Section 120.140  Form of Application

An application for the Utilities Tax Exemption shall be submitted on the standard application form provided by the Department.  An application shall include:

a)         Taxpayer's fully executed MICRO Illinois credit agreement with the Department;

b)         Name, address, and Federal Employer Identification Number of the taxpayer; and

c)         The applicant will attest that it is registered to self-assess the utility tax. [35 ILCS 45/110-95]