Form 31-113b - Iowa Sales Tax Exemption Certificate - Energy Used In Processing /agriculture
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2I OWA
Iowa Sales Tax Exemption Certificate
d e p a r t m e n t o f R eve n u e a n d F i n a n c e
Energy Used in Processing /Agriculture
Purchaser
Seller Name
Address
Address
City
State
Zip Code
City
State
Zip Code
SS#/Fed ID #
Phone #
General Nature of Business
FUEL PURCHASED:
Electricity
Gas
Other, specify ________________
REASON FOR EXEMPTION:
Grain Drying
Raising Livestock
Generating Electricity
Manufacturing
Other, specify ___________________________
PERCENTAGE EXEMPTION CLAIM FOR PERIOD BEGINNING: ________________________________
Meter No. _____________________________
100% Used in Processing/Agriculture
Utility Account No. _______________________
100% Used in Processing/Agriculture
Other Purposes
_______ % Exempt
________ % Taxable
31-113a (8/98)
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Parent category: Financial