Form Tc-40v Clean Fuel Vehicle Tax Credit
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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
2.
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%
50%
5.
Multiply line 3 by
percentage on line 4
N/A
6.
Amount of any clean fuel rant received
g
N/A
7.
Subtract line
6
from line
5
$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)
X
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.
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