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IRS8864.xsl
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<?xml version="1.0" encoding="UTF-8"?>
<!-- edited with XML Spy v4.4 U (http://www.xmlspy.com) by Ken Dulabhan (Comteq Federal Inc) -->
<xsl:stylesheet version="1.0" xmlns:xsl="http://www.w3.org/1999/XSL/Transform" xmlns:fo="http://www.w3.org/1999/XSL/Format">
<xsl:import href="PopulateTemplate.xsl"/>
<xsl:include href="CommonPathRef.xsl"/>
<xsl:include href="AddHeader.xsl"/>
<xsl:include href="AddOnTable.xsl"/>
<xsl:include href="IRS8864Style.xsl"/>
<xsl:output method="html" indent="yes"/>
<xsl:strip-space elements="*"/>
<xsl:param name="FormData" select="$RtnDoc/IRS8864"/>
<xsl:template name="RowWriterCore"/>
<xsl:template match="/">
<html lang="EN-US">
<head>
<title>
<xsl:call-template name="FormTitle">
<xsl:with-param name="RootElement" select="local-name($FormData)"/>
</xsl:call-template>
</title>
<!-- No Browser Caching -->
<meta http-equiv="Pragma" content="no-cache"/>
<meta http-equiv="Cache-Control" content="no-cache"/>
<meta http-equiv="Expires" content="0"/>
<!-- No Proxy Caching -->
<meta http-equiv="Cache-Control" content="private"/>
<!-- Define Character Set -->
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1"/>
<meta name="Description" content="TY 2005 IRS Form 8864"/>
<!-- javascript include -->
<script language="JavaScript" src="{$ScriptPath}/FormDisplay.js" type="text/javascript"/>
<xsl:call-template name="InitJS"/>
<style type="text/css">
<xsl:if test="not($Print) or $Print=''">
<xsl:call-template name="IRS8864Style"/>
<xsl:call-template name="AddOnStyle"/>
</xsl:if>
</style>
<xsl:call-template name="GlobalStylesForm"/>
</head>
<body class="styBodyClass">
<form name="Form8864" id="Form8864">
<!-- Standard Warning Lines -->
<xsl:call-template name="DocumentHeader"/>
<!--Begin Form Number and Name-->
<div class="styBB" style="width:187mm;">
<div class="styFNBox" style="width:31mm;height:21.5mm;">
Form <span class="styFormNumber">8864</span>
<br/>
<xsl:call-template name="SetFormLinkInline">
<xsl:with-param name="TargetNode" select="$FormData"/>
</xsl:call-template>
<br/>
<div style="padding-top:2mm;">
<span class="styAgency">Department of the Treasury</span>
<br/>
<span class="styAgency">Internal Revenue Service</span>
</div>
</div>
<div class="styFTBox" style="width:125mm;height:13mm;">
<div class="styMainTitle" style="padding-top:1.5mm;">
Biodiesel and Renewable Diesel Fuels Credit
</div>
<br/>
<div class="styFST" style="height:5mm;font-size:7pt;padding-top:5mm;">
<img src="{$ImagePath}/8864_Bullet_Line.gif" width="4" height="7" alt="Bullet Image"/>
Attach to your tax return.
<br/>
<img src="{$ImagePath}/8864_Bullet_Line.gif" width="4" height="7" alt="Bullet Image"/>
Information about Form 8864 and its instructions is at <a href="http://www.irs.gov/form8864" title="Link to IRS.gov"><i>www.irs.gov/form8864</i></a>.
</div>
</div>
<!-- This can be taken out later -->
<div class="styTYBox" style="width:30mm;height:21.5mm;">
<div class="styOMB" style="height:2mm;">OMB No. 1545-1924</div>
<div class="styTY" style="height:7.5mm;font-size:24pt;">
20<span class="styTYColor">12</span>
</div>
<div class="stySequence">Attachment<br/>Sequence No. <b style="font-size:7.5pt;">141</b>
</div>
</div>
</div>
<!-- End title of Form -->
<!-- Start Name and EIN Line -->
<div class="styBB" style="width:187mm">
<div class="styNameBox" style="width:132mm; height:8mm; font-size:7pt;">Name(s) shown on return
<br/>
<xsl:choose>
<xsl:when test="$RtnHdrData/ReturnType='1040'">
<br/>
<xsl:call-template name="PopulateReturnHeaderFiler">
<xsl:with-param name="TargetNode">Name</xsl:with-param>
</xsl:call-template>
</xsl:when>
<xsl:otherwise>
<xsl:call-template name="PopulateReturnHeaderFiler">
<xsl:with-param name="TargetNode">BusinessNameLine1</xsl:with-param>
</xsl:call-template>
<br/>
<xsl:call-template name="PopulateReturnHeaderFiler">
<xsl:with-param name="TargetNode">BusinessNameLine2</xsl:with-param>
</xsl:call-template>
</xsl:otherwise>
</xsl:choose>
</div>
<div class="styEINBox" style="width:50mm;height:4mm;font-size:7pt;padding-left:2mm;"> Identifying number
<br/>
<br/>
<span style="font-weight:normal;">
<xsl:choose>
<xsl:when test="$RtnHdrData/ReturnType='1040'">
<xsl:call-template name="PopulateReturnHeaderFiler">
<xsl:with-param name="TargetNode">PrimarySSN</xsl:with-param>
</xsl:call-template>
</xsl:when>
<xsl:otherwise>
<xsl:call-template name="PopulateReturnHeaderFiler">
<xsl:with-param name="TargetNode">EIN</xsl:with-param>
</xsl:call-template>
</xsl:otherwise>
</xsl:choose>
</span>
</div>
</div>
<!-- end Name and Ein Line -->
<!-- Start Caution Line -->
<div class="styBB" style="width: 187mm; font-size: 7pt;padding-top:1mm;">
<div style="width:187mm;height:6mm;padding-bottom:1mm;">
<span class="styBoldText" style="vertical-align: top;">Caution.</span>
<span class="styNormalText" style="width: 165mm; padding-left: 2mm;">
You cannot claim any amounts on Form 8864 that you claimed (or will claim) on Form 720 (Schedule C), Form 8849, or Form 4136.
</span>
<span class="styNormalText" style="width: 187mm;">
Claimant has a certificate from the producer or importer of biodiesel or renewable diesel reported on lines 1 through 6 below and, if
applicable, claimant also has a statement from the reseller. Claimant has no reason to believe that the information in the certificate or
statement is false. Claimant may need to attach a copy of the certificate and statement. See <i>Certification</i> below.
</span>
</div>
</div>
<!-- end Caution Line -->
<!--Table header Begin -->
<div class="styBB" style="width:188mm;">
<div class="styNameBox" align="center" style="width:110.75mm;height:11mm;font-size:7pt;text-align:center;padding-top:4mm;">
Type of Fuel
</div>
<div class="styNameBox" align="center" style="width:32mm;height:11mm;font-size:7pt;text-align: center;padding-top:.5mm;">
<span class="styBoldText">(a)</span>
<br/>Number of Gallons <br/>Sold or Used
</div>
<div class="styNameBox" align="center" style="width:12mm;height:11mm;font-size:7pt;text-align: center;padding-top:2mm;">
<span class="styBoldText">(b)</span>
<br/>Rate
</div>
<div class="styNameBox" align="center" style="width:33mm;height:11mm;font-size:7pt;border-right-width:0px;text-align: center;padding-top:2mm;">
<span class="styBoldText">(c)</span>
<br/>Column (a) x Column (b)</div>
</div>
<!--Table header end -->
<div style="width:187mm;">
<div class="styLNLeftNumBoxSD" style="height:4mm;">1</div>
<div class="styLNDesc" style="width:97.7mm;height:4mm;">
<span style="float:left;">Biodiesel (other than agri-biodiesel)</span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;font-weight:bold;padding-right:2mm;">...........</span>
</div>
<div class="styLNAmountBox" style="width:5mm;padding-right:1mm;">1</div>
<div class="styLNAmountBox" style="width:32mm;padding-right:1mm;">
<!-- Line 1a -->
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/BiodieselGallons"/>
<xsl:with-param name="BackupName">IRS8864BiodieselAfter2008Gallons</xsl:with-param>
</xsl:call-template>
</div>
<!-- Line 1b -->
<div class="styLNAmountBox" style="width:12mm;text-align:center;">
<span style="padding-left:1mm;">$</span>
<span style="padding-left:1mm;">1.00</span>
</div>
<div class="styLNAmountBox">
<!-- -->
<!-- Line 1c -->
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/BiodieselAmt"/>
<xsl:with-param name="BackupName">IRS8864BiodieselAfter2008Amount</xsl:with-param>
</xsl:call-template>
</div>
</div>
<div style="width:187mm">
<div class="styLNLeftNumBoxSD" style="height:4mm;">2</div>
<div class="styLNDesc" style="width:97.7mm;height:4mm;">
<span style="float:left">Agri-biodiesel</span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;font-weight:bold;padding-right:2mm;">...................</span>
</div>
<div class="styLNAmountBox" style="width:5mm;padding-right:1mm;">2</div>
<div class="styLNAmountBox" style="width:32mm;padding-right:1mm;">
<!-- Line 2a-->
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/AgriBiodieselGallons"/>
<xsl:with-param name="BackupName">IRS8864AgriBiodieselGallons</xsl:with-param>
</xsl:call-template>
</div>
<!-- Line 2b-->
<div class="styLNAmountBox" style="width:12mm;text-align:center;">
<span style="padding-left:1mm;">$</span>
<span style="padding-left:1mm;">1.00</span>
</div>
<div class="styLNAmountBox">
<!-- --><!-- Line 2c-->
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/AgriBiodieselAmount"/>
<xsl:with-param name="BackupName">IRS8864AgriBiodieselAmount</xsl:with-param>
</xsl:call-template>
</div>
</div>
<div style="width:187mm">
<div class="styLNLeftNumBoxSD" style="height:4mm;">3</div>
<div class="styLNDesc" style="width:97.7mm;height:4mm;">
<span style="float:left">Renewable diesel</span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;font-weight:bold;padding-right: 2mm;">.................</span>
</div>
<div class="styLNAmountBox" style="width:5mm;padding-right:1mm;">3</div>
<div class="styLNAmountBox" style="width:32mm;padding-right:1mm;">
<!-- Line 3a-->
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/RenewableDiesel"/>
<xsl:with-param name="BackupName">IRS8864RenewableDiesel</xsl:with-param>
</xsl:call-template>
</div>
<!-- Line 3b-->
<div class="styLNAmountBox" style="width:12mm;text-align:center;">
<span style="padding-left:1mm;">$</span>
<span style="padding-left:1mm;">1.00</span>
</div>
<div class="styLNAmountBox">
<!-- --><!-- Line 3c-->
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/RenewableDieselAmount" />
<xsl:with-param name="BackupName">IRS8864RenewableDieselAmount</xsl:with-param>
</xsl:call-template>
</div>
</div>
<div style="width:187mm">
<div class="styLNLeftNumBoxSD" style="height:4mm;">4</div>
<div class="styLNDesc" style="width:97.7mm;height:4mm;">
<span style="float:left">Biodiesel (other than agri-biodiesel) included in a biodiesel mixture</span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;font-weight:bold;padding-right: 2mm;">.</span>
</div>
<div class="styLNAmountBox" style="width:5mm;padding-right:1mm;">4</div>
<div class="styLNAmountBox" style="width:32mm;padding-right:1mm;">
<!-- Line 4a-->
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/BiodieselMixGallons"/>
<xsl:with-param name="BackupName">IRS8864BiodieselMixAfter2008Gallons</xsl:with-param>
</xsl:call-template>
</div>
<!-- Line 4b-->
<div class="styLNAmountBox" style="width:12mm;text-align:center;">
<span style="padding-left:1mm;">$</span>
<span style="padding-left:1mm;">1.00</span>
</div>
<div class="styLNAmountBox">
<!-- --><!-- Line 4c-->
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/BiodieselMixAmt"/>
<xsl:with-param name="BackupName">IRS8864BiodieselMixAfter2008Amt</xsl:with-param>
</xsl:call-template>
</div>
</div>
<div style="width:187mm">
<div class="styLNLeftNumBoxSD" style="height:4mm;">5</div>
<div class="styLNDesc" style="width:97.7mm;height:4mm;">
<span style="float:left">Agri-biodiesel included in a biodiesel mixture</span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;font-weight:bold;padding-right: 2mm;">........</span>
</div>
<div class="styLNAmountBox" style="width:5mm;padding-right:1mm;">5</div>
<div class="styLNAmountBox" style="width:32mm;padding-right:1mm;">
<!-- Line 5a-->
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/AgriBiodieselIncldGals"/>
<xsl:with-param name="BackupName">IRS8864AgriBiodieselIncldGals</xsl:with-param>
</xsl:call-template>
</div>
<!-- Line 5b-->
<div class="styLNAmountBox" style="width:12mm;text-align:center;">
<span style="padding-left:1mm;">$</span>
<span style="padding-left:1mm;">1.00</span>
</div>
<div class="styLNAmountBox">
<!-- --><!-- Line 5c-->
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/AgriBiodieselIncldAmt"/>
<xsl:with-param name="BackupName">IRS8864AgriBiodieselIncldAmt</xsl:with-param>
</xsl:call-template>
</div>
</div>
<div style="width:187mm">
<div class="styLNLeftNumBoxSD" style="height:4mm;">6</div>
<div class="styLNDesc" style="width:97.7mm;height:4mm;">
<span style="float:left">Renewable diesel included in a renewable diesel mixture</span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;font-weight:bold;padding-right: 2mm;">.....</span>
</div>
<div class="styLNAmountBox" style="width:5mm;padding-right:1mm;">6</div>
<div class="styLNAmountBox" style="width:32mm;padding-right:1mm;">
<!-- Line 6a-->
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/RenewableDieselIncludedMixture"/>
<xsl:with-param name="BackupName">IRS8864RenewableDieselIncludedMixture</xsl:with-param>
</xsl:call-template>
</div>
<!-- Line 6b-->
<div class="styLNAmountBox" style="width:12mm;text-align:center;">
<span style="padding-left:1mm;">$</span>
<span style="padding-left:1mm;">1.00</span>
</div>
<div class="styLNAmountBox">
<!-- --><!-- Line 6c-->
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/RenewableDieselInclMixtureAmt"/>
<xsl:with-param name="BackupName">IRS8864RenewableDieselInclMixtureAmt</xsl:with-param>
</xsl:call-template>
</div>
</div>
<div style="width:187mm">
<div class="styLNLeftNumBoxSD" style="height:4mm;">7</div>
<div class="styLNDesc" style="width:97.7mm;height:4mm;">
<span style="float:left">Qualified agri-biodiesel production</span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;font-weight:bold;padding-right: 2mm;">.............</span>
</div>
<div class="styLNAmountBox" style="width:5mm;padding-right:1mm;">7</div>
<div class="styLNAmountBox" style="width:32mm;padding-right:1mm;">
<!-- Line 7a-->
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/QualifiedAgriBioDieselProd"/>
<xsl:with-param name="BackupName">IIRS8864QualifiedAgriBioDieselProd</xsl:with-param>
</xsl:call-template>
</div>
<!-- Line 7b-->
<div class="styLNAmountBox" style="width:12mm;text-align:center;border-bottom-color:#000000;">
<span style="padding-left:1mm;">$</span>
<span style="padding-left:1mm;">.10</span>
</div>
<div class="styLNAmountBox" style="border-bottom-color:#000000;">
<!-- --><!-- Line 7c-->
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/QualifiedAgriBioDieselProdAmt"/>
<xsl:with-param name="BackupName">IRS8864QualifiedAgriBioDieselProd</xsl:with-param>
</xsl:call-template>
</div>
</div>
<div style="width:187mm">
<div class="styLNLeftNumBoxSD" style="height:4mm;">8</div>
<div class="styLNDesc" style="width:138.75mm;height:4mm;font-size:2.5mm;">
<span style="float:left">Add lines 1 through 7. Include this amount in your income for 2012 (see instructions)</span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;font-weight:bold;padding-right: 2mm;">......</span>
</div>
<div class="styLNRightNumBox">8</div>
<div class="styLNAmountBox">
<!-- Line 8-->
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/BiodieselPlusAgriBioDieselAmt"/>
<xsl:with-param name="BackupName">IRS8864BiodieselPlusAgriBioDieselAmt</xsl:with-param>
</xsl:call-template>
</div>
</div>
<div style="width:187mm">
<div class="styLNLeftNumBoxSD" style="height:4mm;">9</div>
<div class="styLNDesc" style="width:138.75mm;height:4mm;font-size:2.5mm;">
<span style="float:left">Biodiesel and renewable diesel fuels credit from partnerships, S corporations, cooperatives, estates, and </span>
</div>
<div class="styLNAmountBox" style="border-bottom-width:0px;width:8mm;padding-right:2mm;"/>
<div class="styLNAmountBox" style="width:30mm;border-bottom-width:0px;"/>
</div>
<div style="width:187mm">
<div class="styLNLeftNumBox" style="height:4mm;padding-bottom:.5mm;"/>
<div class="styLNDesc" style="width:138.75mm;height:4mm;">
<span style="float:left">trusts (see instructions)</span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;font-weight:bold;padding-right: 2mm;">..........................</span>
</div>
<!-- Line 9-->
<div class="styLNRightNumBox">9</div>
<div class="styLNAmountBox">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/BiodieselRenewableFuelsAmounts" />
<xsl:with-param name="BackupName">IRS8864BiodieselRenewableFuelsAmounts</xsl:with-param>
</xsl:call-template>
</div>
</div>
<div style="width:187mm">
<div class="styLNLeftNumBox" style="height:4mm;">10</div>
<div class="styLNDesc" style="width:138.75mm;height:4mm;font-size:2.5mm;">
<span style="float:left">Add lines 8 and 9. Cooperatives, estates, and trusts, go to line 11. Partnership and S corporations, </span>
<span style="float:left;white-space:nowrap;">report this amount on Schedule K. All others, report this amount on Form 3800, line 1l </span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;padding-right: 2mm;">.....</span>
</div>
<div class="styLNRightNumBox" style="height:8mm;padding-top:4mm;">10</div>
<div class="styLNAmountBox" style="height:8mm;padding-top:4mm;">
<!-- Line 10-->
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/AddLines8and9Amt"/>
<xsl:with-param name="BackupName">IRS8864AddLines8and9Amt</xsl:with-param>
</xsl:call-template>
</div>
</div>
<!-- <div style="width:187mm">
<div class="styLNLeftNumBox" style="height:4mm;padding-bottom:.5mm;"/>
<div class="styLNDesc" style="width:138.75mm;height:4mm;">
<span style="float:left">report this amount on Schedule K. All others, report this amount on Form 3800, line 1l </span>
--><!--Dotted Line--><!--
<span class="styDotLn" style="float:right;font-weight:bold;padding-right: 2mm;">.....</span>
</div>
<div class="styLNRightNumBox">10</div>
<div class="styLNAmountBox">
--><!-- Line 10--><!--
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/AddLines8and9Amt"/>
<xsl:with-param name="BackupName">IRS8864AddLines8and9Amt</xsl:with-param>
</xsl:call-template>
</div>
</div>-->
<div style="width:187mm">
<div class="styLNLeftNumBox" style="height:4mm;">11</div>
<div class="styLNDesc" style="width:138.75mm;height:4mm;font-size:2.5mm;">
<span style="float:left">Amount allocated to patrons of the cooperative or beneficiaries of the estate or trust (see instructions)</span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;font-weight:bold;padding-right: 1mm;"></span>
</div>
<div class="styLNRightNumBox">11</div>
<div class="styLNAmountBox">
<!-- Line 11-->
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/AllocatedToBeneficiariesAmt"/>
<xsl:with-param name="BackupName">IRS8864AllocatedToBeneficiariesAmt</xsl:with-param>
</xsl:call-template>
</div>
</div>
<div class="styBB" style="width:187mm">
<div class="styLNLeftNumBox" style="height:4mm;">12</div>
<div class="styLNDesc" style="width:138.75mm;height:4mm;font-size:2.5mm;">
<span style="float:left;padding-right:7mm;white-space:nowrap;">Cooperatives, estates, and trusts, subtract line 11 from line 10. Report this amount on Form 3800, </span>
<span style="float:left;white-space:nowrap;">line 1l</span>
<!--Dotted Line-->
<span class="styDotLn" style="float:right;padding-right: 2mm;">...............................</span>
</div>
<div class="styLNRightNumBoxNBB" style="height:8mm;padding-top:4mm;">12</div>
<div class="styLNAmountBoxNBB" style="height:8mm;padding-top:4mm;">
<!-- Line 12-->
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/EstatesTrustsAndCoopsCreditAmt"/>
<xsl:with-param name="BackupName">IRS8864EstatesTrustsAndCoopsCreditAmt</xsl:with-param>
</xsl:call-template>
</div>
</div>
<!-- <div class="styBB" style="width:187mm">
<div class="styLNLeftNumBox" style="height:4mm;padding-bottom:.5mm;"/>
<div class="styLNDesc" style="width:138.75mm;height:4mm;">
<span style="float:left">line 1l </span>
--><!--Dotted Line--><!--
<span class="styDotLn" style="float:right;padding-right: 2mm;">...............................</span>
</div>
<div class="styLNRightNumBoxNBB">12</div>
<div class="styLNAmountBoxNBB">
--><!-- Line 12--><!--
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/EstatesTrustsAndCoopsCreditAmt"/>
<xsl:with-param name="BackupName">IRS8864EstatesTrustsAndCoopsCreditAmt</xsl:with-param>
</xsl:call-template>
</div>
</div>-->
<!--Start Page Footer -->
<div style="width:187mm;font-size:8pt;border-top-width:1px">
<div class="stySmallText" style="font-weight:bold; float:left; padding-top:0.5mm">
For Paperwork Reduction Act Notice, see instructions.
</div>
<div style="float:right">
<span style="margin-right:32mm; font-size:7pt">Cat. No. 25778F</span>Form <b>8864</b> (2012)
</div>
</div>
<p style="page-break-before:always"/>
<!-- end Page Footer -->
<!-- start ADDITIONAL DATA SECTION-->
<div class="styLeftOverTitleLine" id="LeftoverData" style="font-family:verdana, arial, sans-serif">
<div class="styLeftOverTitle">
Additional Data
</div>
<div class="styLeftOverButtonContainer">
<input class="styLeftoverTableBtn" type="button" value="Return to Form" onclick="javascript:returnToWriteInImage()" tabindex="1"/>
</div>
</div>
<table class="styLeftOverTbl">
<xsl:call-template name="PopulateCommonLeftover">
<xsl:with-param name="TargetNode" select="$FormData"/>
</xsl:call-template>
</table>
</form>
</body>
</html>
</xsl:template>
</xsl:stylesheet>