Form 51a129 - Kentucky Sales And Use Tax - Energy Exemption Annual Return Page 3

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51A129 (7-13)
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
ESTIMATED TAX
PAID ON MONTHLY RETURNS
SCHEDULE OF ENERGY REPORTED ON
MONTHLY SALES AND USE TAX RETURNS
TOTAL AMOUNT ON
AMOUNT OF ENERGY
MONTH
LINE 23 OF MONTHLY RETURN
INCLUDED IN LINE 23
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$ ___________________
$ _________________
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$ ___________________
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$ ___________________
$ _________________
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$ ___________________
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$ ___________________
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$ ___________________
$ _________________
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$ ___________________
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$ ___________________
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$ ___________________
$ _________________
1. Total amount subject to tax.
$ _________________
2. Tax on energy or energy producing fuels (6% of Line 1).
$ ________________*
*Report this amount plus sales tax paid on energy invoices on Part II, Line 6 of Form 51A129

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