Plug-In Electric Vehicle (PEV) High Occupancy Vehicle (HOV) Lane Exemption

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This does not constitute tax advice. All persons considering use of available incentives should consult with their own tax professional to determine eligibility, specific amount of benefit available, if any, and further details. STATE OF MARYLAND Plug-In Electric Vehicle (PEV) High Occupancy Vehicle (HOV) Lane Exemption Short Description: Permitted PEVs may operate in Maryland HOV lanes regardless of the number of occupants with the appropriate permit. Beneficiary: Drivers of a Plug-In Electric Vehicle Type of Incentive: Transportation Benefit Effective Dates: Current Benefit, through September 30, 2019 Value of Benefit: Non-cash benefit Full Description: Permitted PEVs may operate in Maryland HOV lanes regardless of the number of occupants. Qualified PEVs must have a maximum speed capability of at least 65 miles per hour. To operate in HOV lanes, PEV owners must obtain a permit, not to exceed $20, from the Maryland Motor Vehicle Administration (MVA). Each year the MVA and the State Highway Administration must report PEV use in HOV lanes to the governor. This exemption expires September 30, 2019.. State Statutory References: Maryland Statutes, Transportation Code 13-815 Other Link(s): MVA Website: http://www.mva.maryland.gov/about-mva/info/27300/27300-54t.htm AFDC website: http://www.afdc.energy.gov/laws/8382 Contact Information: Motor Vehicle Administration: Vehicle Services Unit, Room 104. 6601 Ritchie Highway, N.E. MVA Customer Service Center: 1-410-768-7000 TTY/Hearing Impaired: 1-301-729-4563

LICENSE PLATE APPLICATION VSA 10 (09/10/2013) Purpose: Instructions: Use this form to request souvenir, standard, personalized or special license plates. Review the Additional Information Section on the back of this form. Mail completed form, with the appropriate fees, to DMV at the address above. Or, you may apply online at www.dmvnow.com or at any DMV Customer Service Center or DMV Select office. APPLICATION TYPE (check one) VEHICLE LICENSE PLATES VEHICLE LICENSE PLATES - DISABLED SOUVENIR LICENSE PLATES TRANSFER EXISTING LICENSE PLATES LICENSE PLATE TYPE REQUESTED (check one) STANDARD (Blue and White) LIGHTHOUSE HERITAGE (Dogwood-Cardinal) SCENIC (Mountain To Seashore) SCENIC (Autumn) SCENIC (Patriot) COLLEGE: Locality: City County MILITARY (No initials or abbreviations) (No initials or abbreviations) SPECIAL INTEREST: (Organization Name - If organization has more than one license plate, specify design type) OTHER (Any plate not listed above) PERSONALIZED LICENSE PLATES: To request a personalized vehicle or souvenir plate, review the Personalized License Plates Policy on the reverse side of this form. Check this box and enter your choices below. PERSONALIZED LICENSE PLATE CHOICES 1st 2nd 3rd 4th (Note: some plates require certification) CLEAN FUEL Vehicle Year Make Model (Review the Clean Fuel License Plates section on the reverse side of this form.) DMV USE ONLY AVAILABLE CHOICE FEE $ APPLICANT INFORMATION OWNER'S NAME (last) (first) (mi) DAYTIME TELEPHONE NUMBER ( ) CO-OWNER'S NAME (last) (first) (mi) DAYTIME TELEPHONE NUMBER ( ) CURRENT MAILING ADDRESS CITY STATE ZIP CODE CURRENT PLATE NUMBER PLATE TYPE PLATE EXPIRATION DATE VEHICLE TITLE NUMBER VEHICLE IDENTIFICATION NUMBER IF PAYING BY CREDIT CARD, ENTER CARD NUMBER AND EXPIRATION DATE CERTIFICATION/SIGNATURES I/We certify that (Check only ONE box) This vehicle is insured with liability coverage by a company licensed to do business in Virginia. Coverage must be in effect at the time of application and must remain in effect as long as the vehicle is registered, even if the vehicle is not driven or is inoperable. This vehicle is not insured; therefore, I am remitting the applicable uninsured motor vehicle fee. This fee provides NO insurance coverage. Failure to comply with Virginia's insurance requirements will result in suspension of your driver's license and vehicle license plates. I/We further certify and affirm that all information presented in this form is true and correct, that any documents I/we have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I/We make this certification and affirmation under penalty of perjury and I/we understand that knowingly making a false statement or representation on this form is a criminal violation. For a corporation, an authorized representative must sign. APPLICANT SIGNATURE DATE (mm/dd/yyyy) CO-APPLICANT SIGNATURE DATE (mm/dd/yyyy)

ADDITIONAL INFORMATION VSA 10 (09/10/2013) page 2 Special license plate fees can be $10, $15, or $25 annually or a one-time $10, $25 or $50 fee based on the plate design, in addition to the registration fees. Personalization is an additional $10 annually. If you are renewing early, the special license plate and/or personalized license plate fees will be prorated for the months remaining on your current vehicle registration. The Department of Motor Vehicles (DMV) will not honor a change of choice or refund after the order has been sent to the manufacturer. You may purchase samples of most special license plates. Personalized License Plates Policy All personalized character combinations are screened by DMV to ensure compliance with DMV's Personalized License Plate Policy. The combination of characters used to personalize a license plate must not violate DMV's Personalized License Plate Policy. DMV reserves the right to refuse and/or recall the issuance of any combination of objectionable characters if they, in anyway, carry a connotation that may be reasonably seen by a person viewing a license plate as 1) profane, obscene, or vulgar in nature, 2) sexually explicit or graphic, 3) excretory related, 4) describing intimate body parts or genitals, 5) describing drugs, drug culture or drug use, 6) condoning or encouraging violence, 7) describing illegal activities or illegal substances. Personalized license plates require special handling; allow up to 60 days for delivery. Plates will be mailed directly to the applicant. Indicate your choices in order of preference. The maximum number of characters allowed on standard and scenic license plates is 7 ½. The maximum number of characters allowed on a heritage license plate is 6 ½. Six characters are allowed on all other license plates bearing logos. License plates with logos may sometimes accommodate an additional ½ space when personalized. A blank space and a dash are the only two characters that are ½ characters. An ampersand is considered a full character. Spaces, dashes, and ampersands cannot be used consecutively. Visit our website www.dmvnow.com to create a plate or ask a DMV representative to determine availability. New Special Interest License Plate Development Information All application and refund inquiries should be directed to the sponsor who is maintaining and facilitating collection of the 450 pre-paid applications for new license plates through General Assembly authorization or currently under development. When the 450 pre-paid applications are being processed, personalized license plate and special license plate fees are not prorated. Your vehicle registration will not be renewed unless it is within two months of expiration. Should your vehicle registration require renewal, you will be billed by DMV for payment. The entire special license plate process could take up to two years depending on the direction of the sponsor. It generally takes about nine months to develop a new plate once the 450 pre-paid applications are collected. Clean Special Fuel License Plates Vehicles registered with clean special fuel license plates issued by DMV on or after July 1, 2011, are not eligible for occupancy exemptions in the I-95/395 or I-66 HOV lanes. However, they are exempt from occupancy requirements in all other HOV lanes throughout the state until the general exemption expires. To qualify for clean special fuel license plates, a vehicle must qualify as a clean special fuel vehicle under the super ultra-low emission vehicle (SULEV) rating or the Environmental Protection Agency's (EPA) equivalent beginning with model year 2005 vehicles. Vehicle assessment standards were set by the Virginia Department of Environmental Quality (DEQ) and adopted by DMV to ensure that only the cleanest vehicles are eligible for clean special fuel license plates. Not all vehicles qualify for the clean special fuel license plate. For a list of qualifying vehicles, visit our website at www.dmvnow.com. The list of vehicles is updated as new qualifying vehicles are introduced to the market and assessed by DEQ. Other License Plates - Certification Required Antique License Plates require submission of the Antique License Plate Applicant Certification (VSA 10 B) with form VSA 10. Gold Star License Plates require submission of the Gold Star License Plate Applicant Certification (VSA 10 A) with form VSA 10. Disabled License Plates require submission of the Disabled Parking Placards or License Plates Application (MED 10) with form VSA 10.

Maryland Transportation Section 13-815 Article - Transportation 13-815. (a) (1) In this section the following words have the meanings indicated. (2) "Automobile" means a 4-wheeled vehicle propelled by fuel that: (i) Is manufactured primarily for use on public streets, roads, and highways, other than for use exclusively on a rail or rails; and weight. (ii) Is rated at not more than 8,500 pounds unloaded gross vehicle (3) "Excise tax" means the tax imposed under 13-809 of this subtitle. (4) "Maximum available power" means the maximum value of the sum of the heat engine and electric drive system power or other nonheat energy conversion devices available for a driver's command for maximum acceleration at vehicle speeds under 75 miles per hour. (5) "Qualified electric vehicle" has the meaning stated in 30 of the Internal Revenue Code. (6) "Qualified hybrid vehicle" means an automobile that: (i) Meets all applicable regulatory requirements; (ii) Meets the current vehicle exhaust standard set under the federal Tier 2 program for gasoline-powered passenger cars under 40 C.F.R. Part 80 et seq.; and (iii) Can draw propulsion energy from both of the following onboard sources of stored energy: 1. Gasoline or diesel fuel; and 2. A rechargeable energy storage system. (b) (1) Except as provided in subsection (e) of this section, a credit is allowed against the excise tax imposed for a qualified electric vehicle or a qualified hybrid vehicle.

(2) Subject to the limitations under subsections (c) and (d) of this section, the credit allowed under this section equals 100% of the excise tax imposed for a vehicle. (3) The credit allowed under this section does not apply to a vehicle titled on or after July 1, 2004. (c) For a qualified electric vehicle, the credit allowed under this section may not exceed $2,000. (d) (1) For a qualified hybrid vehicle that has a rechargeable energy storage system that provides at least 5% of the vehicle's maximum available power, subject to paragraph (2) of this subsection, the credit allowed under this section may not exceed: (i) $250 if the vehicle's rechargeable energy storage system provides at least 5% but less than 10% of the maximum available power; (ii) $500 if the vehicle's rechargeable energy storage system provides at least 10% but less than 20% of the maximum available power; (iii) $750 if the vehicle's rechargeable energy storage system that provides at least 20% but less than 30% of the maximum available power; or (iv) $1,000 if the vehicle's rechargeable energy storage system that provides at least 30% of the maximum available power. (2) If a qualified hybrid vehicle actively employs a regenerative braking system that supplies to the rechargeable energy storage system at least 20% of the energy available from braking in a typical 60 miles per hour to 0 miles per hour braking event, the maximum credit amount determined under paragraph (1) of this subsection shall be increased by: (i) $125 if the vehicle's regenerative braking system supplies to the rechargeable energy storage system at least 20% but less than 40% of the energy available from braking in a typical 60 miles per hour to 0 miles per hour braking event; (ii) $250 if the vehicle's regenerative braking system supplies to the rechargeable energy storage system at least 40% but less than 60% of the energy available from braking in a typical 60 miles per hour to 0 miles per hour braking event; or

(iii) $500 if the vehicle's regenerative braking system supplies to the rechargeable energy storage system at least 60% of the energy available from braking in a typical 60 miles per hour to 0 miles per hour braking event. (e) A credit may not be claimed under this section: (1) For a vehicle unless the vehicle is registered in the State; or (2) For a qualified electric vehicle unless the owner has already met any State or federal laws or regulations governing clean-fuel vehicle or electric vehicle purchases applicable during the calendar year in which the vehicle is titled. (f) (1) The Motor Vehicle Administration and the Maryland Energy Administration jointly shall adopt regulations to administer the credit under this section. (2) The regulations adopted under this section shall specify the testing and calculation procedures to be used to determine whether a vehicle meets the qualifications for a credit under this section. (g) On or after October 1 of each year, the Administration shall certify to the Comptroller the total amount of credits allowed under this section against the excise tax for the preceding fiscal year.