Form It-Cep-Ap - Clean Energy Property Tax Credit Preapproval Form Page 5

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IT-CEP-AP
(REV 10/11)
I , the undersigned, president or other principal officer, or tax matters person of the taxpayer or indi-
vidual for which this application is made, declare under the penalties of perjury that this application
( including any attachments) has been examined by me and is, to the best of my knowledge and belief,
a true, correct and complete application, made in good faith, pursuant to the Georgia Public Revenue
Code and the regulations issued thereunder.
_______________________________________
Signature of President or Other Principal Officer or Tax Matters Person or Individual
Title: ________________________
Date: ________________________
Part 2. For Department Use Only
Based on the statutory cap *for both the clean energy property and wood residuals tax
credits, you have been preapproved and allocated______________ clean energy
property tax credit for calendar year __________.
Approved by ______________________________ Date Approved ___________
Approval of the clean energy property tax credit is subject to audit by the Georgia
Department of Revenue’s Compliance Division and GEFA.
Upon approval by the Commissioner, a signed copy of Form IT-CEP-AP will be
returned to you. Please attach copies of the approved Form IT-CEP-AP and Form
IT-CEP ** to your Georgia income or premium tax return when claiming the clean
energy property tax credit.
Submit application to:
Georgia Department of Revenue
Clean Energy Property Tax Cr edit and Wood Residuals Tax Credit.
1800 Century Blvd. NE
Suite 8107
Atlanta, GA 30345
*For calendar years 2008, 2009, 2010, and 2011 the cap is $2.5 million per calendar year. For
calendar years 2012, 2013, and 2014 the cap is $5 million per calendar year.
**Taxpayers preapproved for calendar year 2012, 2013, or 2014 must use Form IT-CEP 2012.
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