Manufacture's Certification Statement



	For the Energy Policy Act of 2005 as extended by the Energy Improvement and Extension Act of 2008 and the American Recovery and Reinvestment act of 2009


		tm.
	Northern Comfort Solar Collectors


	Sunsiaray certifies that the solar collectors listed below qualify for the Solar Tax Credit allowed under Title II Renewal Energy sec. 1335


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




		Kenneth Pethers President Sunsiaray, Inc.

	HOMEOWNER’S CERTIFICATION:


	SRCC # 100-86-005A


	THE FOLLOWING PRODUCT HAS (HAVE) BEEN INSTALLED IN THE PRIMARY RESIDENCE OF THE FOLLOWING TAXPAYER:


	Homeowner’s Name


	SSN:

Primary Residence Address:


	Products Installed:


	Price Paid For Product:

Date Purchased:


	Date Installed:


	Keep this Document and Proof of Purchase or Receipt with your Income Tax Records.

		Do Not Send to Sunsiaray