CARRIER CORPORATION
7310 West Morris Street
Indianapolis, IN 46231
1-800-CARRIER
Manufacturer’s Certification Statement

Hot Water Boiler

The below identified natural gas or propane hot water boiler (1) achieves an annual fuel utilization efficiency (AFUE) rate of not less than 90% and was purchased and installed between January 1, 2009 and December 31, 2010 or (2) achieves an AFUE rate of not less than 95% and was purchased and installed between January 1, 2011 and December 31, 2013, and qualifies for the tax credit allowed under Section 25C of the Internal Revenue Code.

The make and model number of the natural gas or propane hot water boiler, the installation date, and whether the boiler (1) achieves an AFUE of not less than 90% or (2) achieves an AFUE of not less than 95%, are as follows:

Make: Carrier
Boilers that achieve an AFUE of not less than 90%
Dealer to circle appropriate model and provide install date.

Boilers that achieve an AFUE of not less than 95%
Dealer to circle appropriate model and provide install date.

A taxpayer claiming a credit for Residential Energy Property Expenditures should retain this certification statement and the receipt of purchase as part of the taxpayer’s records and should consult with a tax professional to determine eligibility for and application of the credit.

Under penalties of perjury, I declare that I have examined this certification statement, and to the best of my knowledge and belief, the facts presented are true, correct, and complete.

David Meyers
V.P., Sales – Residential Systems