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Name(s) shown on return (a) Number of Gallons Sold or Used Type of Alcohol Fuel Qualified ethanol fuel production (in gallons) Straight alcohol and alcohol mixtures: a 190 proof or greater (in gallons) b Less than 190 proof but at least 150 proof (in gallons) 3 Add lines 1, 2a, and 2b in both columns 4 Other fuels blended with the alcohol on lines 2a and 2b 5a Total gallons of fuel. Add lines 3 and 4 (column (a)) 1 2 b Total gallons containing less than 5.7% of 190-proof alcohol or that are.

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