the refund

Optional. Leave unchecked to receive a paper check.

Deposit my refund directly to a bank account.

Schedule 5 — Section 4081(e) / 6435 Claims

Claims for second-tax / prior-tax paid. Requires the claimant’s registration number, at least one claim line, and at least one fuel-info row.

Registration number

Claim lines

Line #1

LineAmountIn dollars, e.g. 550.00.

Fuel information

Fuel info #1

Type of fuel

DateGallonsAmountIn dollars.

Total refund claimed$0.00

Gideon filing fee$80.00

$80 flat per filing, regardless of the number of claims. A person reviews and files every claim before we e-file it.