Form 1749 - Application For Electrical Energy Direct Pay Authorization And Basic Steelmaking Exemption Page 3
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4WORKSHEET
PAGE 3
PART II — STATE SALES TAX
1. Total cost of electrical energy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
$
2. Total cost of production . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
$
3. Less cost of electricity used in production . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
$
4. Total production cost exclusive of electricity (Line 2 minus Line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
$
5. 10% of Line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
$
PART III — EXEMPT EQUIPMENT LISTING
List exempt equipment, special metered or not. Show final figures in Part III. Total KWH equals hours divided by 1000 -Enter in Part VI, Line A.
TIMES (X) ESTIMATED HOURS
EQUALS (=)
DESCRIPTION OF EQUIPMENT
WATTAGE RATING
NORMALLY USED ANNUALLY
WATT HOURS
TOTAL WATT HOURS
PART IV — TAXABLE EQUIPMENT LISTING
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 and/or warehouse facilities. Show final figures in Part IV. Total
KWH equals watt hours divided by 1000-Enter in Part VI, Line B.
TIMES (X) ESTIMATED HOURS
EQUALS (=)
DESCRIPTION OF EQUIPMENT
WATTAGE RATING
NORMALLY USED ANNUALLY
WATT HOURS
TOTAL WATT HOURS
PART V — SUPPLIERS’ BILLINGS ON EXEMPT ENERGY
Columns 1, 2 and 3 from suppliers billings. Column 4 is obtained, by multiplying Part III total watt hours by the percentage in Part VI, Line A.
Column 4 is obtained by multiplying Part IV total watt hours by the percentage in Part VI, Line B.
AUDITED PERIOD
2. TOTAL BILLING
3. BILLING PORTION
4. BILLING PORTION ON WHICH
1. TOTAL KWH BILLED
EXCLUSIVE OF SALES TAX
FOR EXEMPT EQUIPMENT
BY MONTH
SALES TAX IS DUE TAXABLE EQUIP.
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
TOTAL
$
$
$
$
MO 860-0919 (12-99)
DOR-1749 (12-99)
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