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R-1082(3/09)
                                                                                                                             FILING PERIOD
                                      Individual Wind or Solar Energy
                                                                                                                                  2008
                                             Income Tax Credit
                                                 Resident Only




                                                                                                                       PLEASE PRINT OR TYPE.
 Name of Taxpayer claiming credit                                                                Social Security No.


 Location where system installed                     City                                        ZIP



 ■ New System and installation                               ■ Solar Electric System                        ■ Solar Thermal System
 ■ Addition to existing system                               ■ Wind Electric System                         ■ Wind Mechanical System
 Energy system is installed and operating as of ________________ in a:
      ■ Residence                        ■ Residential Rental Apartment Project
 A.                                 B.
 Contractor’s Name                                                                               Contractor’s Louisiana License Number




                                Available Credit for Residence- Complete this section if Box A was selected
      Enter the sum of the amounts from Part A, line 12 of each worksheet (page 2), please
 1                                                                                                     1
      attach each worksheet for each system to this page.

      Share of qualifying tax credit from partnerships, trusts or small business corporations
      (Number of units ____________ )
 2                                                                                                     2
       Name of Entity:

      Louisiana Revenue Acct No:

 3 Credit available to individual Residence                                                            3




LSA–R.S. 47:6030 provides for a credit against income tax for the purchase and installation of a wind energy system or solar
energy system, or both, by a resident individual at his residence located in this state, or by the owner of a residential rental
apartment project. The credit may also be claimed in cases where the individual purchases for his residence a newly constructed
home with a system already installed.

If you received this credit through an interest in a partnership, trusts, or small business corporations, please retain copies of the
Schedule K-1 or other document that support your share of the distributed credit amount entered on line 5 above.




                                                                       Declaration
 I declare that to the best of my knowledge of all available information, this refund claim is true and complete and complies with all
 statutes, rules and regulations, and any other policy pronouncements related to the wind and/or solar energy income tax credit.
 Signature of Officer, Owner or Other (for other, attach power of attorney)                     Date (mm/dd/yyyy)
 X
R-1082(3/09)
                                                                                                                  FILING PERIOD
                                    Individual Wind or Solar Energy
                                                                                                                      2008
                                      Income Tax Credit Worksheet
                                            Resident Only




                                                                                                           PLEASE PRINT OR TYPE.
 Name of taxpayer claiming credit                                 Social Security No.


 Location where system installed                                  City                            ZIP




Part A     Available Credit for Residence - Complete this section if Box A, page 1 is checked.

 1 Cost of new system equipment                                                              1


 2 Cost of new system Installation                                                           2


 3 Taxes associated with new system                                                          3


 4 Total (Add Lines 1 through 3.)                                                            4


 5 Multiply Line 4 by 50% (.50)                                                              5


 6 Enter the smaller of Line 5 or $12,500                                                    6



Part B     Available credit for Residential Rental Apartment Project - Complete this section if Box B, page 1 is checked.

 7 Cost of new system equipment                                                              7


 8 Cost of new system Installation                                                           8


 9 Taxes associated with new system                                                          9


10 Total (Add Lines 7 through 9.)                                                           10


11 Multiply Line 10 by 50% (.50)                                                            11


12 Enter the smaller of Line 11 or $12,500                                                  12




PLEASE COMPLETE A SEPARATE WORKSHEET FOR EACH WIND OR SOLAR ENERGY SYSTEM FOR WHICH YOU ARE
REQUESTING A CREDIT, IF NEEDED AND ATTACH TO PAGE 1

LSA–R.S. 47:6030 provides for a credit against income tax for the purchase and installation of a wind energy system or solar
energy system, or both, by a resident individual at his residence located in this state, or by the owner of a residential rental
apartment project. The credit may also be claimed in cases where the individual purchases for his residence a newly constructed
home with a system already installed. Please retain copies of this form and the purchase invoice(s) or other documents that
support the amounts entered on lines 1, 2, and 3 or the amounts entered on lines 7, 8, and 9 for review by the Department of
Revenue upon request for verification of solar and/or wind energy system costs related to this credit.
R-1082(3/09)
                                                                                                                                  FILING PERIOD
                                    Individual Wind or Solar Energy
                                                                                                                                      2008
                                           Income Tax Credit
                                       Supplemental Information
                                             Resident Only




                                                                                                                          PLEASE PRINT OR TYPE.
 Name of taxpayer claiming credit                                           Louisiana Revenue Account No.


 Location where system installed                                            City                                ZIP




                                                              System Information
                                       Total nameplate listed kW of all installed panels:
 ■ Solar Electric System
                                       Listed SRCC annual BTU or equivalent kWh output:
 ■ Solar Thermal Systems
                                       Total rated kW of all alternators and generators:
 ■ Wind Electric Systems
                                       Shaft horsepower as rated by manufacturer, licensed contractor or licensed professional engineer:
 ■ Wind Mechanical System

 Provide the Make, Model and serial number of generators, alternators, turbines, photovoltaic panels, inverters, and solar thermal col-
 lectors for which a credit is being applied.
                Make                                  Model                                             Serial Number




ATTACH ADDITIONAL SHEETS IF NEEDED

Louisiana Administrative Code 61:I.1907 requires certain information about the system be provided to determine eligibility for the credit.
Below is a list of additional information required about the wind and/or solar system. Failure to provide this information may result in the
disallowance of the credit.

   1.   A copy of the modeled array output report using the PV Watts Solar System Performance Calculator. The calculator was developed
        by the National Renewable Energy Laboratory and is available at the website www.nrel.gov/rredc/pvwatts. The analysis must be
        performed using the default PV Watts de-rate factor.

   2.   A copy of the solar site shading analysis conducted on the installation site using a recognized industry site assessment tool such
        as a Solar Pathfinder or Solmetric demonstrating the suitability of the site for installation of a solar energy system.

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Refund Request of LA. Citizens Property Insurance--Individulal

  • 1. R-1082(3/09) FILING PERIOD Individual Wind or Solar Energy 2008 Income Tax Credit Resident Only PLEASE PRINT OR TYPE. Name of Taxpayer claiming credit Social Security No. Location where system installed City ZIP ■ New System and installation ■ Solar Electric System ■ Solar Thermal System ■ Addition to existing system ■ Wind Electric System ■ Wind Mechanical System Energy system is installed and operating as of ________________ in a: ■ Residence ■ Residential Rental Apartment Project A. B. Contractor’s Name Contractor’s Louisiana License Number Available Credit for Residence- Complete this section if Box A was selected Enter the sum of the amounts from Part A, line 12 of each worksheet (page 2), please 1 1 attach each worksheet for each system to this page. Share of qualifying tax credit from partnerships, trusts or small business corporations (Number of units ____________ ) 2 2 Name of Entity: Louisiana Revenue Acct No: 3 Credit available to individual Residence 3 LSA–R.S. 47:6030 provides for a credit against income tax for the purchase and installation of a wind energy system or solar energy system, or both, by a resident individual at his residence located in this state, or by the owner of a residential rental apartment project. The credit may also be claimed in cases where the individual purchases for his residence a newly constructed home with a system already installed. If you received this credit through an interest in a partnership, trusts, or small business corporations, please retain copies of the Schedule K-1 or other document that support your share of the distributed credit amount entered on line 5 above. Declaration I declare that to the best of my knowledge of all available information, this refund claim is true and complete and complies with all statutes, rules and regulations, and any other policy pronouncements related to the wind and/or solar energy income tax credit. Signature of Officer, Owner or Other (for other, attach power of attorney) Date (mm/dd/yyyy) X
  • 2. R-1082(3/09) FILING PERIOD Individual Wind or Solar Energy 2008 Income Tax Credit Worksheet Resident Only PLEASE PRINT OR TYPE. Name of taxpayer claiming credit Social Security No. Location where system installed City ZIP Part A Available Credit for Residence - Complete this section if Box A, page 1 is checked. 1 Cost of new system equipment 1 2 Cost of new system Installation 2 3 Taxes associated with new system 3 4 Total (Add Lines 1 through 3.) 4 5 Multiply Line 4 by 50% (.50) 5 6 Enter the smaller of Line 5 or $12,500 6 Part B Available credit for Residential Rental Apartment Project - Complete this section if Box B, page 1 is checked. 7 Cost of new system equipment 7 8 Cost of new system Installation 8 9 Taxes associated with new system 9 10 Total (Add Lines 7 through 9.) 10 11 Multiply Line 10 by 50% (.50) 11 12 Enter the smaller of Line 11 or $12,500 12 PLEASE COMPLETE A SEPARATE WORKSHEET FOR EACH WIND OR SOLAR ENERGY SYSTEM FOR WHICH YOU ARE REQUESTING A CREDIT, IF NEEDED AND ATTACH TO PAGE 1 LSA–R.S. 47:6030 provides for a credit against income tax for the purchase and installation of a wind energy system or solar energy system, or both, by a resident individual at his residence located in this state, or by the owner of a residential rental apartment project. The credit may also be claimed in cases where the individual purchases for his residence a newly constructed home with a system already installed. Please retain copies of this form and the purchase invoice(s) or other documents that support the amounts entered on lines 1, 2, and 3 or the amounts entered on lines 7, 8, and 9 for review by the Department of Revenue upon request for verification of solar and/or wind energy system costs related to this credit.
  • 3. R-1082(3/09) FILING PERIOD Individual Wind or Solar Energy 2008 Income Tax Credit Supplemental Information Resident Only PLEASE PRINT OR TYPE. Name of taxpayer claiming credit Louisiana Revenue Account No. Location where system installed City ZIP System Information Total nameplate listed kW of all installed panels: ■ Solar Electric System Listed SRCC annual BTU or equivalent kWh output: ■ Solar Thermal Systems Total rated kW of all alternators and generators: ■ Wind Electric Systems Shaft horsepower as rated by manufacturer, licensed contractor or licensed professional engineer: ■ Wind Mechanical System Provide the Make, Model and serial number of generators, alternators, turbines, photovoltaic panels, inverters, and solar thermal col- lectors for which a credit is being applied. Make Model Serial Number ATTACH ADDITIONAL SHEETS IF NEEDED Louisiana Administrative Code 61:I.1907 requires certain information about the system be provided to determine eligibility for the credit. Below is a list of additional information required about the wind and/or solar system. Failure to provide this information may result in the disallowance of the credit. 1. A copy of the modeled array output report using the PV Watts Solar System Performance Calculator. The calculator was developed by the National Renewable Energy Laboratory and is available at the website www.nrel.gov/rredc/pvwatts. The analysis must be performed using the default PV Watts de-rate factor. 2. A copy of the solar site shading analysis conducted on the installation site using a recognized industry site assessment tool such as a Solar Pathfinder or Solmetric demonstrating the suitability of the site for installation of a solar energy system.