R-1086 (1/15)
FILING PERIOD
Solar Energy
2014
Income Tax Credit
Residential Property Owner Declaration
PLEASE PRINT OR TYPE.
Name of Taxpayer/Entity claiming credit
Social Security No./ Louisiana Revenue Account No.
Physical address of location where system installed
City
ZIP
State
LA
Spouse’s Social Security No.
Name of Taxpayer’s spouse
(if joint return)
This page must be be signed by the owner of the property on which the solar system is installed.
I, the undersigned residential property owner, am the purchaser/lessee of a solar energy system and may be entitled to claim the Louisiana
solar energy income tax credit pursuant to R.S. 47:6030.
I understand and acknowledge my right to consult a tax professional prior to claiming any Louisiana state tax credit for which I may be
eligible.
I understand and acknowledge that LAC 61:I.1907(F)(2) and (3) provide cost ineligible for inclusion under the tax credit. I understand that
R.S. 47:6030(C)(1) explains that my “cost of purchase” or overall “costs” of a solar energy system cannot include any lease management
fee or any inducement to purchase or lease a solar energy system.
I understand that an inducement is an incentive for me to purchase or lease a solar energy system. An inducement may be offered to me
as a rebate, prize gift certificate, trip, additional energy item or service, or any other thing of value given to me by the seller, installer, or
equipment manufacture as an incentive for me to purchase or lease a system.
Whenever marketing rebates or incentives are offered to me in return for a reduction in purchase or lease price of the system or as an
inducement to make the purchase or lease, the eligible cost under LAC 61:I.1907(F)(1) will be accordingly reduced by the fair market value
of the marketing rebate or incentive that I receive.
Last 4 digits of SSN
Signature
Date
(mm/dd/yyyy)
_______ _______ _______ _______
4