Clean Alternative Fuel Passenger Vehicle Leases and Sales — Form & Instructions

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Form
Clean alternative fuel passenger vehicle leases and sales addendum Complete this form to report sales and leases of clean alternative fuel vehicles. Both new and used vehicles qualify. If you sold or leased more than one vehicle, make copies and complete the form for each vehicle sold or leased.
Business name __
Account ID _ Reporting period _
Vehicle information
Complete the following information about the vehicle:

1. o Lease o Sale
2. o New o Used
3. Vehicle year __
4. Vehicle make __
5. Vehicle model __
6. Sale date/lease start date __
7. Sales price before trade-in or fair market value at start of lease __
8. Trade-in amount __
9. Deduction amount __

For new leased vehicles, the deduction amount is equal to the cap reduction payment in addition to the first lease payment.
For leased vehicles (do not complete if outright sale)

1. Term of lease in months __
2. First lease payment plus cap reduction __
3. Monthly lease payment amount __

Continued...
REV 41 01021 (9/17/19)

What will we use this information for?
The information on this form will be used by the Department of Revenue to create a report to the Legislature on the effectiveness of exemption as required by law (E2SHB 2042).
Exemption amounts