Form R-1086 - Louisiana Declaration By Residential Property Owner Not Claiming The Wind Or Solar Energy Income Tax Credit

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R-1086 Page 4 (3/13)
Declaration by Residential Property Owner not Claiming
the Wind or Solar Energy Income Tax Credit
This page is only to be signed by the owner of a residential property who does not own a wind or solar energy system after it is installed on
the residential property. LAC 61:I.1907(E)(10)(j) provides that “when a system is installed by a third party owner, a complete and signed
fourth page of Form R-1086” is required. This page should be included with Form R-1086 by the third party owner of the energy system
who is claiming the credit.
PLEASE PRINT OR TYPE.
Residential Property Where the Wind or Solar Energy System was Installed
Address
City
State
ZIP
LA
Wind or Solar Energy System Information
Solar Electric System
Solar Thermal System
Wind Electric System
Wind Thermal System
Date the installation of the energy system was completed __________________ (mm/dd/yyyy) in a:
A.
B.
Louisiana Residence
Residential Rental Apartment Project Located in Louisiana
Contractor’s Name
Contractor’s Louisiana License Number
Declaration
The owner\Co-owner of the residential property located at the address shown above hereby declares that the owner/ co-owner is not
entitled to, and will not claim, a Louisiana income tax credit for the wind or solar energy system described above.
Name of Residential Property Co-owner
Signature of Residential Property Owner, Officer of Owner Entity or Other
Date
(mm/dd/yyyy)
(for other attach power of attorney)
If the residential property is owned by more than one person\entity, all additional co-owners must sign the Declaration on the spaces
provided below. Attach additional sheets if necessary.
Declaration
Co-owner of the residential property located at the address shown above hereby declares that co-owner is not entitled to, and will not
claim, a Louisiana income tax credit for the wind or solar energy system described above.
Name of Residential Property Co-owner
Signature of Residential Property Owner, Officer of Owner Entity or Other
Date
(mm/dd/yyyy)
(for other attach power of attorney)
Declaration
Co-owner of the residential property located at the address shown above hereby declares that co-owner is not entitled to, and will not
claim, a Louisiana income tax credit for the wind or solar energy system described above.
Name of Residential Property Co-owner
Signature of Residential Property Owner, Officer of Owner Entity or Other
Date
(mm/dd/yyyy)
(for other attach power of attorney)

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