7610-11 Notification For Distribution Of Proceeds From EPA Aucti

United States
Environmental Protection Agency
Acid Rain Program

OMB No. 2060-0258
Approval expires 11/30/2012

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

AAR ID#
(or Alternate)

Phone #

Plant Name and ORIS Code

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 (Revised 12-2009)