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                                                       Alternative Power Generation
                                                             Credit Addendum




  Tax Registration Number                                                                       Tax Reporting Period
                                                         -                 -

  Business Name                                                                                          Phone Number

  Address

  City                                                                         State                                     Zip

  Instructions

  •        Please complete the worksheet below. Transfer the total amount of credit taken this period, (line 8) to the
           Other Credits line on page 2 of your excise tax return.
  •        Please attach a copy of this worksheet to your excise tax return when credit is claimed.
  •        For more information about this credit, please call (360) 902-7126.

      1.     Total amount spent on alternative power generation device or installation since July 1,
             2008. (Include amounts reported on previous returns.).................................................... $
      2.     The credit equals 50% of cost of equipment and installation.
                                                                                                                                                $ 0.00
             (Multiply line 1 by .50)........................................................................................................
      3.     Individual Cap.................................................................................................................... $ 25,000.00

      4.     Credit allowed
             (Enter the lesser amount from line 2 or 3.). ....................................................................... $

             Enter credit previously taken ............................................................................................. $
      5.

      6.     Credit available for this return.
             (Subtract line 5 from line 4.) .............................................................................................. $ 0.00
             Total amount of credit taken this period
      7.
             (Amount cannot exceed your B&O liability).......................................... 846                               ........... $
      8.     Amount of credit to be carried forward.
             (Subtract line 7 from line 6.) .............................................................................................. $ 0.00




                                                                                                                                                   Print This Form




  Signature                                                                                                             Date

For tax assistance visit http://dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in an
alternate format for the visually impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985.


REV 41 0107e        (6/13/08)

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AltPowerGenCrdtAddendum

  • 1. Reset This Form Alternative Power Generation Credit Addendum Tax Registration Number Tax Reporting Period - - Business Name Phone Number Address City State Zip Instructions • Please complete the worksheet below. Transfer the total amount of credit taken this period, (line 8) to the Other Credits line on page 2 of your excise tax return. • Please attach a copy of this worksheet to your excise tax return when credit is claimed. • For more information about this credit, please call (360) 902-7126. 1. Total amount spent on alternative power generation device or installation since July 1, 2008. (Include amounts reported on previous returns.).................................................... $ 2. The credit equals 50% of cost of equipment and installation. $ 0.00 (Multiply line 1 by .50)........................................................................................................ 3. Individual Cap.................................................................................................................... $ 25,000.00 4. Credit allowed (Enter the lesser amount from line 2 or 3.). ....................................................................... $ Enter credit previously taken ............................................................................................. $ 5. 6. Credit available for this return. (Subtract line 5 from line 4.) .............................................................................................. $ 0.00 Total amount of credit taken this period 7. (Amount cannot exceed your B&O liability).......................................... 846 ........... $ 8. Amount of credit to be carried forward. (Subtract line 7 from line 6.) .............................................................................................. $ 0.00 Print This Form Signature Date For tax assistance visit http://dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in an alternate format for the visually impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985. REV 41 0107e (6/13/08)