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Community Solar Project
Renewable Energy System Cost Recovery
Annual Incentive Payment Application
Fiscal year: July 1, 20
- June 30, 20
.
First, contact the utility serving your property to confirm it is participating in this
program and to receive its application procedures for this incentive payment.
Application and list of participants (name and address)
due to light and power by August 1.
DOR Tax Reporting Number (TRN):
Light and Power Company Account No:
Name of Administrator:
Mailing Address:
City:
State:
Zip Code:
Telephone No:
Address of Community Solar Project:
(If different from address above)
City:
State:
Zip Code:
Date of the letter from the Department of Revenue certifying that your renewable energy system is eligible for the
incentive payment.
(Please attach a copy of the letter and certification form.)
Amount of kilowatt-hours generated by the renewable energy system for fiscal year ending June 30, 20
.
Incentive payment amount
Base rate (0.30)
equals incentive payment
Customer-generated power
multiplied by applicable
Kilowatt-hours
rate multiplied by kilowatt-
applicable rates
factor, equals incentive
generated
hours generated
Total may not exceed
payment rate
$5,000
Solar modules manufactured in Washington
$0.72
Factor: 2.4 (two and four-tenths)
Stirling converter manufactured in Washington
$0.72
Factor: 2.4 (two and four-tenths)
Solar inverter manufactured in Washington
$0.36
Factor: 1.2 (one and two-tenths)
Both solar modules and inverters
manufactured in Washington
$1.08
Factor: (2.4 + 1.2) = 3.6 (three and six tenths)
Other solar equipment
$0.30
Factor: 1.0 (one)
I acknowledge that my renewable energy system:
Has been operable throughout the fiscal period, from
to
.
(date)
(date)
Will have reasonable access for my light and power business, allowing them to read my electric production
meter in order to calculate the kilowatt-hours generated during the prior fiscal year beginning July 1 and ending
on June 30.
I understand that this information is provided to the Department of Revenue in determining whether the light and power
business correctly calculates its credit allowed for customer incentive payments and that my statements are true,
complete, and correct to the best of my knowledge and belief under penalty of perjury.
Signature:
Date:
For tax assistance or to request this document in an alternate format, visit or call 1-800-647-7706. Teletype (TTY) users may call
(360) 705-6718.
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REV 41 0111e (9/1/11)
1
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