EPE_0720_pt2

Deemed Payment Election

io
ot

N
l
na

30C Manual Entry/

No Template

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4

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Selection

Credit Info

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Confirmation

Credit Info (1 of 3)

N

(30C) Alternative Fuel Vehicle Refueling Property Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle

ot

Only add facilities or properties that will be placed in service by date of registration

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square
Add Facility/Property

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Facilities/Properties (0)

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CHIPS/IRA Credit Registration
Add a Facility to (30C) Alternative Fuel Vehicle Refueling Property Credit
(*) Indicates a required field.
When selecting an option below, you may need to provide more information.
Facilities/Properties are automatically numbered based on entry.

Facility/Property 1
Election
If you are deemed eligible for this credit, you will only qualify for a a[n elective payment/transfer] election question-circle

ii

no

tion

Subs d ary I f rma

Does this facility belong to a subsidiary? *
Yes
No

Facility/Property Location
If you enter a street address, then city and ZIP code will be required.
Street Address

Enter number, street, and room or suite no.
1234

First St., Suite 10

City

N

State *

IP Code

Z
5

digits (e.g., 12345)

Latitude *

Longitude *

Enter longitude in decimal format with 6 digits to the right of the
decimal (e.g., -74.17403)

l

na

Enter latitude in decimal format with 6 digits to the right of the
decimal. (e.g., 41.40338)

io

County *

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ot

Select an option

Facility Information

Census Tract * circle-question
Enter your 4-digit Census Tract number with up to 2 digits to the
right of the decimal (e.g., 40.16)

Fuel Type *
85% fuel blend
Biodiesel blend
Electricity
Transportation fuel

ate Placed in Service *
Must be placed in service by date of registration

(MM/DD/YYYY)
D

MM/DD/YYYY
What source of funds was used to acquire the property? * circle-question
General (unrestricted) funds
Restricted grant funds
Forgivable loan

Additional Information circle-question

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Selection

Credit Info

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Submit

Confirmation

Credit Info (1 of 3)

(30C) Alternative Fuel Vehicle Refueling Property Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

check-circle You added Facility/Property 1 to this credit
Facilities/Properties (1)

Add Facility/Property

N

minus-circle

ot

Information

edit Edit

1492 Tilden Road

Chapel Hill, AZ 92847

Address

io

County

Orange

GPS Coordinates

40.521398, -74.82017

na

Cattletown Inc

Subsidiary EIN

******6789

Census Tract

1234.12

Type of Fuel

Biodiesel Blend

Date Placed in Service

10/23/2022

Source of funds used

Restricted grant funds

Additional Information

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Ipsum doler set

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Subsidiary Name

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Add Supporting Documents to Facility/Property 1

ot
N

(*) Indicates a required field
To apply for a registration number, provide one or more of the documents types listed below. Failure to do so may result in a delay.

Document Types

Permit
Certification
Evidence of ownershi
Manufacturer and serial number(s)

io

Instructions

l
na

Upload your supporting documentation below. When upload is complete select document type.

Make sure to press ‘Save to Facility’ before leaving the page. Otherwise, any updates will be lost.
Maximum number of files: 10
File types allowed: .pdf, .jpg, .jpeg, .png, .ppt, .pptx, .doc, .docx, .xls, and .xls
Maximum file size : 15MB/fil
PDF files must be 120 pages or les
File name cannot contain: `!@$%^&*{}[]:;’”|,<>/?~

Drag and drop files here, or

Select files to upload

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Add Supporting Documents to Facility/Property 1
(*) Indicates a required field
To apply for a registration number, provide one or more of the documents types listed below. Failure to do so may result in a delay.

Document Types
Permit
Certification
Evidence of ownershi
Manufacturer and serial number(s)

Instructions

ot

N

Upload your supporting documentation below. When upload is complete select document type.

Make sure to press ‘Save to Facility’ before leaving the page. Otherwise, any progress made will be lost.
Maximum number of files: 10
File types allowed: .pdf, .jpg, .jpeg, .png, .ppt, .pptx, .doc, .docx, .xls, and .xlsx
Maximum file size :15MB/fil
PDF files must be 120 pages or les
File name cannot contain: `!@$%^&*{}[]:;’”|,<>/?~

check-circle You added [document name].pdf

io
Drag and drop files here, or

Documents Added (3)

Facility Permit.pdf
2.9 MB

Manufacturer number.pdf
2.9 MB

Back

emove

Trash-can R

emove

Trash-can R

emove

Trash-can R

l

Certificate of Existence.pdf
2.9 MB

na

Select files to upload

Document Type *

Select an option

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Document Type *

Select an option

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Document Type *

Select an option

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Add Supporting Documents to Facility/Property 1
(*) Indicates a required field
To apply for a registration number, provide one or more of the documents types listed below. Failure to do so may result in a delay.

Document Types
Permit
Certification
Evidence of ownershi
Manufacturer and serial number(s)

Instructions

ot

N

Upload your supporting documentation below. When upload is complete select document type.

Make sure to press ‘Save to Facility’ before leaving the page. Otherwise, any progress made will be lost.
Maximum number of files: 10
File types allowed: .pdf, .jpg, .jpeg, .png, .ppt, .pptx, .doc, .docx, .xls, and .xlsx
Maximum file size :15MB/fil
PDF files must be 120 pages or les
File name cannot contain: `!@$%^&*{}[]:;’”|,<>/?~

check-circle You added [document name].pdf

io
Drag and drop files here, or

Select files to upload

Facility Permit.pdf
2.9 MB

Manufacturer number.pdf
2.9 MB

Back

Document Type *

emove

Trash-can R

emove

Trash-can R

emove

Trash-can R

Input text
Document
Permits Type *

l

Certificate of Existence.pdf
2.9 MB

na

Documents Added (3)

Certifications
Select
an option
Evidence of ownership
Manufacturer and serial number(s)
Other
Document Type *
Check

Select an option

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chevron-down

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Document Type *

Select an option

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General Info

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Credit Info

Review &
Submit

Confirmation

Credit Info (1 of 3)

(30C) Alternative Fuel Vehicle Refueling Property Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

check-circle You added 3 supporting documents to Facility/Property 1
Facilities/Properties (1)

minus-circle

Add Facility/Property

file-lines Add Documents Trash-can Remove

Facility/Property 1
Information

N

edit Edit

1492 Tilden Road

Chapel Hill, AZ 92847

Address

ot

County

Orange

40.521398, -74.82017

io

GPS Coordinates
Subsidiary Name

Cattletown Inc

******6789

na

Subsidiary EIN

1234.12

Type of Fuel

Biodiesel Blend

Date Placed in Service

10/23/2022

Source of funds used

Restricted grant funds

Additional Information

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Ipsum doler set

Supporting Documents

file-lines Add/Edit Documents

Permits

Facility Permit.pdf

Certifications

Certificate of existence.pdf

anufacturer and serial numbers

Manufacturer number.pdf

M

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Census Tract

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Confirmation

Credit Info (1 of 3)

(30C) Alternative Fuel Vehicle Refueling Property Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

check-circle You added Facility/Property 20 to this credit
Facilities (20)

Add Facility/Property

Facility/Property 11

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Facility/Property 12

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Facility/Property 13

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Facility/Property 14

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Facility/Property 15

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Facility/Property 16

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Facility/Property 17

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Facility/Property 1

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Facility/Property 1

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Facility/Property 20

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N

plus-circle

ot

8

9

io

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Information

edit

na

3 2 Firefly Roa
uscon, A 2 4

Address

8

9

d

T

County

Z 9

Chatham

8

Su sidiary ame

Cattletown Inc

1

N

Su sidiary EI
b

N

98

-7

20

8

17

l

40.52 3 , 4.

7

PS Coordinates

G

b

Edit

******6789

234. 2

Census ract
T

1

ype of Fuel

1

Biodiesel Blend

T

Date Placed in Service

0/2 /2022

1

8

Source of funds used

Restricted grant funds

Additional Information

Lorem Ipsum doler set Lorem Ipsum doler setLorem
Ipsum doler set

Supporting Documents

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Confirmation

Credit Info (1 of 3)

(30C) Alternative Fuel Vehicle Refueling Property Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

Facilities/Properties (20)

N

Add Facility/Property

plus-circle

Facility/Property 11

plus-circle

Facility/Property 12

file-lines Add Documents trash-can Remove

plus-circle

Facility/Property 13

file-lines Add Documents trash-can Remove

plus-circle

Facility/Property 14

plus-circle

Facility/Property 15

plus-circle

Facility/Property1 6

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Facility/Property 17

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Facility/Property 18

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Facility/Property 19

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Facility/Property 20

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io

ot

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Review &
Selection
Submit
Facility/Property 17?
Remove

Credit Info (1 of 3)

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Confirmation

(30C) Alternative Fuel Vehicle Refueling Property Credit
CANCEL

Remove

If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

Facilities/Properties (20)

N

Add Facility/Property

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Facility/Property 11

plus-circle

Facility/Property 12

file-lines Add Documents trash-can Remove

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Facility/Property 13

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Facility/Property 14

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Facility/Property 15

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Facility/Property1 6

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Facility/Property 17

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Facility/Property 18

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Facility/Property 19

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Facility/Property 20

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file-lines Add Documents trash-can Remove

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Confirmation

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(30C) Alternative Fuel Vehicle Refueling Property Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration
rovide supporting documentation relevant to the facility or property you register. ee instructions

P

check-circle

S

up-right-from-square

ou removed acility/Property from this credit

Y

F

17

N

Facilitie Propertie ( 0)
s/

s

plus-circle

Facility Property 1

plus-circle

Facility Property 13

plus-circle

Facility Property 1

plus-circle

Facility Property 1

plus-circle

Facility Property 16

plus-circle

Facility Property 18

plus-circle

Facility Property 19

plus-circle

Facility Property 0

file-lines

2

file-lines

file-lines

4

file-lines

5

file-lines

/

file-lines

/

file-lines

/

/

m

s

Add ocu ent
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m

s

trash-can

trash-can

Re ove
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Re ove
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Add ocu ent
D

m

s

Add ocu ent
D

m

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trash-can

trash-can

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/

D

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/

/

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file-lines

2

file-lines

Add ocu ent
D

m

s

Add ocu ent
D

m

s

Add ocu ent
D

m

s

Add ocu ent
D

m

s

Add ocu ent
D

m

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trash-can

trash-can

Re ove
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Re ove
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Facility Property 11
/

Add Facility Property

ot

plus-circle

/

/

2

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Deemed Payment Election

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NEW

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45 Manual Entry/No
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Confirmation

Credit Info (1 of 3)

ot
N

(45) Renewable Electricity Production Credit

If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

Do not add facilities you plan to claim on the section 48 credit, whether for this taxable year or any year prior.
Add Facility/Property

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io

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(*) Indicates a required field.

N

Add a Facility or Property to (45) Renewable Electricity Production Credit
When selecting an option below, you may need to provide more information.
Facilities/Properties are automatically numbered based on entry.

Facility/Property 1

l
na

Attestation

By checking this box, I confirm that I will not claim a section 48 credit with respect to this facility/property for this taxable year or any prior taxable year. *

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Add a Facility or Property to (45) Renewable Electricity Production Credit
(*) Indicates a required field.
When selecting an option below, you may need to provide more information.
Facilities/Properties are automatically numbered based on entry.

Facility/Property 1

Attestation
check By checking this box, I confirm that I will not claim a section 48 credit with respect to this facility/property for this taxable year or any prior taxable year. *

Election
If you are deemed eligible for this credit, you will only qualify for a a[n elective payment/transfer] election

question-circle

Subsidiary Information
Does this facility belong to a subsidiary?

*

Yes

No
Subsidiary Name *

Subsidiary EIN *
9 digits without spaces or hyphens (e.g.,123456789)

N

Facility/Property Location

If you enter a street address, then city and ZIP code will be required.
Street Address

Enter number, street, and room or suite no.

City

State *

chevron-down

Select an option

5 digits (e.g., 12345)

County *

Latitude *
Enter latitude in decimal format with 6 digits to the right of the
decimal. (e.g., 41.40338)

l
na

ZIP Code

io

ot

1234 First St., Suite 10

Longitude *
Enter longitude in decimal format with
decimal (e.g., -74.17403)

6 digits to the right of the

Facility/Property Information
Type of Facility or Property *

Select an option

chevron-down

*
Must be placed in service by date of registration

(MM/DD/YYYY)
Date Placed in Service

MM/DD/YYYY
Is the property owned by more than one taxpayer? *
Yes

No
What is your percentage of ownership? *
Enter up to two decimal places. (e.g., if you’re 1/3 owner, enter
"33.33")

%

Additional information circle-question

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Confirmation

Credit Info (1 of 3)

(45) Renewable Electricity Production Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

check-circle You added Facility/Property 1 to this credit
Facilities/Properties (1)

Add Facility/Property

N

minus-circle Facility/Property 1

ot

Information

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edit Edit

1492 Tilden Road

Chapel Hill, AZ 92847

Address

io

County

Orange

GPS Coordinates

40.521398, -74.82017

na

Cattletown Inc

Subsidiary EIN

******6789

Type of Facility/Property

Closed-loop biomass

Date Placed in Service

10/23/2022

Percentage Ownership

33.33

Additional Information

Lorem Ipsum doler set Lorem Ipsum doler setLorem
Ipsum doler set

Supporting Documents

l

Subsidiary Name

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N

(*) Indicates a required field

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1492 Tilden Road

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Address

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40.521398, -74.82017

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Subsidiary Name

Cattletown Inc

na

******6789

Type of Facility/Property

Closed-loop biomass

Date Placed in Service

10/23/2022

Percentage Ownership

33.33

Additional Information

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(45) Renewable Electricity Production Credit
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N

(45Q) Carbon Oxide Sequestration Credit

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Indicate your preferred payment election in the event that the facility qualifies for this credit

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(45Q) Carbon Oxide Sequestration Credit
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ot

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(*) Indicates a required field.
When selecting an option below, you may need to provide more information.
Facilities/Properties are automatically numbered based on entry.

Facility/Property 1

Election
What type of election do you intend to take for this facility? *
Transfer election

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Subsidiary Information
Does this facility belong to a subsidiary? *
Yes
No

Facility/Property Location
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Street Address
Enter number, street, and room or suite no.
1234 First St., Suite 10

City

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State *

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County *

Latitude *

Longitude *
Enter longitude in decimal format with
decimal (e.g., -74.17403)

6 digits to the right of the

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Enter latitude in decimal format with 6 digits to the right of the
decimal. (e.g., 41.40338)

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ZIP Code

Facility Information
Sequestration Activities *
Geological storage
Enhanced oil recovery

Utilization of captured CO2
Direct air capture

Date Placed in Service *

Must be placed in service by date of registration

(MM/DD/YYYY)
MM/DD/YYYY
What source of funds was used to acquire the property? * circle-question

General (unrestricted) funds
Restricted grant funds
Forgivable loan

Additional information circle-question

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Do you operate the sequestration point? *
Yes
No

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(*) Indicates a required field.
When selecting an option below, you may need to provide more information.
Facilities/Properties are automatically numbered based on entry.

Facility/Property 1

Election
What type of election do you intend to take for this facility? *
Transfer election

question-circle

Elective payment election

question-circle

Subsidiary Information
Does this facility belong to a subsidiary? *
Yes
No
Subsidiary Name *

Subsidiary EIN *
9 digits without spaces or hyphens (e.g.,123456789)

Facility/Property Location
If you enter a street address, then city and ZIP code will be required.
Street Address
Enter number, street, and room or suite no.
1234 First St., Suite 10

City

State *

chevron-down

Select an option
ZIP Code
5 digits (e.g., 12345)

ot

N

County *

Latitude *

Enter latitude in decimal format with 6 digits to the right of the
decimal. (e.g., 41.40338)

l
na
io

Longitude *
Enter longitude in decimal format with
decimal (e.g., -74.17403)

6 digits to the right of the

Facility Information
Sequestration Activities *

Geological storage
Enhanced oil recovery

Utilization of captured CO2
Direct air capture

Date Placed in Service *

Must be placed in service by date of registration

(MM/DD/YYYY)
MM/DD/YYYY
What source of funds was used to acquire the property? * circle-question

General (unrestricted) funds
Restricted grant funds
Forgivable loan

Additional information circle-question

Sequestration Point
Do you operate the sequestration point? *
Yes
No

Operator Name *

Street Address *
Enter number, street, and room or suite no.

City or Town *

State
Select an option

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Enter 5-digit ZIP Code

County *

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(45Q) Carbon Oxide Sequestration Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

check-circle You added Facility/Property 1 to this credit
Facilities/Properties (1)

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N

Information

County

ot

1492 Tilden Road

Chapel Hill, AZ 92847

Address

Orange

40.521398, -74.82017

io

GPS Coordinates
Subsidiary Name

Cattletown Inc

******6789

Payment Election

Transfer

Sequestration Activities

Geological Storage

Date Placed in Service

10/23/2022

Source of funds used

Restricted grant funds

Sequestration Point Address

1293 Cactus Rd,

Morenci, AZ 92104

Sequestration Point County

Orange

Sequestration Point Operator

Carl Robertson

Additional Information

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N

Document Types

Instructions

ot

Permit
Life cycle assessment Department of Energy and IRS approval letter (utilization of captured CO2 only
Engineer certification (enhanced oil recovery
Evidence of ownership

n
io

Upload your supporting documentation below. When upload is complete select document type.

Make sure to press ‘Save to Facility’ before leaving the page. Otherwise, any updates will be lost.
Maximum number of files: 10
File types allowed: .pdf, .jpg, .jpeg, .png, .ppt, .pptx, .doc, .docx, .xls, and .xls
Maximum file size : 15MB/fil
PDF files must be 120 pages or les
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al

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Select files to upload

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To apply for a registration number, provide one or more of the documents types listed below. Failure to do so may result in a delay.

Document Types
Permit
Life cycle assessment Department of Energy and IRS approval letter (utilization of captured CO2 only
Engineer certification (enhanced oil recovery
Evidence of ownership

Instructions

N

Upload your supporting documentation below. When upload is complete select document type.

Make sure to press ‘Save to Facility’ before leaving the page. Otherwise, any progress made will be lost.

check-circle

ot

Maximum number of files: 10
File types allowed: .pdf, .jpg, .jpeg, .png, .ppt, .pptx, .doc, .docx, .xls, and .xlsx
Maximum file size :15MB/fil
PDF files must be 120 pages or les
File name cannot contain: `!@$%^&*{}[]:;’”|,<>/?~

ou added [document name].pdf

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io
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Document Types
Permit
Life cycle assessment Department of Energy and IRS approval letter (utilization of captured CO2 only
Engineer certification (enhanced oil recovery
Evidence of ownership

Instructions

N

Upload your supporting documentation below. When upload is complete select document type.

Make sure to press ‘Save to Facility’ before leaving the page. Otherwise, any progress made will be lost.

check-circle

ot

Maximum number of files: 10
File types allowed: .pdf, .jpg, .jpeg, .png, .ppt, .pptx, .doc, .docx, .xls, and .xlsx
Maximum file size :15MB/fil
PDF files must be 120 pages or les
File name cannot contain: `!@$%^&*{}[]:;’”|,<>/?~

ou added [document name].pdf

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io
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na

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(45Q) Carbon Oxide Sequestration Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration

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1492 Tilden Road

Chapel Hill, AZ 92847

County

Orange

GPS Coordinates

40.521398, -74.82017
Cattletown Inc

io

Subsidiary Name

ot

N

Address

Subsidiary EIN

******6789
Transfer

Sequestration Activities

Geological Storage

Date Placed in Service

10/23/2022

Source of funds used

Restricted grant funds

Sequestration Point Address

1293 Cactus Rd,

Morenci, AZ 92104

Sequestration Point County

Orange

Sequestration Point Operator

Carl Robertson

Additional Information

Lorem Ipsum doler set

Supporting Documents

l

na

Payment Election

file-lines Add/Edit Documents

Engineer certification (enhanced oil recovery)

Certificate of Engineering.pdf

Evidence of ownership

Ownership12.pdf, MyFacility.jpg

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(45Q) Carbon Oxide Sequestration Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

Facilities/Properties (20)

N

Add Facility/Property

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(45V) Production of Clean Hydrogen Credit

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(*) Indicates a required field.
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Facilities/Properties are automatically numbered based on entry.

Facility/Property 1

Election
What type of election do you intend to take for this facility? *
Transfer election

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Does this facility belong to a subsidiary? *
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Street Address
Enter number, street, and room or suite no.
1234 First St., Suite 10

City

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decimal. (e.g., 41.40338)

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decimal (e.g., -74.17403)

io

Longitude *

6 digits to the right of the

Type of Facility or Property *

ate Placed in Service *
Must be placed in service by date of registration

(MM/DD/YYYY)
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Facility Information

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s the property owned by more than one taxpayer? *

I

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Additional information

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Provide the name and address of an unrelated party who will verify the “production and sale or use of such hydrogen.”
Name *

treet Address *

S

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ity or Town *

C

tate *

S

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P Code *

ZI

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ounty *

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Add a Facility to (45V) Production of Clean Hydrogen Credit
(*) Indicates a required field.
When selecting an option below, you may need to provide more information.
Facilities/Properties are automatically numbered based on entry.

Facility/Property 1

Election
What type of election do you intend to take for this facility? *
Transfer election

question-circle

Elective payment election

question-circle

Subsidiary Information
Does this facility belong to a subsidiary? *
Yes
No

Facility/Property Location
If you enter a street address, then city and ZIP code will be required.
Street Address
Enter number, street, and room or suite no.
1234 First St., Suite 10

City

State *

chevron-down

Select an option
ZIP Code
5 digits (e.g., 12345)

County *

N

Latitude *

ot

Enter latitude in decimal format with 6 digits to the right of the
decimal. (e.g., 41.40338)

Longitude *

Enter longitude in decimal format with
decimal (e.g., -74.17403)

6 digits to the right of the

ate Placed in Service *
Must be placed in service by date of registration

(MM/DD/YYYY)
D

MM/DD/YYYY

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Type of Facility or Property *

io

Facility Information

s the property owned by more than one taxpayer? *

I

Yes
No

What is your percentage of ownership? *
Enter up to two decimal places. (e.g., if you’re 1/3 owner, enter
"33.33")
%

Additional information

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Additional Contact
Provide the name and address of an unrelated party who will verify the “production and sale or use of such hydrogen.”
Name *

treet Address *

S

Enter number, street, and room or suite no.

ity or Town *

C

tate *

S

Enter 2 letter State Abbreviation

P Code *

ZI

Enter 5-digit ZIP Code

ounty *

C

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ave Facility

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(45Q) Carbon Oxide Sequestration Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration
Indicate your preferred payment election in the event that the facility qualifies for this credit

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1492 Tilden Road

Chapel Hill, AZ 92847

Address

ot

County

Orange

GPS Coordinates

40.521398, -74.82017

io

Subsidiary Name

Cattletown Inc

Subsidiary EIN

******6789

na

Transfer

Type of Facility or Property

Factory

Date Placed in Service

10/23/2022

Percentage Ownership

33.33%

Additional Information

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Additional Contact Name

Carl Robertson

Additional Contact Address

2319 Starfish Lane

Duncan, AZ 92847

Additional Contact County

Prince William

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N

To apply for a registration number, provide one or more of the documents types listed below. Failure to do so may result in a delay.

Document Types

Instructions

io
ot

Permit
Certification
Evidence of ownershi
Lifecycle greenhouse gas analysis

Upload your supporting documentation below. When upload is complete select document type.

Make sure to press ‘Save to Facility’ before leaving the page. Otherwise, any updates will be lost.

l
na

Maximum number of files: 10
File types allowed: .pdf, .jpg, .jpeg, .png, .ppt, .pptx, .doc, .docx, .xls, and .xls
Maximum file size : 15MB/fil
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To apply for a registration number, provide one or more of the documents types listed below. Failure to do so may result in a delay.

Document Types
Permit
Certification
Evidence of ownershi
Lifecycle greenhouse gas analysis

Instructions

N

Upload your supporting documentation below. When upload is complete select document type.

Make sure to press ‘Save to Facility’ before leaving the page. Otherwise, any progress made will be lost.

check-circle

ot

Maximum number of files: 10
File types allowed: .pdf, .jpg, .jpeg, .png, .ppt, .pptx, .doc, .docx, .xls, and .xlsx
Maximum file size :15MB/fil
PDF files must be 120 pages or les
File name cannot contain: `!@$%^&*{}[]:;’”|,<>/?~

ou added [document name].pdf

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io
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To apply for a registration number, provide one or more of the documents types listed below. Failure to do so may result in a delay.

Document Types
Permit
Certification
Evidence of ownershi
Lifecycle greenhouse gas analysis

Instructions

N

Upload your supporting documentation below. When upload is complete select document type.

Make sure to press ‘Save to Facility’ before leaving the page. Otherwise, any progress made will be lost.

check-circle

ot

Maximum number of files: 10
File types allowed: .pdf, .jpg, .jpeg, .png, .ppt, .pptx, .doc, .docx, .xls, and .xlsx
Maximum file size :15MB/fil
PDF files must be 120 pages or les
File name cannot contain: `!@$%^&*{}[]:;’”|,<>/?~

ou added [document name].pdf

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(45Q) Carbon Oxide Sequestration Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration
Indicate your preferred payment election in the event that the facility qualifies for this credit

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

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1492 Tilden Road

Chapel Hill, AZ 92847

County

Orange

GPS Coordinates
Subsidiary Name

ot

N

Address

40.521398, -74.82017
Cattletown Inc

io

Subsidiary EIN

******6789

Payment Election

Transfer

na

Factory

Date Placed in Service

10/23/2022

Percentage Ownership

33.33%

Additional Information

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Additional Contact Name

Carl Robertson

Additional Contact Address

2319 Starfish Lan
uncan, AZ 92847

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Type of Facility or Property

e

D

Additional Contact County

Prince William

Supporting Documents

file-lines Add/Edit Documents

Certifications

Certificate of Existence.pdf

Permits

Facility Permit.pdf

ifecycle greenhouse gas analysis

Gas Analysis.doc

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(45V) Production of Clean Hydrogen Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration
Indicate your preferred payment election in the event that the facility qualifies for this credit

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

Facilities/Properties (20)

N

Add Facility/Property

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plus-circle Facility/Property 12

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N

(45U) Zero Emission Nuclear Power Production Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration

Indicate your preferred payment election in the event that the facility qualifies for this credit

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When selecting an option below, you may need to provide more information.
Facilities/Properties are automatically numbered based on entry.

Facility/Property 1

Election
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle

Subsidiary Information
Does this facility belong to a subsidiary? *
Yes
No

N

Facility/Property Location

If you enter a street address, then city and ZIP code will be required.
Street Address

1234 First St., Suite 10
City

State *
Select an option

chevron-down

5 digits (e.g., 12345)

County *

Latitude *

Enter latitude in decimal format with 6 digits to the right of the
decimal. (e.g., 41.40338)

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na

ZIP Code

io

ot

Enter number, street, and room or suite no.

Longitude *

Enter longitude in decimal format with 6 digits to the right of the
decimal (e.g., -74.17403)

Facility Information
Date Placed in Service *

Must be placed in service by date of registration

(MM/DD/YYYY)
MM/DD/YYYY

upplemental information

S

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(*) Indicates a required field.
When selecting an option below, you may need to provide more information.
Facilities/Properties are automatically numbered based on entry.

Facility/Property 1

Election
What type of election do you intend to take for this facility? *
Transfer election question-circle
Elective payment election question-circle

Subsidiary Information
Does this facility belong to a subsidiary? *
Yes
No
Subsidiary Name *

Subsidiary EIN *

ot

N

9 digits without spaces or hyphens (e.g.,123456789)

Facility/Property Location

If you enter a street address, then city and ZIP code will be required.
Street Address

Enter number, street, and room or suite no.

City

State *
Select an option

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ZIP Code

5 digits (e.g., 12345)

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na

io

1234 First St., Suite 10

County *

Latitude *
Enter latitude in decimal format with 6 digits to the right of the
decimal. (e.g., 41.40338)

Longitude *
Enter longitude in decimal format with 6 digits to the right of the
decimal (e.g., -74.17403)

Facility Information
Date Placed in Service *

Must be placed in service by date of registration

(MM/DD/YYYY)
MM/DD/YYYY

Supplemental information

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(45U) Zero Emission Nuclear Power Production Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration
Indicate your preferred payment election in the event that the facility qualifies for this credit

Provide supporting documentation relevant to the facility or property you register. See instructions up-right-from-square

check-circle You added Facility/Property 1 to this credit

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2834 Wisteria Lane

Fairview, CA 90210

Address

County

Los Angeles

40.521398, -74.82017

Subsidiary Name

Falltown

Subsidiary EIN

******6789

Date Placed in Service

2/14/2004

Supplemental information

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N

(*) Indicates a required field

To apply for a registration number, provide one or more of the documents types listed below. Failure to do so may result in a delay.

Operating permi
Evidence of ownership

Instructions

ot

Document Types

io

Upload your supporting documentation below. When upload is complete select document type.

Make sure to press ‘Save to Facility’ before leaving the page. Otherwise, any updates will be lost.

l
na

Maximum number of files: 10
File types allowed: .pdf, .jpg, .jpeg, .png, .ppt, .pptx, .doc, .docx, .xls, and .xls
Maximum file size : 15MB/fil
PDF files must be 120 pages or les
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Document Types

N

Operating permi
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Instructions

ot

Upload your supporting documentation below. When upload is complete select document type.

Make sure to press ‘Save to Facility’ before leaving the page. Otherwise, any progress made will be lost.

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You added [document name].pdf

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io

Maximum number of files: 10
File types allowed: .pdf, .jpg, .jpeg, .png, .ppt, .pptx, .doc, .docx, .xls, and .xlsx
Maximum file size :15MB/fil
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(45U) Zero Emission Nuclear Power Production Credit
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2834 Wisteria Lane

Fairview, CA 90210

Address

County

Los Angeles

40.521398, -74.82017

Subsidiary Name

Falltown

Subsidiary EIN

******6789

Date Placed in Service

2/14/2004

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(45U) Zero Emission Nuclear Power Production Credit
If you are deemed eligible for this credit, you will only qualify for a[n elective payment/transfer] election. question-circle
Only add facilities or properties that will be placed in service by date of registration
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