Manufacturer’s Certification Statement

Harvey Building Products
1400 Main Street
Waltham, MA 02451-9180
Tel (781) 899-3500
(800) 882-8945
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.
Thomas F. Russell, Senior VP, Manufacturing
January 1, 2011
The taxpayer should retain this certification statement as part of their tax records, although the taxpayer is not required
to submit this form with their taxes. This document is not intended to constitute legal or tax advice. The taxpayer is
advised to consult their tax professional.
Harvey Building Products assumes no liability regarding the homeowner’s ability to obtain tax credits.
Important Notes: This certification statement is for windows purchased beginning on January 1, 2011.
Manufacturer’s Certification Statement for purchases made between September 7, 2010 and December 31, 2010:
http://www.harveybp.com/pdf/tax_incentive/ManufacturersCertificationARRA2009_PostSeptember7.pdf
Manufacturer’s Certification Statement for purchases made between June 1, 2009 and September 6, 2010:
http://www.harveybp.com/pdf/tax_incentive/ManufacturersCertificationARRA2009.pdf
Manufacturer’s Certification Statement for purchases made before June 1, 2009:
http://www.harveybp.com/pdf/tax_incentive/ManufacturersCertificationARRA2009_PriorToJune1.pdf
Homeowner’s Records
Contractor Name:
Contractor Phone Number:
Homeowner's Existing Principal
Residence:
Product(s):
Price Paid for Product(s) Not
Including Installation:
Date of Purchase:
We understand what it takes to be part of your home
harveybp.com
Friday, October 28, 2011 (09-090)