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- FORM 5695 RESIDENTIAL ENERGY CREDIT 1985 * 30
- OMB No. 1545-0214
- !NAME SSN !SSN !
- ADDRESS:
- *********************** PART I - ENERGY CONSERVATION COSTS ********************
- 1. WAS PRINCIPAL RESIDENCE COMPLETED BEFORE 4-20-77? .........1. [#00
- 2A. INSULATION ...............................................2A. #01
- B. STORM WINDOWS/DOORS ......................................2B. #02
- C. CAULKING AND WEATHERSTRIPPING ............................2C. #03
- D. REPLACEMENT BURNER FOR FURNACE TO REDUCE FUEL USE ........2D. #04
- E. FLUE MONITORING DEVICE ...................................2E. #05
- F. REPLACEMENT FOR GAS PILOT LIGHT ..........................2F. #06
- G. AUTOMATIC SETBACK THERMOMETER ............................2G. #07
- H. ENERGY USE METER .........................................2H. #08
- 3. ADD LINES 2A THROUGH 2H ...................................3. #09
- 4. EXPENDITURES FROM NONTAXABLE GRANTS AND SUBS. FINANCING....4. #10
- 5. SUBTRACT LINE 4 FROM LINE 3 ...............................5. #11
- 6. MAXIMUM AMOUNT ............................................6. 2,000.00
- 7. TOTAL ENERGY CONSERVATION COSTS FROM PRIOR YEARS ..........7. #12
- 8. SUBTRACT LINE 7 FROM LINE 6 ...............................8. #13
- 9. TOTAL NONTAXABLE GRANTS ...................................9. #14
- 10. SUBTRACT LINE 9 FROM LINE 8 ..............................10. #15
- 11. SMALLER OF LINE 5 OR LINE 10 .............................11. #16
- 12. 15% OF LINE 11 ...........................................12. #17
- *********************** PART II - RENEWABLE ENERGY COSTS *********************
- 13A. SOLAR ...................................13A. #18
- B. GEOTHERMAL ..............................13B. #19
- C. WIND ....................................13C. #20
- D. ADD LINES 13A THROUGH 13C ...............................13D. #21
- 14. EXPENDITURES FROM NONTAXABLE GRANTS AND SUBS. FINANCING...14. #22
- 15. SUBTRACT LINE 14 FROM LINE 13D ...........................15. #23
- 16. MAXIMUM AMOUNT ...........................................16. 10,000.00
- 17. TOTAL RENEWABLE ENERGY COSTS FROM PRIOR YEAR .............17. #24
- 18. SUBTRACT LINE 17 FROM LINE 16 ............................18. #25
- 19. TOTAL NONTAXABLE GRANTS ..................................19. #26
- 20. SUBTRACT LINE 19 FROM LINE 18 ............................20. #27
- 21. SMALLER OF LINE 15 OR LINE 20 ............................21. #28
- 22. 40% OF LINE 21 ...........................................22. #29
- *********************** PART III - CALCULATION OF CREDIT *********************
- 23. ADD LINES 12 AND 22 ......................................23. #30
- 24. ENERGY CREDIT CARRYOVER ..................................24. #31
- 25. ADD LINES 23 AND 24 ......................................25. #32
- 26. TAX FROM FORM 1040, LINE 40 ..............................26. #33
- 27. ADD FORM 1040, LINES 41, 42, AND 44 ......................27. #34
- 28. SUBTRACT LINE 27 FROM LINE 26 ............................28. #35
- 29. ENERGY CREDIT (SMALLER OF LINE 25 OR LINE 28) ............29. #36
- *********************** PART IV - CARRYOVER TO 1986 ***************************
- 30. AMOUNT FROM LINE 25 ..................................... 30. #37
- 31. AMOUNT FROM LINE 29 ..................................... 31. #38
- 32. CARRYOVER TO 1986 (LINE 30 LESS LINE 31) ................ 32. #39
- ********************************************************************************
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- FOR PAPERWORK REDUCTION ACT NOTICE, SEE SEPARATE INSTRUCTIONS
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