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efta-efta01221070DOJ Data Set 9Other

Form 8910

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DOJ Data Set 9
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efta-efta01221070
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Form 8910 Alternative Motor Vehicle Worksheet 2017 Keep for your records Namo(s) shown on return Identifying Number Part I Qualified Motor Vehicle 1 Is your motor vehicle a Qualified fuel cell vehicle? Yes No Part II Vehicle Year, Make, and Model 2 Model year. Check one: a 2018 2017 2016 3 Honda a Ei Clarity Toyota b l l Mirai Hyundai c Ell Tucson Fuel Cell Other d Ell Other qualifying vehicle (also complete Part IV) 2015 2014 2013 Part III Other Information 4 Date purchased (mm/ddfyyyy - must be 2016 or later) 5 Date placed in service (mm/dd/yyyy - must be 2017) 6 Business / investment use percent Part IV Tentative Credit 7 Year 8 Make 9 Model 10 Vehicle Identification Number 11 Maximum credit allowable 12 Phaseout percentage 13 Tentative credit. Multiply line 11 by line 12 EFTA01221070

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