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

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

$10 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.A Schedule 6 claim (Other Claims — including the Form 2290 vehicle-credit refund) is $5; any other schedule, or a Schedule 1 + Schedule 6 filing, is $10.

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.