Form 5695 - Residential Energy Credits - 2015 Page 2
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Form 5695 (2015)
Page
Part II
Nonbusiness Energy Property Credit
17 a
Were the qualified energy efficiency improvements or residential energy property costs for your
main home located in the United States? (see instructions)
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17a
Yes
No
Caution: If you checked the “No” box, you cannot claim the nonbusiness energy property credit.
Do not complete Part II.
b Print the complete address of the main home where you made the qualifying improvements.
Caution: You can only have one main home at a time.
Number and street
Unit No.
City, State, and ZIP code
c Were any of these improvements related to the construction of this main home?
17c
Yes
No
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Caution: If you checked the “Yes” box, you can only claim the nonbusiness energy property
credit for qualifying improvements that were not related to the construction of the home. Do not
include expenses related to the construction of your main home, even if the improvements were
made after you moved into the home.
18
18
Lifetime limitation. Enter the amount from the Lifetime Limitation Worksheet (see instructions) .
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19
Qualified energy efficiency improvements (original use must begin with you and the component must
reasonably be expected to last for at least 5 years; do not include labor costs) (see instructions).
a Insulation material or system specifically and primarily designed to reduce heat loss or gain of
your home that meets the prescriptive criteria established by the 2009 IECC .
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19a
b Exterior doors that meet or exceed the Energy Star program requirements
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19b
c Metal or asphalt roof that meets or exceeds the Energy Star program requirements and has
appropriate pigmented coatings or cooling granules which are specifically and primarily designed
to reduce the heat gain of your home
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19c
d Exterior windows and skylights that meet or exceed the Energy Star
program requirements .
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19d
e Maximum amount of cost on which the credit can be figured .
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19e
$2,000
f
If you claimed window expenses on your Form 5695 for 2006, 2007,
2009, 2010, 2011, 2012, 2013, or 2014, enter the amount from the
Window Expense Worksheet (see instructions); otherwise enter -0- .
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19f
g Subtract line 19f from line 19e. If zero or less, enter -0- .
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19g
h Enter the smaller of line 19d or line 19g .
19h
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20
Add lines 19a, 19b, 19c, and 19h .
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21
Multiply line 20 by 10% (0.10) .
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Residential energy property costs (must be placed in service by you; include labor costs for onsite
preparation, assembly, and original installation) (see instructions).
a Energy-efficient building property. Do not enter more than $300 .
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22a
b Qualified natural gas, propane, or oil furnace or hot water boiler. Do not enter more than $150 .
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22b
c Advanced main air circulating fan used in a natural gas, propane, or oil furnace. Do not enter more
than $50 .
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22c
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Add lines 22a through 22c .
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Add lines 21 and 23
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25
Maximum credit amount. (If you jointly occupied the home, see instructions) .
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25
$500
26
Enter the amount, if any, from line 18 .
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26
27
Subtract line 26 from line 25. If zero or less, stop; you cannot take the nonbusiness energy
property credit .
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27
28
Enter the smaller of line 24 or line 27 .
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28
29
Limitation based on tax liability. Enter the amount from the Nonbusiness Energy Property Credit
Limit Worksheet (see instructions) .
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Nonbusiness energy property credit. Enter the smaller of line 28 or line 29. Also include this
amount on Form 1040, line 53; or Form 1040NR, line 50
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30
5695
Form
(2015)
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