Form 54-065 - Methane Gas Conversion Property Tax Exemption Application

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Methane Gas Conversion
Property Tax Exemption Application
To be filed with the county or city assessor on or before February 1 of each assessment year.
Claims for the 2008 and 2009 assessment year may be filed by June 30, 2009.
Legal Description: ________________________________________________________________________
Address of Property: ______________________________________________________________________
Taxing District and County: _________________________________________________________________
Titleholder or Contact Buyer: _______________________________________________________________
Address (if different than above): ____________________________________________________________
Describe the property that is classified as methane gas conversion property. The exemption applies to land
and improvements. Attach a map of the project site showing all structures and land utilized in the operation of
the facility. ______________________________________________________________________________
______________________________________________________________________________________
Is the property used in an operation connected with or in conjunction with a publicly-owned sanitary landfill?
Yes If yes, the exemption applies as long as the property is utilized as methane gas
conversion property.
No
If no, the exemption applies to property originally placed in service on or after January
1, 2008, and on or before December 31, 2012. The exemption is limited to 10 years.
(1) Total assessed value of land and improvement of eligible methane gas
conversion property ....................................................................................... (1) ___________________
Does the property used to convert the gas to energy consume fuel
other than methane?
Yes
No If no, enter zero on line 4.
(2) If yes, list ratio of fuel other than (methane
÷
gas consumed)
(total fuel consumed) .......... (2) _________________ %
(3) Assessed value of property used to convert
methane gas to energy ..................................... (3) _________________
(4) Total. Multiply line 2 by line 3. .......................................................................(4) ___________________
(5) Total value subject to exemption.
Subtract line 4 from line 1. ............................................................................. (5) ___________________
Signed: ________________________________________ Date: ___________________________________
Contact Person: _________________________________ Telephone Number: _______________________
TO BE COMPLETED BY ASSESSING AUTHORITY
I hereby certify that the above property is eligible to receive the tax exemptionas provided by Iowa Code section
427.1(29).
________________________
_______________________________________
Date Application Received
Assessing Authority
54-065 (06/02/09)

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