Form Lm-003 - Municipal Light, Heat And Power Company'S Annual Report For License Fee Purposes - 2013

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2013
Mail To:
Wisconsin Department of Revenue
Municipal
Manufacturing & Utility Bureau
Light, Heat and Power Company’s
2135 Rimrock Road MS 6-97
Madison WI 53713
Annual Report
ON OR BEFORE MARCH 1, 2013
for License Fee Purposes
Forms and related publications are
available at:
Phone: (608) 266-8162
Fax: (608) 264-6887
E-Mail: utility@revenue.wi.gov
Name of Company
FEIN#
Check here for address change è
Address
Address All Correspondence Concerning This Report to
(Title)
(Name)
(Address)
(E-mail)
(Telephone Number)
(Fax)
Computation of the May 1, 2013 License Fee Assessment
IN COMPLETING THE FOLLOWING, DO NOT INCLUDE INTERDEPARTMENTAL RENTS AND SALES OR ANY OTHER REVENUES
FROM OPERATIONS WITHIN THE MUNICIPALITY THAT OPERATES THE COMPANY
A
B
C
ELECTRIC AND ALL OTHER
GAS
WHOLESALE ELECTRIC
1. Total 2012 Gross Operating Revenues . . . . . . . . . . . . . . . . . . . .
2. Plus: All Other Revenues (Schedule B) . . . . . . . . . . . . . . . . . .
3. Less: Sales and Use Tax Deducted Under sec. 77.61(4)(c), Wis. Stats . .
Public Benefits Fees Included Under sec. 16.957(5)(a) & (f), Wis. Stats
Grants Awarded Under sec. 16.958(2)(b), Wis. Stats . . . .
4. Operating Revenues Less Deductions . . . . . . . . . . . . . . . . . . . .
5. License Fee Rate .0319 Applied to Line 4, Col. A . . . . . . . . . . . .
6. License Fee Rate .0097 Applied to Line 4, Col. B . . . . . . . . . . . .
7. License Fee Rate .0159 Applied to LIne 4, Col. C . . . . . . . . . . . .
8. Wisconsin License Fee (Sum of Lines 5 , 6 & 7, Columns A, B & C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Do NOT send payment with report)
CERTIFICATION
We, the undersigned president and controller (or two principal officers) of the
do certify that this report and all schedules and
supporting documents herewith submitted have been prepared under our direction, and that we have carefully examined them and
declare that they correctly reflect the true statements of the May 1, 2013 license fee assessment under the provisions of Chapter 76
of the Wisconsin Statutes.
Date
20
Date
20
(Title of Officer)
(Title of Officer)
(Name)
(Name)
LM-003 (7-12)

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