Form 31-116b - Energy Used For Taxable Purposes Page 2
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1
2Purchaser:_______________________________
Iowa Sales Tax Computation Certificate
Energy Used That Does Not Qualify For Residential Energy Exemption from Iowa Sales Tax
PERCENTAGE CALCULATION
Complete the calculation below to obtain the percentage of energy used that is subject to Iowa sales tax. Taxable
energy may be for commercial purposes or non-metered energy. Attach documentation as needed.
Period used for basis of computation: _____/_____/_____ to _____/_____/_____
Type of Fuel:________________
(A)
(B)
Taxable
Energy Used
Hours
Total
Activity
(watts/ccf)/hour
of Use
(A x B)
Lighting
x
=
Heating
x
=
Office Equip.
x
=
Refrigeration
x
=
Maintenance
x
=
Air Conditioning
x
=
Other: _________________
x
=
Other: _________________
x
=
Other: _________________
x
=
x
=
Other: _________________
(1) TOTAL SUBJECT TO TAX
(2) TOTAL ENERGY USED FOR ALL PURPOSES
%
(3) TAXABLE % (divide line 1 by line 2)
31-116b (09/21/12)
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