Form Pub. Ks-1527 - Kansas Business Tax For Political Subdivisons Page 41
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42Month/Year
Consumed
Without Tax
Tax Paid
Tax Paid
Tax Paid
KANSAS DEPARTMENT OF REVENUE
SCHEDULE FOR REFUND OF SALES TAX ON ELECTRICITY, GAS OR WATER
Utility Company
Business Name
Meter Location
Mailing Address
County
Account No.
City
Meter No.
Type of Utility
Taxable Percentage
Non-Taxable Percentage
KW/MCF
Gross Sales
State
County
City
Total
Refund Amount
Prepared by:
Date:
Telephone Number
Previous Exempt %:
ST-33 (8/00)
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Parent category: Financial