7610-11 Notification for Distribution of PRoceeds from EPA Aucti

United States
Environmental Protection Agency
Acid Rain Program

OMB No. 2060-0258

Notification For Distribution Of
Proceeds From EPA Auctions
Step 1
Provide your Authorized Account Representative (AAR) or Alternate AAR identification:
Name

AAR ID#

Phone #

Plant Name and ORIS Code

(please print)

(or Alternate)

EPA will send one payment for each plant that you represent for the proceeds from the auctions of
allowances. Proceeds payments will be distributed no later than 90 days following the conclusion
of the auction. If you are the AAR, or alternate AAR, for multiple plants and the payments are to
be made to the same company, either submit a separate form for each plant or attach a list of the
plants and ORIS codes. A separate form must be submitted for each plant or list of plants where the
payment is made to a different company. You do not need to complete this form for plants that did
not have any allowances withheld for the auctions and will not receive proceeds. As the AAR, or
alternate AAR, you are responsible for designating to whom proceeds payments should be made.
All payments will be wire transferred to the bank account on record with the EPA Las Vegas
Financial Management Center (call 702-798-2492 to change your company’s bank account
information).
Step 2
The proceeds payment should be endorsed to:
Company Name
Taxpayer ID. No.

__ __ __ __ __ __ __ __ __

Step 3
I understand that EPA will continue to make the payments as indicated above until I give new
written instructions to EPA.
Authorized by ______________________________________________ Date _____________
AAR or Alternate AAR

Send this form to one of the following addresses:
for regular or certified mail:

for overnight mail:

U.S. EPA
Clean Air Markets Division (6204J)
Attention: Kenon Smith
1200 Pennsylvania Avenue, NW
Washington, DC 20460

U.S. EPA
Clean Air Markets Division (6204J)
Attention: Kenon Smith
1310 L Street, NW
Room 254A
Washington, DC 20005

EPA Form 7610-11 (12/05)