MUNICIPAL GAS UTILITY TRANSFER REPLACEMENT TAX RATE

Suggested Reporting Form

May 30, 2017

Memo to:IAMU Member Gas Utilities

Re:Transfer Tax Rate Form for Municipal Gas Utilities (1G-2017)

Due August 31, 2017 to Iowa Department of Revenue

Attached is this year’s Municipal Gas Utility Transfer Replacement Tax Rate Reporting Form. This report must be filed with the Iowa Department of Revenue on or before August 31, 2017. This form is one that the Department is not responsible for producing or distributing. IAMU prepared a suggested form that has been used since 1999. The enclosed form is for the 2017tax rate calculation. Except for the dates, (2011 dropped and 2016 added for the 5-year rolling average), it is the same as in prior years.

The Department publishes the rate reported in this form as the transfer replacement tax rate that another entity would pay, if that entity delivered gas in your natural gas competitive service area. When those areas were first defined, the areas were generally described as the corporate limits and the adjoining two miles. Where a city is close to another city or developed area or where the corporate limits has grown into areas served by another gas utility, the description the natural gas competitive service area may not be so extensive. The descriptions are found at section 437A.3 of the Iowa Code.

[Note: A natural gas competitive service area is not an exclusive service territory. There are no exclusive service territories for gas utilities.]

The form includes the address of the Iowa Department of Revenue. Please do not return the form to IAMU.

Utility Name:

Step 1(Five-year Transfer History). Report the total transfers made by the municipal gas utility pursuant to section 384.89 Code of Iowa to the city, other than those transfers declared exempt by the utility’s governing body, for each of the five preceding calendar years:

Transfers made in calendar year 2016: / $
Transfers made in calendar year 2015: / $
Transfers made in calendar year 2014: / $
Transfers made in calendar year 2013: / $
Transfers made in calendar year 2012: / $
TOTAL TRANSFERS: / $

Step 2(Average Transfer). Report the average transfer made by the municipal gas utility over the five preceding calendar years by dividing the TOTAL from step one by five (5):

AVERAGE TRANSFER: / $

Step 3(Taxable Therms). Report the number of taxable therms delivered to customers in calendar year 2016 (deliveries to the city or city department or agency are exempt from replacement taxes):

TAXABLE THERMS:

Step 4(Transfer Replacement Tax Rate). Report the municipal gas transfer replacement tax rate for 2017 by dividing the average transfer (step 2) by the taxable therms (step 3):

GAS TRANSFER REPLACEMENT TAX RATE:
($ per Therm) / $

ATTESTATIONI ______certify that I that I am the Company Representative responsible for this report, that to the best of my knowledge, information, and belief, all statements of fact contained in said report are true and said report is a correct statement of the business and affairs of the above-named respondent with respect to each and every matter set forth herein.

Signature of Authorized Representative / Title
Street Address / City, State, Zip Code
Date / Telephone Number

SUBMIT THIS FORM ON OR BEFORE AUGUST 31, 2017 TO THE FOLLOWING ADDRESS:

IOWA DEPARTMENT OF REVENUE AND FINANCE, ATTN: PROPERTY TAX SECTION

HOOVER STATE OFFICE BUILDING

DES MOINES, Iowa 50319

Transfer Replacement Tax Rate (IAMU Form 1G-2017)