Missouri Tax I.D. Number
Section 1 Taxable Equipment Listing - Attach your taxable equipment listing with KWH usage (or exempt equipment listing, if applicable)
List all taxable equipment, special metered or not, which can include all electricity for air conditioners, lights, refrigerators, heaters, other appliances
and machines used in maintenance of living, office, plant, shop or warehouse facilities. Compute total kilowatt hours by completing this section or
attach your calculation of total taxable kilowatt hours.
Estimated
Description of
Hours
Estimated Hours
Days
Weeks
Number
Amp
Wattage
Wattage
Hours
KWH
Taxable Electrical Equipment
Per Day
Volts
Used Annually
Per
Per
Phase
HP
Draws
from VA
from HP
Used Annually
of Units
Per Year
(run-time)
X No. of Units
Week
Year
Attach a detailed listing
Per Unit
EXAMPLE
0
Total KWH
Please calculate the kilowatt hours used on each piece of taxable equipment for the full calendar year. The calculations in Part B are for the
purpose of calculating the exemption under
Section 144.030.2 (13)
RSMo. and should not take into account the additional exempt electricity under
Section 144.054.2
RSMo.
Section 2 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 B, Section 1)
(B÷A)
C. Exempt Electricity Used
C
(A–B)
(C÷A)
Section 3 Determination of Exempt and Taxable Purchases
Column 1 is obtained from suppliers’ billings. (Include all meter billings.)
Column 2 is obtained by multiplying Column 1 by the taxable percentage in Part B, Section 2.
Column 3 is obtained by multiplying Column 1 by the exempt percentage in Part B, Section 2.
Billing Period
1. Total Billing Exclusive
2. Billing Portion on Which Sales Tax
3. Billing Portion for
by Month
of Sales Tax
is Due Taxable Equipment
Exempt Equipment
January
February
March
April
May
June
July
August
September
October
November
December
Total For
$ 0.00
$ 0.00
$ 0.00
Year __________
Form-1749E-25 (Revised 08-2016)
*14016020001*
14016020001