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Form 5695
Department of the Treasury Internal Revenue ServiceResidential Energy Credits
Information about Form 5695 and its instructions is at www.irs.gov/form5695Attach to Form 1040 or Form 1040NR.
OMB No. 1545-0074
20 12Attachment
Sequence No.
158Name(s) shown on returnYour social security number For Paperwork Reduction Act Notice, see your tax return instructions.Cat. No. 13540PForm 5695 (2012) Note.
Skip lines 1 through 11 if you only have a
credit carryforward from 2011.1 Qualified solar electric property costs ....................12 Qualified solar water heating property costs ..................2
3 Qualified small wind energy property costs ...................3
4 Qualified geothermal heat pump property costs ......
...........45 Add lines 1 through 4 ..........................5
6Multiply line 5 by 30% (.30) ........................6
7 a Qualified fuel cell property. Was qualified fuel cell property installed
on or in connection with your main home located in the United States? (See instructions) ............7aYesNo
Caution: If you checked the "No" box, you cannot take a credit for qualified fuel cell property. Skip
lines 7b through 11. bPrint the complete address of the main home where you installed the fuel cell property.Number and street Unit No.
City, State, and ZIP code
8Qualified fuel cell property costs .............89Multiply line 8 by 30% (.30) ...............9
10Kilowatt capacity of property on line 8 above
. x $1,0001011 Enter the smaller of line 9 or line 10.....................11
12 Credit carryforward from 2011. Enter the amount, if any, from your 2011
Form 5695, line 32 ..12
13 Add lines 6, 11, and 12.........................13
14 Enter the amount from Form 1040, line 46, or Form 1040NR, line 44 .14
151040 filers: Enter the total, if any, of your credits from Form 1040,
lines 47 through 50; line 32 of this form; line 12 of the Line 11 Worksheet in Pub. 972 (see instructions); Form 8396, line 9; Form 8839, line 12; Form 8859, line 9; Form 8834, line 23; Form8910, line 22; Form 8936, line 23; and Schedule R, line 22.
1040NR filers: Enter the amount, if any, from Form 1040NR,
lines 45 through 47; line 32 of this form; line 12 of the Line 11 Worksheet in Pub. 972 (see instructions); Form 8396, line 9; Form 8839, line 12; Form 8859, line 9; Form 8834, line 23;Form 8910,
line 22; and Form 8936, line 23.} 1516Subtract line 15 from line 14. If zero or less, enter -0- here and on li
ne 17 .........1617Residential energy efficient property credit. Enter the smaller of line 13 or line 16. Also include
this amount on Form 1040, line 52, or Form 1040NR, line 49 ............. 1718 Credit carryforward to 2013. If line 17 is less than line 13, subtract
line 17 from line 13 ................. 18 Part IResidential Energy Efficient Property Credit (See instructions before completing this part.)Form 5695 (2012)Page 2
Part IINonbusiness Energy Property Credit
19a Were the qualified energy efficiency improvements or residential energy property costs for your
main home located in the United States? (see instructions) ............19a YesNo
Caution:
If you checked the "No" box, you cannot claim the nonbusiness ener gy property credit. Do not complete Part II. b Print the complete address of the main home where you made the qualifyin g improvements.Caution:
You can only have one main home at a time.
Number and street Unit No.
City, State, and ZIP code
c Were any of these improvements related to the construction of this main home? .....19cYesNo
Caution: If you checked the "Yes" box, you can only claim the nonbusiness energy property credit for qualifying
improvements that were not related to the construction of the home. Do not include expenses related to the
construction of your main home, even if the improvements were made after you moved into the home.20Lifetime limitation. Amounts claimed in 2006, 2007, 2009, 2010, and
2011.a Amount, if any, from line 12 of your 2006 Form 5695....... 20a b Amount, if any, from line 15 of your 2007 Form 5695.......20b c Amount, if any, from line 11 of your 2009 Form 5695.......20c dAmount, if any, from line 11 of your 2010 Form 5695.......20d eAmount, if any, from line 14 of your 2011 Form 5695.......20e
fAdd lines 20a through 20e. If $500 or more, stop; you cannot take the nonbusiness energy property credit 20f
21Qualified energy efficiency improvements (original use must begin with you and the component must
reasonably be expected to last for at least 5 years; do not include labo r costs) (see instructions). a Insulation material or system specifically and primarily designed to red uce heat loss or gain of your home that meets the prescriptive criteria established by the 2009 IECC ........
21ab Exterior doors that meet or exceed the Energy Star program requirements........21b c Metal or asphalt roof that meets or exceeds the Energy Star program requirements and has appropriate pigmented coatings or cooling granules which are specifically and primarily designed to reduce the heat gain of your home .................... 21c
d Exterior windows and skylights that meet or exceed the Energy Star program requirements................. 21d
eMaximum amount of cost on which the credit can be figured.....21e f If you claimed window expenses on your Form 5695 for 2006, 2007, 2009,
2010, or 2011, enter the amount from the Window Expense Worksheet (see
instructions); otherwise enter -0-.............. 21fgSubtract line 21f from line 21e. If zero or less, enter -0-.......21g hEnter the smaller of line 21d or line 21g.....................21h