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Form L-2201 - South Carolina Biomass Energy Incentive Payment Application - South Carolina Department Of Revenue - 2012

STATE OF SOUTH CAROLINA

1350

DEPARTMENT OF REVENUE

L-2201

South Carolina Biomass Energy Incentive Payment

(Rev. 12/3/12)

4360

Application

Request for Fuel Incentive Should be Forwarded To:

Phone: (803) 896-1970

SC Department of Revenue, Miscellaneous Tax Section

Biomass Energy Incentive

Post Office Box 125

Columbia, SC 29214

State Fiscal Year:

Name of Taxpayer:

FEI/SSN:

File No.:

Mailing Address:

Address of Facility:

Street:

City:

State:

Zip Code:

City:

State:

Zip Code:

Phone Number: (

)

Amount of Incentive Payment Applied for:

______________________________________________

(Total incentive payment requested may not exceed $100,000)

(See page 2)

Conditions

If you have a tax liability, your incentive payment check amount may be applied toward any amount due the

Department of Revenue.

A taxpayer qualifying for the incentive payment under this application may only receive one incentive payment

based upon electricity or thermal energy produced for that particular year.

Incentive payment may be applied for beginning July 1, 2009.

Definitions: 'Biomass resource' means wood, wood waste, agricultural waste, animal waste, sewage,

landfill gas, and other organic materials, not including fossil fuels.

Specify Type of Equipment Used (Make, Model, Year, Manufacturer, etc.)

Check Applicable Incentive Payment: (For energy produced by facility)

Note: If more than one facility qualifies for incentive payment,

Electricity

Thermal Energy

complete a separate Form L-2201 for each facility.

Check Type of Biomass Resource Used: (Check all that apply.)

Wood

Wood Waste

Agricultural Waste

Animal Waste

Sewage

Landfill Gas

Other organic materials, not including fossil fuels.

Specify Quantity of Biomass Resource Used (In Mass or Volume Units)

Date of Service and First Production

Enter date the facility was placed in service:

Enter date the facility first produced energy or electricity from biomass resources:

Incentive Payment Information:

An incentive payment for production of electricity or energy from biomass resources is provided pursuant to subitems (a)

and (b), beginning after June 30, 2008, and ending before July 1, 2018 as follows:

43601012

Form L-2201 - South Carolina Biomass Energy Incentive Payment Application - South Carolina Department Of Revenue - 2012

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