This is the UAT site. It is for testing only.

 switch user | main menu | user profile | application package control panel | sign off | contact us | navigation Nevelyn.Jones@Do.Treas.gov 

logged in as Super User for 

lorenl2@gmail.com - Session 

time: 40:03

 

Application for Section 1603:

Payments for Specified Renewable Energy Property in Lieu of Tax Credits

ANNUAL PERFORMANCE REPORT AND CERTIFICATION

The Annual Performance Report and Certification must be submitted annually, 21 calendar days after the date the property was placed in service, e.g., if the property was 

placed in service on January 10, 2011, the first report and certification are due January 31, 2012. The report covers a one-year period beginning on the placed in service 

date. Subsequent reports cover a one-year period beginning on the day after the last day covered by the prior year's report.

The Annual Performance Report and Certification is required on an annual basis for a period of five years after the energy property was placed in service.

Failure to supply the Annual Performance Report and Certification as required by the Terms and Conditions signed under penalty of perjury will result in recapture of the funds 

received.

Year: 1 TAN: 2012E48SE206617 

Section 1 - Disposition of the Property

1.1. Has the energy property (for example: solar panels, wind turbine) been sold during this year? 

 No 

 Yes 

1.2. Date of sale:

 

1.3. Is the purchaser one of the following? 

• A Federal, State or local government or any political subdivision, agency or instrumentality thereof;

• Any organization described in section 501(c) of the Internal Revenue Code and exempt from tax under section 501(a) of such Code;

• Any entity referred to in paragraph (4) of Section 54(j) of the Internal Revenue Code;

Any partnership or pass-thru entity any partner (or other direct or indirect holder of an equity or profits interest) of which is a Federal, State or local 

government or any political subdivision, agency or instrumentality thereof, an organization described in section 501(c) of the Internal Revenue Code and 

exempt from tax under section 501(a) of such Code, or an entity referred to in paragraph (4) of Section 54(j) of the Internal Revenue Code 

•

 No 

 Yes 

1.4. Did the purchaser agree in a written agreement to be jointly liable with the applicant for any recapture (see Guidance page 20)? 

 No 

 Yes 

1.5. Attach the written agreement:

Browse... 

ACCEPTED FILE TYPES: Office (doc, docx, xls, xlsx), comma separated value (csv), Adobe Portable Document Format (pdf), and plain text (txt) formats. Limit total size 

of all files to 100 MB or less. 

If you require more uploads than this form provides, supplement these with the “Add/Modify Supporting Documentation” function under the 

Application Control Panel for this application when finished.

Section 2 - Owner Information (This information is about the current owner of the energy property.)

2.1 Current/New Owner Entity

Business Name: Street address 1:

Phone: 000 000 0000 [()-

.]

Street address 2 (optional):

Employer Identification Number 

(EIN):

000000000 City:

DUNS Number: 000000000 State: ...

Website address (optional): Zip code: 00000[-0000]

2.2. Has the entity that owns the energy property or any interest in entity that owns the energy property been sold or transferred? 

 No 

 Yes 

2.2.0. Date of sale or transfer: 

2.2.1. Is the purchaser or transferee any of the following?
• A Federal, State or local government or any political subdivision, agency or instrumentality thereof;

• Any organization described in section 501(c) of the Internal Revenue Code and exempt from tax under section 501(a) of such Code;

• Any entity referred to in paragraph (4) of Section 54(j) of the Internal Revenue Code;

Any partnership or pass-thru entity any partner (or other direct or indirect holder of an equity or profits interest) of which is a Federal, State or local 

government or any political subdivision, agency or instrumentality thereof, an organization described in section 501(c) of the Internal Revenue Code and 

exempt from tax under section 501(a) of such Code, or an entity referred to in paragraph (4) of Section 54(j) of the Internal Revenue Code

•

 No 

 Yes 

2.3. Current/New Owner Point of Contact of the specified energy property: 

First name: Last name:

Organizational affiliation: E-mail address:

Phone: 000 000 0000 [()-

.]

Fax: 000 000 0000 [()-

.]

2.4 Has the owner of the energy property filed for bankruptcy? 

 No 

 Yes 

2.4.1. Date bankruptcy filed:

2.4.2. Court and Docket Number:

2.4.3. Describe the outcome or current status of the bankruptcy including disposition of the energy property, if applicable:

Limit to 1,000 characters 

Section 3 - Property Information

3.1. Has a tax credit (section 45 or 48 of the Internal Revenue Code) been claimed for this energy property? (This does not mean the 1603 

payment.) 

 No 

 Yes 

3.2. Was the energy property located outside of the United States except as described in section 168(g)(4) of the IRC? 

 No 

 Yes 

List the amount of time that the specified energy property was located outside of the United States within the last year. (United States means the contiguous states, 

Alaska and Hawaii): 

Percentage of use outside U.S.: % 

3.3. Has the name of the project changed from the one shown below? 

 No 

 Yes 

Project Name: 

Explain the change: 

 

Limit to 1,000 characters

3.4. Has the location of the energy property changed from the location shown below? 

 No 

 Yes 

Street Address 1: *City: 

Street Address 2 (optional): *County: 

State: ... Zip Code: 00000[-0000]

Explain the change(s):

 

Limit to 1,000 characters

Section 4 - Energy Production

4.0 Has the energy property, as of the date of this report, stopped producing energy? 

 No 

 Yes 

4.0.1 Are any actions being taken to cause the energy property to resume producing energy? 

 No 
 Yes 

Describe actions being taken to cause the energy property to resume producing energy:

Limit to 1,000 characters

4.1. Annual Production — Enter the actual annual production in the past year of the energy property in kilowatt hours, MMBTUs, or horsepower, as applicable. 

NOTE: Leave blank for solar thermal (less than 0.1 MMBTU/hr), solar lighting, or geothermal heat pump. 

Electrical Mechanical Thermal

Annual production: kWh 

 kW hp 

MMBTU MMBTU 

4.1.1. Is this year’s annual production less than the estimated annual production entered in section 4D of the application? 

 No 

 Yes 

Explain the reduced annual production this year: 

Limit to 1,000 characters

4.1.2. Has any “unit of property” been replaced or permanently ceased to produce energy? For purposes of this question a “unit of property” for a 

wind farm is a single electricity-generating wind turbine, its tower, and its supporting pad. For solar property, if this TAN included solar 

installations on different buildings (for example multiple buildings on a college campus or at an apartment complex) or at different locations, each 

solar installation is a unit of property. 

 No 

 Yes 

Explain the replacement or cessation: 

Limit to 1,000 characters

4.2. Have there been any interruptions in production during the year, other than routine maintenance? 

 No 

 Yes 

Provide dates and explanation: 

 

Limit to 1,000 characters

4.3. Attach supporting documentation that provides evidence of annual production — Examples of supporting documentation are: a statement of the 

annual metered net electric energy generated during the year by the specified energy property, operation logs showing energy production, utility bills verifying energy 

production, a comparison with previous year’s electric bills. 

Attached is supporting documentation that provides evidence of annual production: 

Browse...

ACCEPTED FILE TYPES: Office (doc, docx, xls, xlsx), comma separated value (csv), Adobe Portable Document Format (pdf), and plain text (txt) formats. Limit total 

size of all files to 100 MB or less. 

If you require more uploads than this form provides, supplement these with the "Add/Modify Supporting Documentation" function under the 

Application Package Control Panel for this application when finished.

Section 5 - Certification and Signature of Owner/Preparer

I certify, under penalties of perjury, that the information provided in the Annual Performance Report to the best of my knowledge and belief is true, correct, and 

complete. Further, I agree the information contained in this report can be disclosed to the Internal Revenue Service. 

First Name: Last Name:

Title: Phone: 000 000 

0000 [()-.]

Email: Signature (enter your 

password):

Entering your password has the same legal effect as your handwritten signature.

NOTE: We strongly suggest that you print this form prior to submitting 

The National Renewable Energy Laboratory is providing technical assistance for Section 1603 applications on behalf of the U.S. Treasury Department 

Content Last Updated: April 22, 2013

Security & Privacy | Disclaimer | NREL Home

Submit Annual Report Print without submitting Cancel (discard edits, restore defaults)