Rheem 2-Stage Tax Credit Form
Contents
1. RRRA RAKAA RAKAA RAKAA RAKAA RAKAA RAKAA RAKAA RAKAA RAKAA ERARA RRRA ERARA ERARA ERARA ERARA ERARA ERARA ERARA ERARA ERARA ERARA ERARA ERARA RRRA ERARA ERARA ERARA ERARA 22 E E E E X aa E Uun 259 Ues ea 255299 5 gt O O 2 N ELEN Pan 5 02 9 EER AS D 2 FEREN EA ssaa e e O O EE gt 20 EE S E t ti H 25 T2. t B ATT BSA t A a BO y PAGE 1 5 TC13 RARL 00 955 55 20 SE ZA 252 25 S We 152 95 gt 55 4 Relief Act of 2012 Proof of Qualified Energy Property for Claiming Tax Credits for Residential Heating amp Cooling Equipment J gt i F V E 2
3. S ZEN i gt 279 2 pa l K 0 5 56 i 27 06 SAN NR l S 22 542 5 a Zes 55551 gt gt Uns K 0 H Product Manager Residential Cooling Rheem Air Cond Jeff Goss d Ener Division Fort Smith Arkansas 479 648 4900 i gt 129 1 2760 59 294255 O 1224 255 525 dp 55220 15522599 2 aaa 22255 29 7 2 E 529 22 ETT 2 t 5 59 h 5252 saa Ai itioning
4. 226 22 S EA 22 2 9 S 4 9 4 2 5552652 E 202652055567 S 8 PAGE 4 OF 5 13 00 22 gt 21 55550550 _ ES OT E NO E a 22 222 A 2225252 222 555 22 5 2 5 z The American Taxpayer Relief Act of 2012 Proof of Qualified Energy Property for Claiming Tax Credits for Residential Heating amp Cooling Equipment gt 2 2 250 2 5 5 22 25 50505 2452 5 z 222 92 lt 55 5 5 25 050905 5 2227 925 gt gt 222 95 lt lt 17 SAA 55
5. 22 222 A 2225252 222 555 22 5 2 5 z The American Taxpayer Relief Act of 2012 Proof of Qualified Energy Property for Claiming Tax Credits for Residential Heating amp Cooling Equipment gt 2 2 250 2 5 5 22 25 50505 2452 5 z 222 92 lt 55 5 5 25 050905 5 2227 925 gt gt 222 95 lt lt 17 SAA 55 520 92 gt h 2554 55 gt 222 2 55 87 3 pen 25 1 5 5524 220 2 5527 ER 3 25 5 22 92 505 5 52224 5 35 95 9 CREDIT 10 INSTALLATION COSTS 300 5436972 5436883 5436901 5436919 5436937 5436955 5436902 5436920 5436938 5436956 5436885 5436903 5436921 5436939 5436957 5436973 5436904 5436922 5436940 5436958 5436974 5436887 5436905 5436923 5436941 1650 1650 1650 1650 1650 1650 160 1650 1650 1650 1650 1650 1680 1650 1650 1650 160
6. 5525250 Sah 5 7 i iming HA t CS a E 56 N N W 1 22 t R 0 lt 2 HA 9 5 k 25 52221 RE UO i IVISION W 4 M Relief Act of 2012 5 t for Cla Tax Credits for Residential Heating amp Cooling Equipment ion of Rheem Sales Company Inc cert fies that the models listed on the following page of this document if placed in service after December 31 dence meet the criteria of Qualified En ing Consumers with a tax credit on h ergy Property as set forth by Section 25C of the Internal Revenue Code is now provi SAN gt 525 n E E gt 2 ESEN gt V me n Sa A TES
7. m AA i ne 4 N E E E E T H En 226 22 S EA 22 2 9 S 4 9 4 2 5552652 E 205265205562 S 8 PAGE 3 OF 5 1 00 22 gt 21 55550550 _ ES OT E NO E a 22 222 A 522 222 555 22 5 2 5 z The American Taxpayer Relief Act of 2012 Proof of Qualified Energy Property for Claiming Tax Credits for Residential Heating amp Cooling Equipment gt 2 2 250 2 5 5 22 lt 520 52 5 z 222 92 lt 55 5 5 lt 25 25055 5
8. 2227 DAA h 52 52 22 22 5 5 0 Sei S 5 lt 2217 5 2 gt 22 griy 22 lt 25 59 S a gt 222 2 5 5 452 232 ASA Sai M A 20 X 5525 S a 555 22 55 552 lt 422 5 D 55 2 2 22 5552 gt 2 0 95 2227 255 32 S 550555 Zz 552 2 gt 5252056 2 22 505 5 2 5 5 2 22 25 lt 22 2 5 2 lt 5270 5 D 24 555 5252 22 52 4515555 1017623 401760 1017625 4017626 4017607 4017628 4017629 4017630 01761 401760 1982875 4017633 4017634 4017640 1017642 4017648 101764 409380 4093850 4093851 1003852 1093853 92 lt 5 5 5 5 ASA 5 gt gt 25 lt 95 227 A 50
9. 2227 925 gt gt 222 95 lt lt 17 SAA 55 520 92 gt h 2554 55 gt 222 2 55 87 3 22 25 1 5 5524 220 0 ER 3 25 5 22 92 505 5 52224 5 35 95 9 CREDIT 10 INSTALLATION COSTS 300 5436979 5436911 5436929 5436947 5436965 5436980 5436894 5436912 5436930 5436948 5436966 5436981 5436913 5436931 5436949 5436967 5436982 4017686 RARL 037JEZ RBHM 24J RCQD 3624 10201 16 4017687 RARL 037JEZ RBHN 24J RCQD 3624 10201 16 4017717 RARL 037JEZ RHPN HM3624 RCSN H 3624 1300 1 2 1500 4017614 RARL 037JEZ RCFN H 3624 RGFE 09 ZcM 130 1600 4017615 RARL 037JEZ RCFN H 3624 RGFE 10 ZcM 130 1600 4017616 RARL 037JEZ RCFN H 3624 RGFE412 RCM 1300 160 4515553 RARL 037JEZ RCFN H 3624 RGFG 09 ZcM 1300 1600 4515554 RARL 037JEZ RCFN H 3624 130 f 170 1000 21840 1040 01000 1840 21040 01000 21040 21840 1000 21840 21040 160 21040 221840 21000 1840 21840 o 160 o 160 o 160 21000 2140 22100 555 87 X 222 2 S a
10. X 552 S a 4 555 22 55 22 552 5 422 5 D 55 2 2 22 22 5552 gt 2 50 95 2227 255 32 S 550555 5 552 2 gt 5552056 2 22 505 5 2 5 5 55 52 52 22 2 255 2527 2 25 lt 22 5 5437431 16 00 5437372 16 50 5437406 16 00 5437432 16 00 5437373 16 50 5437433 16 00 5437380 16 00 5437382 16 00 5437383 16 00 5437384 16 00 5437440 16 00 5437385 16 00 5437386 16 00 5437387 16 00 5437443 16 00 5437388 16 00 5437444 16 00 5437389 16 50 5437420 16 00 5437445 16 00 4938167 RARL 049JEZ RBHM 25J RCQD 4824 13 16 50 5069750 RARL 049JEZ RHPN HM4824 RCSN H 4824 no 16 50 4976713 RARL 049JEZ RHPN HM4824 RCSN H 4824 RXMD C06 17 00 5437610 RARL 061JEZ RHPL HM6024 RCSL H 6024 13 00 16 00 5437611 RARL 061JEZ RHPN HM6024 RCSN H 6024 13 00 16 00 2 55 5270 5 D 5252 22 52 92 5 5 5 5 5 ASA 5 gt gt z lt 95 25 50 220 5 529 gt
11. 29 S 55 2 lt 555 5 52 lt 22 92 A 5 2 5 5 5 52 2552 lt 25 5 52 22222 5 22 525 5 5 1 2227 lt 22 910420 5 2219 922 S as 2 955 52 E 55 nan 25 5 0 220 52 2528 95 2 lt S 0 2 9 ESNE eeri 2 955 55 2 52 5 59 2219 5 252 t 6 5 TAX CREDIT 10 INSTALLATION COSTS UP TO 300 AHRI Ref Model Number Coil Model Number Furnace Model Number Rs 22 5 A R 3222 2 5552 221 252 22 2 zz no z5 5 22 92 65 5 5522 00 4 90597 2 9 2 2 Aii 87 a 5 2227 22 4 22 25 25 3 1 00 lt 4514722 RARL 024JEZ RHPL HM2421 RCSL
12. 5600 Old Greenwood Road tt i eK 22 2 i 25 gt 2 ii ti M 2 Before filing for tax credit the following listed models Rheem Cond ing equipmen Proof of Qual Rheem Air Cond recommends that Consumers consult with a tax professional to review The American Taxpayer Re lief Act of 2012 and its application in reference to Section 25C of the Internal Revenue Code Under penalties of perjury declare that have examined this certification statement and to the best of my knowledge and belief the facts presented are true correct and complete itioning The U S Internal Revenue Service IRS 2010 and before January 1 2014 in a homeowner Oo 5 76 51 SPE 26 lt gt 2 lt 5 5 2 Z Ts 5650 O O 2 222 O Z SN O D E o Z Z lt lt 5 O 45 lt LL SAN US D xX EEE aaa Un 5 O Z 5 gt s
13. 555 2 Rheem Conditioning Division Fort Smith Arkansas 479 648 4900 22 9 55 A re 55 i a AWAN EA WAIMA E TATAN ES YANNAN ES MATAN ES ES ANAN ES ES AINAN ES AVAN ES W HN 1 1 18 i KES ION EZ AN E AN ESTAN ES 418 4 550965 0 55 4 9 OLE NTE NIE MUNTE MUNTE 5256 ESNY EN ETMA E 4 gt 5 25 ES AN ES MAMAN ES ji 2 5 W 482040 552 Tir S 25 0000006 55 5556 55 6 27 L 2 PAGE 2 OF 5 1 00 22 gt 21 55550550 _ ES OT E NO E a
14. 1650 1650 1650 1650 1650 160 o 160 tes 555 87 X 222 2 S a 2227 DAA h 52 52 22 22 5 5 4225 0 Sei S 5 lt 2217 5 2 gt 22 griy 22 lt 25 59 S a gt 222 2 5 5 452 232 ASA Sai M A 20 X 552 S a 555 22 55 22 552 5 422 5 D 55 2 2 22 5552 gt 2 0 95 2227 255 32 S 550555 5 SAAT AVRA gt 5252056 2 22 505 5 2 5 27 25 lt 22 2 5 2 lt 5270 5 D 24 555 5252 22 52 5430050 16 50 5436006 1556 1556 5430042 1556 1556 5436075 1556 16 0 5436007 1556 5436025 1556 5430043 1 50 8 7650 5436076 1556 5430908 16 0 5436026 1556 1556 1650 5436077 16 0 5436900 1556 5436977 1650 5436045 1650 5436063 1650 5430078 1650 7600 16
15. 220 5 2 32527 gt 25 lt 22 92 22 5 RS SAVA rna 5 3 2 X 52224 ue 2005 DAE 20 222 EE 22 5 2 55 25 5 5 92 Me 222 15 422 98 5 5 N 5 DAE 3 lt 92 05 050 h RE y 8 2022 2 25 5 55 22 5 252 0 Sn 5255 595509 222 2 5 n 22 lt 422 5 552 DAE D Sa LA 5505 99 5 e M X 555 X 5256 555 5 2 G 5 SE 152 2 222 92 25 lt bate lt 25 5 5 gt 32527 2 lt Rheem Conditioning Division Fort Smith Arkansas 479 648 4900 5 5 5 655 655 m AA i ne 4 N E E T H En
16. 5 2 3 7 2 A 2 4 55 5 9 2219 2219 5 z 505 2 2 is 25 lt 25 z S 22 2 lt 5 5 52 9 S 2 2 OA lt 55 5 52 856 54 2 gt 52 2 52525259 5 S lt 222 287 S gt 5 955 555 92 h Si z 55 509 23880 T600 5436878 050 Renmei o 5436084 0 165 5436085 0 5436897 T650 5436915 T650 5436083 T650 543605 T650 5436060 T650 5436880 T600 5436898 T650 5136016 165 lt 2130924 T650 5436052 T650 5436970 T650 5436809 T650 5436917 T650 5436095 T650 5438053 T650 503897 T650 5436000 T650 5436018 T650 5436036 T600 5436984 1600 26 92 5 5 y 95 0 S 2227 15 52 5526 252 25 lt 22 92 26252 05 505 5 4 2 2 lt lt T E 69 o ana EE lt 25 55 gt 22 5 255 5
17. H 2621 no 10 3764500 RARL 024JEZ RHPN HM2421 RCSN H 2421 1 no 1650 3764382 3621444 4514692 4514713 3876758 3876761 3876764 25 3876767 4514715 3876762 3876768 3876770 4514695 4514716 3876760 3876763 3876766 3876769 3876771 4238858 4249227 4238840 4249228 1500 1650 1650 1650 1650 1650 1650 1650 1650 160 1650 1650 1650 1650 1650 1650 1650 1650 1650 1650 1650 1650 160 o 160 502 lt 552 52 52 5 22 5 5 95 i s A 99 2 5055 5522 5 gt 255 522 z 505 2 2 92 25 lt 25 55 2217 25595052 Sai 25 x 222 22 9 5 5 A n 22 sx 5256 925 a 5222 S gt A 92 25 55 55050 5 EF e S3 94 2219 52 2 lt 2 25 gt SAA 2 5 Eg E lt 5204 65 n 53 5 08 55 552 5 55 5 22 92 KA ETE 5 ee CESES
18. 06 92 lt 5 5 5 5 ASA 5 gt gt 25 lt 95 227 A 50 220 5 529 gt 25 lt 22 92 22 5 RS SAVA rna 5 22 3 2 X 52224 ue 2005 DAE 20 222 EE 22 5 2 lt 25 5 5 92 Me N 222 15 422 958 5 5 N 5 DAE 3 lt 92 24 94222 y 8 205 2 2525 99 555 22 5 52 0 Sn 555 595509 222 5 n 22 lt 422 5 552 D Sa LA 55 5505 52 2 5 a M X 555 X 5226 5555 5 2 G 5 SE 152 2 222 92 25 lt bate lt 25 5 5 gt 32527 2 lt Rheem Conditioning Division Fort Smith Arkansas 479 648 4900 5 5 5 655 655
19. 25 lt 22 92 22 5 RS SAVA rna 5 3 2 X 52224 ue 2005 DAE 20 222 EE 22 5 2 55 25 5 5 92 Me 58 222 15 422 98 5 5 N 5 DAE 3 lt 92 05 050 h RE y 8 2022 2 255 99 55 22 5 252 0 Sn 5255 595509 222 2 5 n 22 lt 422 5 552 DAE D Sa LA 5505 99 2219 5 552 5 X 555 X 5256 555 5 2 G 5 SE 152 2 222 92 25 lt bate lt 25 5 5 gt 32527 2 lt Rheem Conditioning Division Fort Smith Arkansas 479 648 4900 5 5 5 655 655 m AA i ne 4 N H En 226
20. 520 92 gt h 2554 55 gt 222 2 55 87 3 pen 25 1 5 5524 220 2 5527 ER 3 25 5 22 92 505 5 52224 5 35 95 9 CREDIT 10 INSTALLATION COSTS 300 5437218 RARL 038JEZ RBHM 24J RCOD 3624 no 160 5437219 RARL O38JEZ RBHN 24J RCQD 3624 130 165 5437449 RARL 038JEZ RHPN HM3624 RCSN H 3624 nro 150 5437349 5437424 5437354 5437427 5437355 5437357 5437358 5437359 5437360 5437362 5437363 5437364 5437430 5437365 5437366 5437367 5437368 5437370 5437371 5437405 1600 o 1650 01000 21840 2150 21000 1840 21040 01000 21040 21840 1000 21840 21040 160 21040 21840 1650 21040 21040 1655 o 1650 tes 555 87 X 222 2 S a 2227 DAA h 52 52 22 22 5 5 4225 0 Sei S ERS 5 2217 5 gt 22 griy 22 lt 25 59 S a gt 222 2 5 5 452 232 ASA Sai M X 0
21. 95 5 0 2 22 22 5 257 55 5 5 52 2 SA 2552 2 pA 22 55 3 2 S 6555 2 2219 gt lt Si S 922 E 552 2 s SA 55 2 2 45 E 92 25 gt AA 155 2 22 15 52 25 525 252 SE ne 52 505 4 22 5 S 584557 DA ES 5 505 552 A Sy D 2 22 275 509 57 554 2555 54555 AA E 055 gS 5 59 52 5 502 5555055 gt 22 92 Dv 5 15 595 05 lt 2 2 T es 25 s gt 226 55452 222 E 2219 5226 Pii K 522 S 52 4 5559 2 2 95 5 5 D GA lt E 27 222 5552 97024 2224 55 55 552 22
22. O 0 E S 8 5 5 13 00
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