R-1082 (1/10)
FILING PERIOD
2009
Individual Wind or Solar Energy
Income Tax Credit
PLEASE PRINT OR TYPE.
Name of Taxpayer claiming credit
Social Security No.
Location where system installed
City
State
ZIP
■
■
■
New System and installation
Solar Electric System
Solar Thermal System
■
■
■
Addition to existing system
Wind Electric System
Wind Mechanical System
Date the energy system was purchased and installed __________________ mm/dd/yyyy in a:
■
■
A.
Louisiana Residence
B.
Residential Rental Apartment Project Located in Louisiana
Contractor’s Name
Contractor’s Louisiana License
Number
Available Credit for Residence- Complete this section if Box A was selected
Complete a worksheet, found on page 2, for each wind and solar energy system, using
Part A for a Louisiana residence and Part B for a residential rental apartment project
1
1
located in Louisiana. Add the amounts from lines 6 and 12 of each worksheet and print
the total.
Share of qualifying tax credit from partnerships, trusts or small business corporations
(Number of units ____________ )
2
2
Name of Entity:
Louisiana Revenue Acct No:
3 Total Credit Available to the taxpayer (Add Lines 1 and 2.)
3
LSA–R.S. 47:6030 provides for a credit against income tax for the purchase and installation of a wind energy system or solar energy
system, or both, for an individual at his residence located in this state, for the owner of a Louisiana residential rental apartment project, or
for a taxpayer who purchases and installs a system in a residence or residential rental apartment project located in Louisiana. The credit
may also be claimed in cases where the resident individual purchases a newly constructed home located in Louisiana that has such
systems already installed, or a taxpayer who purchases a newly constructed residential rental apartment project that has such systems
already installed.
If you received this credit through an interest in a partnership, trusts, or small business corporations, please retain copies of the Schedule
K-1 or other document that support your share of the distributed credit amount entered on line 2 above.
Declaration
I declare that to the best of my knowledge of all available information, this refund claim is true and complete and complies with all
statutes, rules and regulations, and any other policy pronouncements related to the wind and/or solar energy income tax credit.
Signature of Officer, Owner or Other (for other, attach power of attorney)
Date
(mm/dd/yyyy)
X