Gross earnings from the sale, furnishing or distribution of electricity or natural gas allocable to residential service
1. Operating revenues from residential service
1
2. Refunds resulting from error or overcharge
2
3. Gross earnings from residential service (Subtract Line 2 from Line 1)
3
4. Multiply Line 3 by 1% (.01). Enter here and on Line 6 of Schedule B
4
Gross earnings from the sale, furnishing or distribution of electricity or natural gas allocable to manufacturing companies
1. Operating revenues from sales to manufacturing companies
1
2. Refunds resulting from error or overcharge
2
3. Gross earnings from sale of electricity or natural gas to manufacturing companies
(Subtract Line 2 from Line 1)
3
4. Multiply Line 3 by 5% (.05). Enter here and on Line 7 of Schedule B
4
Gross earnings from the sale, furnishing or distribution of steam
1. Operating revenues from the sale, furnishing or distribution of steam
1
2. Refunds resulting from error or overcharge
2
3. Gross earnings from the sale, furnishing or distribution of steam (Subtract Line 2 from Line 1)
3
4. Multiply Line 3 by 2% (.02). Enter the result here and on Line 8 of Schedule B
4
TAX CREDITS
1. Clean Alternative Fuels Credit
1
2. Employer Assisted Housing Credit
2
3. Neighborhood Assistance Credit
3
4. Housing Program Contribution Credit
4
5. Electronic Data Processing Equipment Property Tax Credit (see instructions for attachments)
5
6. Enter amount from Schedule A-1, Line 4
6
7. Enter amount from Schedule A-2, Line 4
7
8. Enter amount from Schedule A-3, Line 4
8
9. Add Lines 1 through 8. Enter here and on Line 17 on front of return
9
_____________________________________________
____________________________________________
Print name of Treasurer (or authorized agent or officer)
Print title
_____________________________________________
____________________________________________
Signature
Date
State of ______________________
County of ______________________
On this the _______ day of _____________________ , _____ , the signer of the foregoing statement, ________________
, personally appeared before me and made the oath that he or she is the
of
and that he or she signed the said
statement in such capacity, and further made oath to the truth of all matters therein contained as a true statement for the
quarter ended
, made to comply with the provisions of Chapter 212 of the Connecticut
General Statutes.
____________________________________________________
Notary Public, Commissioner of the Superior Court, Justice of the Peace
(Notary Public: Affix seal here)
My commission expires on the ______________ day of ________________________, ____.
Form UCT 212 Back (Rev. 12/98)