MISSOURI TAX
PAGE 2
ACCOUNT NUMBER:
PART C — ATTACH YOUR TAXABLE EQUIPMENT LISTING WITH KWH USAGE
(AND EXEMPT EQUIPMENT LISTING IF NECESSARY)
Days
Weeks
Estimated Hours
Estimated Hours
Hours Per
Number
Description of
Amp
Wattage
Wattage
KWH
Phase
Volts
HP
Used Annually
Day
Per
Per
Used Annually
Draws
from VA
from HP
Per Year
of Units
Taxable Electrical Equipment
(run-time)
Week
Year
Per Unit
X No. of Units
Attach a detailed listing
EXAMPLE
Total KWH
Please calculate the hours used on each piece of taxable equipment for the full calendar year. The calculations in Part C are for the
purpose of calculating the exemption under Section144.030.2 (12) RSMo. and should not take into account the additional exempt
electricity under Section144.054.2 RSMo.
Section 144.030.2 (12) RSMo. exempts from state and local sales tax “electrical energy used in the actual primary manufacturing,
processing, compounding, mining or producing of a product, or electrical energy used in the actual secondary processing or fabricating of
the product, or a material recovery processing plant as defined in subdivision (4) of this subsection, in facilities owned or leased by the
taxpayer, … if the raw materials used in such processing contain at least twenty-five percent recovered materials as defined in Section
260.200, RSMo.”
Section 144.054, RSMo, effective August 28, 2007, exempts from state sales tax "electrical energy used or consumed in the manufac-
turing, processing, compounding, mining, or producing of any product or used or consumed in the processing of recovered materials ...." If
total exempt electricity after taking into account the additional exempt usage per Section 144.054 RSMo. is at least 76% of total usage, the
electricity is 100% exempt from state tax. Therefore, electricity that does not qualify for the state and local sales tax exemption under
Section 144.030.2(12), RSMo is subject to local sales tax only.
PART D — COMPUTATION OF PERCENTAGE OF ELECTRICITY USED
ESTIMATED USAGE
KWH
PERCENTAGE
A. TOTAL ELECTRICITY USED (taken from
suppliers bills)
A
100%
÷
B. TAXABLE ELECTRICITY USED
B
(PART C TOTAL)
(B
A)
÷
(
C. EXEMPT ELECTRICITY USED
C
(A–B)
C
A)
FINAL RETURN: If this is your final return, enter the close date below and check the reason for closing your account.
The Sales Tax law requires any person selling or discontinuing business to make a final sales tax return within fifteen (15) days of the sale or closing.
Date Business Closed:
Out of Business
Sold Business
Leased Business
COMPLETE PART E, PAGE 3, PRIOR TO SIGNING THE RETURN
If you do not qualify, it is your responsibility to notify your utility provider, withdraw your exemption, and remit the appropriate tax to the state.
Under penalties of perjury, I declare that I have direct control, supervision or responsibility for completing this return.
I ATTEST THAT I HAVE NO TAXABLE UTILITY PURCHASES TO REPORT FOR LOCATIONS LEFT BLANK.
If you pay by check, you authorize the Department of Revenue to process the check electronically. Any check returned unpaid may be presented again electronically.
SIGN AND DATE RETURN: This must be signed and dated by the taxpayer or by the taxpayer’s authorized agent.
Mail to: Missouri Department of Revenue, P.O. Box 840, Jefferson City, MO 65105-0840.
SIGNATURE OF TAXPAYER OR AGENT
PRINT NAME
TITLE
DATE SIGNED
TAX PERIOD (MMDDCCYY) THRU (MMDDCCYY)
__ __ / __ __ / __ __ __ __ THRU __ __ / __ __ / __ __ __ __