What information must be provided if a grantee is seeking credit towards its local share without the use of Federal funds?

If a grantee is seeking credit towards its local share without the use of Federal funds, they must provide the following information:
Year of Purchase
Vehicle Identification Number
(A) Cost of Van
(B) Amount of state or local financial assistance
(C) Amount available as credit (A-B)
(D) Amount used as credit for previous grants
(E) Amount to be used as credit for this grant (C-D)
Certified statement to verify van is being used in grantee’s service area