Form Sc Sch.tc-48c - Manufacturer'S Certification Of Plug-In Hybrid Vehicle
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21350
1350
STATE OF SOUTH CAROLINA
SC SCH.TC-48C
DEPARTMENT OF REVENUE
(Rev. 7/5/12)
MANUFACTURER'S CERTIFICATION
3573
OF PLUG-IN HYBRID VEHICLE
20
(1) The name, address, and Federal Employer Identification Number (FEIN) of the certifying entity:
Manufacturer's Name
FEIN
Mailing Address, City, State, and ZIP
Physical Address, City, State, and ZIP
(2) The make, model, model year, and any other appropriate identifiers of the motor vehicle:
Make, Model, Model Year, and any other appropriate identifier
(3) Manufacturer certifies the following:
The vehicle shares the same benefits as an internal combustion and electric engine with an all-electric
•
range of no less than nine miles.
The vehicle has four or more wheels.
•
The vehicle draws propulsion using a traction battery.
•
The statement that the vehicle has at least 4 kilowatt hours of battery capacity.
•
The vehicle is or was manufactured primarily for use on public streets, roads, and highways.
•
The vehicle is not classified as a low or medium speed vehicle as explained below.
•
Low-speed vehicles are vehicles capable of a speed of at least 20 but not more than 25 miles per hour,
used primarily for short trips and recreational purposes, and having safety equipment such as lights,
reflectors, mirrors, parking brake, windshield, and safety belts.
Medium-speed vehicles are vehicles capable of a speed of at least 30 but not more than 46 miles per
hour and having safety equipment such as lights, reflectors, mirrors, parking brake, windshield, and
safety belts.
(4) The amount of the credit for the vehicle is as follows (showing computations):
Total battery:
kWh
Base credit:
$
667.00
must be at least 4 kWh
Additional credit:
$
$111.00 times (total number of kWh - 4 kWh)
Total credit:
$
Maximum credit allowed is $2,000.00
I declare that the information contained in this certification is true, correct, and complete.
Signature of Manufacturer's Representative
Name of Manufacturer's Representative
Title
Company
35731017
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