Form E1 - Electricity And Electrical Energy License Tax Report
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1Montana
E1
Rev. 1-05
Date Received_________________________Operator No.___________________
Electricity and Electrical Energy License tax Report
15-51-101, MCA
Statement of production for quarter ending_______________________________,20_____
Name and address of person, corporation, or association engaged in carrying on the business of
generating, manufacturing or producing electricity and electrical energy in the State of Montana.
Federal ID __________________________
Name ___________________________________________________________________
Address _________________________________________________________________
________________________________________________________________________
Telephone _________________ Contact Name __________________________________
Production Report
1. Total KWH of electricity and electrical energy generated,
manufactured or produced in the State of Montana this quarter .. _________________
2. Less KWH required for plant use to produce the electrical
energy reported on line 1 ............................................................. _________________
3. Taxable KWH ............................................................................... _________________
Computation of tax
4. Line 3 times .0002 ........................................................................$_________________
5. Less interest differential credit (if any) .........................................$_________________
6. Penalty and interest .....................................................................$_________________
7. Total tax due (Lines 4 - 5 + 6) ......................................................$_________________
Under penalties of perjury, I declare that I have examined this return and to the best of my knowledge
and belief the information contained herein is true, correct, complete and in compliance with
applicable Montana statutes and regulations.
Signature of Principal Officer or Agent
Date
Instructions: Submit original to Department of Revenue, PO Box 5805, Helena, MT 59604-
5805. Retain a copy for audit purposes. Statement and remittance for any tax due must be
received on or before the 30th day following the end of each calendar quarter. Penalties and
interest apply on all delinquent reports pursuant to 15-1-216, MCA.
604
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