KANSAS ALTERNATIVE-FUEL MOTOR VEHICLE CREDIT
SECTION 1 – Gasoline or Diesel Vehicle Conversion (see instructions and enclose required documentation)
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Date
Dedicated
Amount of
Vehicle
Vehicle
Bi-Fueled or
Expenditures
Credit Amount
Placed
Vehicle
Vehicle
Identification
Alternative
Flexible
Conversion
for Credit
this Vehicle
in Service
Make
Model
Number
Fuel Type
Fueled
Cost
(see instr.)
(see instr.)
1.
2.
3.
4.
5.
6.
7.
8.
9. Total Section 1 Credit Available (add amounts in column (I)). Enter the result on line 1, Schedule K-62
SECTION 2 – Factory-Equipped Vehicle (see instructions and enclose required documentation)
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Date
Dedicated
(1)
(2)
Amount of
Vehicle
Vehicle
Bi-Fueled or
Expenditures
Credit Amount
Placed
Vehicle
Vehicle
Identification
Alternative
Flexible
Incremental
Cost of
for Credit
this Vehicle
in Service
Make
Model
Number
Fuel Type
Fueled
Cost
Vehicle
(see instr.)
(see instr.)
1.
2.
3.
4.
5.
6.
7.
8.
9. Total Section 2 Credit Available (add amounts in column (I)). Enter the result on line 2, Schedule K-62