Form Idr 54-065 - Application For Methane Gas Conversion Property Tax Exemption
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1Application for Methane Gas Conversion
IOWA
Property Tax Exemption
Iowa Code Section 427.1 (29)
This application must be filed with your city or county assessor by February 1 of each assessment year. It must be
postmarked no later than February 1. Iowa assessors’ addresses can be found at the Iowa State Association of
Assessors Web site.
Applicant Contact Information
PLEASE PRINT
Name: _____________________________________________________________
Title: ________________________________Phone Number:(____)_____________
eMail: ______________________________________________________________
Legal Description: _________________________________________________________________________________
Address of Property: ______________________________________________________________________________
Parcel Number: ____________________________________________________________________________________
Titleholder or Contact Buyer: ________________________________________________________________________
Mailing Address (if different than above): ______________________________________________________________
Describe the property that is classified as methane gas conversion property. The exemption applies to land and
improvements. Attach a map of the project site showing all structures and land utilized in the operation of the facility.
Is the property used in an operation connected with or in conjunction with a publicly-owned sanitary landfill?
Yes
If yes, the exemption applies as long as the property is utilized as methane gas
conversion property.
No
If no, the exemption applies to property originally placed in service on or after January
1, 2008, and on or before December 31, 2012. The exemption is limited to 10 years. Total assessed
value of land and improvement of eligible methane gas.
(1)
Total assessed value of land and improvement of eligible methane gas
conversion property........................................................................................ (1) _______________________
Does the property used to convert the gas to energy consume fuel
other than methane?
Yes
No If no, enter zero on line 4.
(2)
If yes, list ratio of fuel other than (methane
gas consumed) ÷ (total fuel consumed)...............(2)_________________ %
(3)
Assessed value of property used to convert
methane gas to energy....................................... (3)_________________
(4) Total. Multiply line 2 by line 3.............................................................................(4)________________________
(5) Total value subject to exemption. Subtract line 4 from line 1..................................(5)_______________________
Signed: ____________________________________________ Date: ______________________________________
Contact Person: _____________________________________ Telephone Number: __________________________
TO BE COMPLETED BY ASSESSING AUTHORITY
I hereby certify that the above property is eligible to receive the tax exemption as provided by Iowa Code section
427.1(29).
Assessing Authority Signature
Date
IDR 54-065 (12/1/14)
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