Form TC-40V for 2014 Fillable Clean Fuel Vehicle Tax Credit (for vehicles purchased in 2014)
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

$2 500 $2 500 $1 000 $605$ ( written false statement ) that the vehicle or special equipment listed above meets all of the (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (Clear form) Clear form (subtract credit claimed (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 1 If you have purchased a qualifying vehicle or converted a vehicle or special mobile equipment engine submit the required 1 Is fueled by electric or a combination of electricity and diesel fuel gasoline a mixture of gasoline and ethanol or propane 1 It converts the engine to be fueled by propane natural gas or electricity; 1 New qualified electric or hybrid vehicle 1 The vehicle is fueled by: Propane 10 Carryover from original year 11 First carryover year 12 Second carryover year 13 Third carryover year 14 Fourth carryover year 15 Fifth carryover year 2 Air quality standards which are equal to or cleaner than the standards established in (i) bin 2 in Table S04 1 of 2 It converts the engine to be fueled by another fuel determined by the Air Quality Board to be as effective as the 2 The taxpayer must receive certification from the Utah Division of Air Quality The credit is not valid unless both the taxpayer 2 This credit is for: 2 Vehicle purchase price or cost of conversion equipment 3 Applicable percentage 3 Complete the calculation of the credit in Part A Carryover credits may be recorded on lines 10 through 15 Carryover credits 3 It converts the engine to be substantially more effective in reducing air pollution than the fuel for which the engine 3 It converts the vehicle to meet the clean fuel vehicle standards in the federal Clean Air Act 35% 50% 50% 4 Multiply line 2 by percentage on line 3 4 Refer to the return instructions to determine the line number on which to record this credit The credit code is "05" for all 40 C F R 86 1811 04(c)(6); or for a new qualified plug in electric drive motor vehicle as defined in Section 30D Internal 5 Amount of any clean fuel grant received 5 Do not send this form with your return Keep this form and all related documents with your records 6 Subtract line 5 from line 4 7 Maximum credit allowed 8 Enter the lesser of line 6 or line 7 9 Clean fuel vehicle tax credit enter the sum of line 1 A qualified vehicle is an original purchase registered and titled for the first time in Utah and having less than 7 500 miles The A qualified vehicle is one fueled by natural gas and is registered in Utah A qualified vehicle must be registered in Utah and meet one of the following conditions: A qualified vehicle must meet one of the following conditions: above listed fuels or Address and the amounts on line 8 columns B through D Approved Fuel carryover year Carryovers do not need to be recertified certification is located in the Utah Administrative Code at www rules utah gov/publicat/code/r307/r307 121 htm City state and Zip code City UT 84114 4820; or deliver to the Utah Division of Air Quality 195 North 1950 West Salt Lake City Utah Please allow four to Clean Fuel Vehicle Tax Credit Rev 1/14 cleanfueltaxcredit@utah gov; or fax to 801 536 0085; or mail to the Utah Division of Air Quality PO Box 144820 Salt Lake Col C Column A Column A New Qualified Electric or Hybrid Vehicle Not Fueled By Natural Gas Column B Column B OEM Vehicle Fueled by Natural Gas Column C Column C Equipment to Convert Vehicle to Run on Propane Natural Gas Electricity or Other Approved Fuel Column D Column D Equipment to Convert Special Mobile Engine to Operate on Propane Natural Gas Electricity or Other Commission at 801 297 2200 or 1 800 662 4335 if outside the Salt Lake area Complete applicable column see instructions for details) convert special convert vehicle Credit claimed in DEQ stamp of approval (required) I certify under penalty of perjury and subject to the provisions of Utah Code Section 76 8 504 do not need to be recertified by the Utah Division of Air Quality Do not send this form with the return Keep this form and all related documents with your records documentation with a completed form TC 40V to the Utah Division of Air Quality Information for obtaining clean fuel vehicle Electricity Equipment to Equipment to Equipment to convert from total of line 9 above) gas vehicle Get forms online tax utah gov Hybrid Indicate the following: Instructions for the Clean Fuel Vehicle Tax Credit TC 40V Last four numbers of SSN or EIN mobile engine must be certified and claimed in the taxable year in which purchased or converted If the credit exceeds the tax liability for the year Natural gas New qualified electric No further carryover NOTE: The credit code is "05" for all returns See the specific return instructions for the line number on which to claim the credit OBTAINING APPROVAL: Sign the certification statement in Part 4 above and then email this form with all required documents to OEM natural or converted or hybrid vehicle Part 1 Taxpayer Information to be completed by the taxpayer Part 2 Clean Fuel Vehicle Credit Calculation Part 3 Calculation of Any Carryover of Excess Credit to Subsequent Years Part 4 Certification of Clean Fuel Vehicle Tax Credit previous year Procedures Qualified electric R307 121 3: Demonstration of Eligibility for OEM Natural Gas Vehicles R307 121 4: Demonstration of Eligibility for Qualifying Electric or Hybrid Vehicles R307 121 5: Demonstration of Eligibility for Motor Vehicles Converted to a Clean Fuel R307 121 6: Demonstration of Eligibility for Special Mobile Equipment Converted to Clean Fuels requirements of Utah Code Section 59 7 605 or Section 59 10 1009 returns Revenue Code bin 4 in Table S04 1 of 40 C F R 86 1811 04(c)(6) signature and certification stamp are present The TC 40V does not need to be completed or signed before the end of the six weeks for processing time For more information go to cleanfuels utah gov/taxcredits/taxcreditsintro htm or call the Tax special mobile engine Subtract current Taxpayer s signature Date Taxpayers may claim a nonrefundable tax credit against Utah individual income tax corporate franchise tax or fiduciary tax (See Taxpayer's name TC 40V Telephone number The credit amount is $605 The credit is the lesser of 35% of the purchase price of the vehicle less any clean fuel grant received or $2 500 The credit is the lesser of 50% of the cost of the conversion equipment less any clean fuel grant received or $1 000 The credit is the lesser of 50% of the cost of the conversion equipment less any clean fuel grant received or $2 500 The credit may only be taken once per vehicle It must be certified and claimed in the taxable year in which the item is purchased the excess credit may be carried forward for up to five taxable years Partnerships S corporations and fiduciaries pass this credit through to their partners shareholders and beneficiaries See additional instructions on reverse side uses cleaner burning fuels Complete a separate form for each qualified vehicle The credit may only be taken once per vehicle and Utah Code sections 59 7 605 and 59 10 1009) Utah law allows a nonrefundable credit against individual corporation or fiduciary tax for the purchase or conversion of a vehicle that Utah State Tax Commission Vehicle Identification Number vehicle must be certified by the Utah Department of Environmental Quality and meet both of the following requirements: was originally designed year Col B from year However you do have to claim the credit in the taxable year that you purchased or converted the vehicle