Form 51a350 - Information Sharing And Assignment Agreement For Energy Efficiency Project Incentive

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51A350 (6-08)
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
INFORMATION SHARING AND ASSIGNMENT AGREEMENT FOR
ENERGY EFFICIENCY PROJECT INCENTIVE
This information-sharing agreement and assignment agreement is hereby entered into between the
Department of Revenue and the following parties:
Contact Person
Manufacturer
Kentucky Sales/Use Acct. #
Address
Phone
Vendor
Contact Person
Address
Kentucky Sales/Use Acct. #
Phone
Contact Person
Contractor (if applicable)
Address
Kentucky Sales/Use Acct. #
Phone
Purpose
The purpose of this agreement is to facilitate the payment of incentives allowed a Manufacturer
under KRS 139.518, sales or use tax refund on energy-effi ciency products used at a manufacturing plant.
These incentives consist of a sales and use tax refund to a Manufacturer for preapproved purchases
of new or replacement machinery or equipment that reduces the consumption of energy or energy-
producing fuels in the manufacturing process at a plant facility in this state by at least fi fteen percent
(15%) measured in megawatts, gallons, or other measurable units of energy, while maintaining or
increasing the number of units of production for that same period.
In order for the Manufacturer’s sales and use tax refund incentives to be properly verifi ed and
paid, it is necessary that information be shared by and among the Department and the Manufacturer,
its vendors, contractors and other related parties. To enable the verifi cation and proper and accurate
allowance of sales and use tax refund incentives without any violation of the taxpayer confi dentiality
laws (KRS 131.190; 131.081(15); 131.990), the Manufacturer and other parties listed above hereby enter
into this information-sharing agreement pursuant to KRS 139.518.
An Equal Opportunity Employer M/F/D

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