Form Ppt Ecf - Application For Energy And Solid Waste Energy Conversion And Thermal Efficiency Improvement Facility - 2005 Page 3
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3PPT ECF
Instructions for Completing Application
Rev. 9/05
Page 3
(Failure to properly complete an application will result in the denial of the issuance of a certificate.)
1.a. Check the appropriate space for the type of exempt facility
10.b. If the facility is completed, list the completion date of the
you are requesting (Energy Conversion, Solid Waste Energy
facility. If not completed, indicate the estimated completion
Conversion or Thermal Efficiency Improvement). Unless line
date.
1.b. of the instructions applies, a separate application must
10.c. For thermal efficiency facility, provide i) base efficiency %; ii)
be filed for each exempt facility. This application cannot
improved efficiency %; and iii) energy savings (Btu, kWh,
be used for an application related to the expansion, addition
etc.). For solid waste conversion, provide i) solid waste form;
or replacement of property for an existing certificate or to
ii) heating content of solid waste; and iii) annual quantity of
transfer a certificate to a new owner.
solid waste the facility uses. For energy conversion, provide
1.b. If the application is for substantially similar facilities located
i) fuel source being converted; and ii) replacement fuel
in the same county and by the same owner(s), you may
source.
initially file one application for all those facilities. This
11.
You must include the following documents and/or
department will notify you if it is required to file separate
information as attachments for the application to be
applications for each facility in the county.
considered complete (if multiple facilities in the same county
2.
Check the appropriate space to indicate the type of
are claimed you must note any differences in the facilities):
ownership. If this facility is jointly owned, check “Joint.” File
11.a. Provide a copy of the plans, specifications and
only one application for all the owners of a facility.
drawings of the facility for which an exempt facility
3.
Print the name of the owner of the facility. If the facility for
certificate is requested.
which the application is requested is jointly owned or owned
11.b. Complete the Exempt Facility Property Listing labeled
by a partnership, you must list the names of all the owners
as “Attachment B.” All components incorporated in or
along with their respective percentage of ownership. If
to be incorporated in the facility, along with the cost of
needed, attach a list to this application.
those components, must be listed.
If auxiliary
4.
Print the mailing address of all the owner(s) of the facility. If
property is claimed, you must clearly indicate the
needed, attach a list to this application. Note: This is the
basis and your calculation for how you determined
location where the issuance, or denial, of a certificate will
the tax-exempt cost for the auxiliary property.
be mailed.
11.c. Provide a narrative statement that succinctly explains
5.a. Enter the owner(s) federal employer identification number
the purpose and operations of the facility. You must
(FEIN). If you are a sole proprietor and you do not have an
report the operations of the facility that are both subject
FEIN, you must use your social security number. If needed,
to a tax exemption and those operations that are not.
attach a list to this application.
12.
The initial application fee is ½% of the exempt facility cost
5.b. Enter the owner(s) Ohio charter number (incorporated in
listed on line 9.a., not to exceed $2,000. The fee is not
Ohio) or license number (doing business in Ohio). If needed,
refundable. Only checks and money orders payable to the
attach a list.
Ohio Treasurer of State are acceptable (no cash). Fee may
increase if the costs are higher than reported.
6.
Print the name of the facility. If needed, attach a list to this
application if this is for more than one similar facility in the
13.
Print the name and e-mail address of the primary contact
same county.
person. Note: This is the person that will be sent notice
for any additional information that is needed to have a
7.
Print the physical address of the facility. The physical
complete application and should be the person that is able
address is needed for inspection purposes. If needed, attach
to explain any questions regarding this application to this
a list to this application if this is for more than one similar
department or the Ohio Department of Development. If not
facility in the same county.
by an employee of the owner of the facility, a TBOR-1 is
8.
List the taxing district, township, school district and county
required.
where the facility is located. If needed, attach a list to this
14.
Print the mailing address for the primary contact person.
application if this is for more than one similar facility in the
same county.
15.
Print the telephone number and fax number of the primary
contact person. If applicable, you may provide an additional
9.a. Provide the total exempt facility cost. This includes costs
number.
that will be taxable and nontaxable if a certificate is issued.
16.
Check the appropriate space if you want to claim the cost
9.b. Provide the facility cost that only includes the portion of costs
reported on line 9.b. as exempt for certain taxes. While you
for which the applicant seeks a tax exemption. Note: This is
may be able to file a refund claim, final assessment or tax
the amount that this department is required to report to
appeal for property claimed as exempt prior to filing this
the appropriate county auditor(s).
application, you cannot apply such exemption to any period
9.c. Check the appropriate space to indicate if the costs for 9.a.
of time that is otherwise closed by operation of law (statute
and 9.b. are actual or estimated.
of limitations).
10.a. Check the appropriate space to indicate whether the facility
17.
Provide the authorized signature of the person responsible
is completed, under construction or in the planning stage.
for filing this application. If not by an employee of the owner
Note: If this facility is not completed, you must contact
of the facility, a TBOR-1 is required.
this department when the facility is completed because
18.
Print the name, title and phone number of the authorized
(absent special circumstances) the application will not
person signing this application.
be forwarded to the Ohio Department of Development until
the facility is constructed and operational.
In order to expedite the processing of your application, please submit in triplicate the application and
all accompanying documentation (along with applicable fee) to: Office of Chief Counsel,
Tax Appeals Division, P.O. Box 530, Columbus, OH 43216-0530. Phone: (614) 466-6750.
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