IRS PHEV/EV TAX CREDIT FORM
Dealership Information
Dealership Location:
*
Please Select
Glover Chevrolet West, LLC
Jim Glover CDJR LLC
Chevrolet Taxpayer ID:
81-0837637
Dodge Taxpayer ID:
81-5190309
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Buyer/Tax Payer Information
Buyer/Tax Payer Name (Hereinafter called "Buyer")
*
First Name
Last Name
Buyer/Tax Payer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Buyer/Tax Payer Phone #
*
Please enter a valid phone number.
Format: (000) 000-0000.
Buyer/Tax Payer Email
*
example@example.com
Buyer/Tax Payer SS #
*
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Vehicle Information
Vehicle ID Number (VIN #)
*
Vehicle Battery Capacity
*
Battery Voltage
Sale Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Sale Price of Vehicle
*
$27,900.00
Maximum Credit Allowable
*
$3,500.00
Buyer Signature
*
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Dealership Employee
*
First Name
Last Name
Dealership Employee Signature
*
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