Fillable Form Tc-40v - Clean Fuel Vehicle Tax Credit printable pdf download

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Utah State Tax Commission

TC-40V

Clean Fuel Vehicle Tax Credit

Get forms online - tax.utah.gov

Rev. 7/12

Do not send this form with the return. Keep this form and all related documents with your records.

Utah law allows a nonrefundable credit against individual, corporation, or fiduciary tax for the purchase or conversion of a vehicle that

uses cleaner burning fuels. Complete a separate form for each qualified vehicle. The credit may only be taken once per vehicle and

must be certified and claimed in the taxable year in which purchased or converted. If the credit exceeds the tax liability for the year,

the excess credit may be carried forward for up to five taxable years. Partnerships and S corporations pass this credit through to their

partners and shareholders.

See additional instructions on reverse side.

Part A

This section must be completed by the taxpayer

Taxpayer's name

Telephone number

Social security number or EIN

Address

City, state and Zip code

Vehicle Identification Number

Indicate the following:

1. The vehicle is fueled by:

Electricity

Other___________

Propane

Natural gas

The vehicle meets federal Clean Air Act standards

New qualified vehicle

Converted special mobile equipment

OEM natural gas vehicle

Converted vehicle

Column A

Column B

Column C

Column D

Calculation of Clean Fuel Vehicle Credit

Original purchase

Purchase of

Equipment to

(complete applicable column -

see instructions

price of new

qualified vehicle

Equipment to

convert special

for column details

)

qualified vehicle

fueled by CNG

convert vehicle

mobile equip.

3. Vehicle purchase price or cost of conversion equipment

4. Applicable credit percentage

N/A

35%

50%

Multiply line 3 by

percentage on line 4

N/A

Amount of any clean fuel rant received

N/A

Subtract line

from line

$605

8. Maximum credit allowed

$605

$2,500

$1,000

$2,500

9. Clean fuel vehicle credit (lesser of line 7 or line 8)

Worksheet to Calculate Any Carryover of

Column A

Column B

Column C

Subtract current

Excess Credit to Subsequent Years

year Col. B from

(carryovers do not need to be recertified)

Credit claimed in

previous year

Carryover year

carryover year

Col. C

(subtract credit claimed

10. Carryover from original year

from total of line 9 above)

11. First carryover year

12. Second carryover year

13. Third carryover year

14. Fourth carryover year

15. Fifth carryover year

No further carryover

Part B

This section must be completed by the Division of Air Quality, Department of Environmental Quality

Date signed

DEQ authorized signature (required)

DEQ original stamp of approval (required)

Title

IMPORTANT - PLEASE READ

The

certification signature

may be obtained by emailing this form with the required documentation to

cleanfueltaxcredit@utah.gov

;

by faxing to

801-536-0085

; or by mailing or presenting to the Utah Division of Air Quality, 195 North 1950 West, PO Box 144820, Salt

Lake City, UT 84114-4820. For more information go to

cleanfuels.utah.gov/taxcredits/taxcreditsintro.htm

IMPORTANT:

Refer to the instructions for your Individual (TC-40), Corporation (TC-20 or TC-20S), Partnership (TC-65),or

Fiduciary (TC-41) tax return to determine the line number on which you record this credit.

The credit code is "05" for all returns.

For further information regarding the

tax credit

, contact the Utah State Tax Commission at 801-297-2200 or if outside the

Salt Lake area 1-800-662-4335.

Form Tc-40v - Clean Fuel Vehicle Tax Credit

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