14-127
b.
(Rev.3-03/2)
CLEAN VEHICLE INCENTIVE PROGRAM SUPPLEMENT
Page _____ of _____
58120
a. Tcode
1. Name of purchaser, or if leased, name of lessee of new motor vehicle
Texas taxpayer number (if applicable)
2
1. Vehicle identification number
2. Test group no. on VECI label
3. Bin number (Enter value 1-4)
4. Purchase/lease date
Direct funding for this program was
5. Vehicle manufacturer
6. Vehicle model
7. Model year
8. Odometer reading on purchase / lease date 9. Leasing period (if applicable)
reallocated during the 2003
regular session of the Texas Legislature.
3
1. Vehicle identification number
2. Test group no. on VECI label
3. Bin number (Enter value 1-4)
4. Purchase/lease date
Applications will not be accepted until
5. Vehicle manufacturer
6. Vehicle model
7. Model year
8. Odometer reading on purchase / lease date 9. Leasing period (if applicable)
funds are available.
4
1. Vehicle identification number
2. Test group no. on VECI label
3. Bin number (Enter value 1-4)
4. Purchase/lease date
For more information, CLICK HERE.
5. Vehicle manufacturer
6. Vehicle model
7. Model year
8. Odometer reading on purchase / lease date 9. Leasing period (if applicable)
5
1. Vehicle identification number
2. Test group no. on VECI label
3. Bin number (Enter value 1-4)
4. Purchase/lease date
5. Vehicle manufacturer
6. Vehicle model
7. Model year
8. Odometer reading on purchase / lease date 9. Leasing period (if applicable)
6
1. Vehicle identification number
2. Test group no. on VECI label
3. Bin number (Enter value 1-4)
4. Purchase/lease date
5. Vehicle manufacturer
6. Vehicle model
7. Model year
8. Odometer reading on purchase / lease date 9. Leasing period (if applicable)
7
1. Vehicle identification number
2. Test group no. on VECI label
3. Bin number (Enter value 1-4)
4. Purchase/lease date
5. Vehicle manufacturer
6. Vehicle model
7. Model year
8. Odometer reading on purchase / lease date 9. Leasing period (if applicable)
8
1. Vehicle identification number
2. Test group no. on VECI label
3. Bin number (Enter value 1-4)
4. Purchase/lease date
5. Vehicle manufacturer
6. Vehicle model
7. Model year
8. Odometer reading on purchase / lease date 9. Leasing period (if applicable)
9
1. Vehicle identification number
2. Test group no. on VECI label
3. Bin number (Enter value 1-4)
4. Purchase/lease date
5. Vehicle manufacturer
6. Vehicle model
7. Model year
8. Odometer reading on purchase / lease date 9. Leasing period (if applicable)
10
1. Vehicle identification number
2. Test group no. on VECI label
3. Bin number (Enter value 1-4)
4. Purchase/lease date
5. Vehicle manufacturer
6. Vehicle model
7. Model year
8. Odometer reading on purchase / lease date 9. Leasing period (if applicable)