Form Ut-008 - Application For Exemption Of Waste Treatment Facility - Utility
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1
2APPLICATION FOR EXEMPTION OF WASTE TREATMENT FACILITY – UTILITY
(NOTE: Reporting requirements have changed - See item #4 of instructions, report only new or capital changes from January 1 to December 31)
See instructions and definition of waste treatment facility ON NEXT PAGE before completing form.
Page
of
pages
Claimant ‑ Owner’s name as used on tax returns
A. Waste Treatment Facility is Located in the:
Year
Filed
FILE
Town
;
%
Street
County
Village
;
%
BY
MAILING
County
ADDRESS
City/State/Zip
City
;
%
JANUARY 15
County
100%
KIND OF
Property Address
BUSINESS
(if different from mailing address)
Land Improvements
Machinery and Equipment
Structures
Air Pollution
Water Pollution
B.
C.
Type of Property:
For Treatment of:
(check only one)
(2)
(3)
(4)
D. Facility Description:
(1)
UT‑008
Incremental Cost
Historical Cost Analysis of
Describe the operation and function of the facility thoroughly. If J.2 is checked below, describe modification,
Identification
upgrading or expansion only and how it relates to existing waste treatment facility (use additional sheet if necessary).
by Years
Waste Treatment Facility
Accumulated
or C.W.I.P.
Complete Form UT‑009 “Schematic Diagram of a Waste Treatment Facility,” Schedule A of Form UT‑008.
Status
Year
Cost
Total Prior Period Cost. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Current Addition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total Book Value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accumulated Depreciation (see H. below)* . . . . . . . . . . . . . .
Net Book Value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date Construction Began
APPROVAL AGENCY – Section E facility approval
As of assessment date, is status of
Does depreciation include
DOR issued property tax
E.
F.
G.
H.
facility work in progress?
an amount for current additions?
is approval of facility function only. Components and
waste treatment facility
identification number.
Date Put In Service
costs may be verified by the Department of Revenue
Yes
No
Yes
No
and local government units.
Name and title of person executing this form
I.
J.
Indicate which of the following apply to this application
Approved
Disapproved
See Appeal Procedure
Signature
1. First time application for new waste treatment facility, no part of which has been exempted in
prior year.
Telephone No.
Date
2. Modification, upgrading, or expansion of existing waste treatment facility still in service for which
Signature
(
)
prior property tax exemption has been granted.
Date
E-Mail Address:
Date of tentative approval for sales tax exemption if any has been granted.
UT‑008 (R. 10‑11)
Wisconsin Department of Revenue
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