Vermont Photovoltaic (PV) System Inventory Form Property Information Property Owner Property Address Mailing Address Property Zip Code Email Address Speed Project Net Metered Parcel Id # PV Project Type Existing Under Construction Group Net Metered ( must be accompanied by contract) Parcel Span # Proposed PV Ownership Owned Leased Solar Panels 32 VSA§ 8002(16) "Plant owner" means a person who has the right to sell electricity generated by a plant. Certification / CPG Year Certified: CPG #:(include revision, if applicable) Name of Utility Company: Solar Resource Calculation System Size in Watts: Electricity Rate Inputs DC AC Electric Rate (c/kWh) System Age: Operation & Maintenance Inputs Modular Warranty/Years Inverter Size: Array Type: (select one) Array Tilt: Fixed Single Axis Array Azimuth: Location: (Roof, Ground, Etc.) Dual Axis Inverter Warranty/Years: Age of Inverter(s): Inverter Replaced? Yes No Comments In accordance with State Law and except as provided therein, all information listed on the forms is not available to the public for inspection. [32 V.S.A. §4009]. 32 V.S.A. § 3481(D)(ii) The owner of a project shall respond to a request for information from the municipal assessing officials by returning the information sheet describing the project in the form specified by the Director not later than 45 days after the request for information is sent to the owner. If the owner does not provide a complete and timely response, the municipality shall determine the appraisal value using the published model and the best estimates of the inputs to the model available to the municipality at the time, and the provisions of section 4006 of this title shall apply to the information form in the same manner as if the information form were an inventory as described in that section. Nothing in this subdivision (1)(D) shall affect the availability of the exemption set forth in the provisions of section 3845 of this title or availability of a contract under the provisions of 24 V.S.A. § 2741 32 VSA§ 4006 Failure to Return Inventory: Failure of a taxpayer to make and return a signed, sworn to, or affirmed inventory within 45 days after the mailing of such inventory by the town listers shall bar the taxpayer from any statutory appeal under this chapter or chapter 131 of this title, unless such failure is due to factors beyond the taxpayer’s control. In addition, a taxpayer who fails to submit an inventory within the time and in the form prescribed may be fined not more than $100.00 for each violation. I do solemnly swear or affirm, under the pains and penalties of perjury, that, to my best knowledge and belief, the foregoing inventory and information supplied herewith by me subscribed is a full, true and correct list and description of all taxable property, both real and personal, which should be set in the grand list to me. Lessors Address and email if applicable: Submitted by: __________________________________ Title: _______________________ Phone: ___________________ Signature: ____________________________________________________________ 2/2015 Date: _____________ PVR SIF-001