Form 1749 E-10 - Application For 10 Percent Electrical Energy Exemption For Manufacturing - Missouri Department Of Revenue Page 2
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1
2
3Missouri 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
Estimated Hours
Days
Hours
Weeks
Number
Hours
KWH
Amp
Wattage
Wattage
Taxable Electrical Equipment
Phase
Per
Used Annually
Per Day
Volts
HP
Per
Used Annually
of Units
Per Year
Draws
from VA
from HP
Attach a detailed listing
Week
X No. of Units
(run-time)
Year
Per Unit
EXAMPLE
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.
1. Total Billing Exclusive
2. Billing Portion on Which Sales Tax
3. Billing Portion for
Billing Period 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
Year __________
Form-1749E-10 (Revised 12-2015)
*14015020001*
14015020001
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