Form  
8933
Department of the Treasury 
Internal Revenue Service
Carbon Dioxide Sequestration Credit
a
  
Attach to your tax return.
a
  
To claim this credit, the qualified facility must capture at least 500,000 metric               
tons of carbon dioxide during the tax year.
OMB No. 1545-2132
20
13
Attachment 
Sequence No.  
165
a
  
Information about Form 8933 and its instructions is at 
www.irs.gov/form8933
.
Name(s) shown on return
Identifying number
Qualified carbon dioxide captured at a qualified facility, disposed of in secure geological 
storage, and not used as a tertiary injectant in a qualified enhanced oil or natural gas 
recovery project. 
1a
Metric tons captured and disposed of (see instructions)
...... 
b
Inflation–adjusted credit rate
...............
c
Multiply line 1a by line 1b
.........................
1c
Qualified carbon dioxide captured at a qualified facility, disposed of in secure geological 
storage, and used as a tertiary injectant in a qualified enhanced oil or natural gas recovery 
project. 
2a
Metric tons captured and used (see instructions)
........
b
Inflation–adjusted credit rate
...............
c
Multiply line 2a by line 2b
.........................
2c
3
Carbon dioxide sequestration credit from partnerships and S corporations
........
3
4 
Add lines 1c, 2c, and 3. Partnerships and S corporations, report this amount on Schedule K. All 
others, report this amount on Form 3800, line 1x
.................
4
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 37748H
Form 
8933
 (2013)
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