Filing for Water Excise Tax Reimbursement
First Page:
- You will need to use form IA 843 Refund Return; it can also be found on our website.
- Fill out the whole top section with Legal Name, DBA, Mailing Address, & then Social Security number or Federal Employer Identification number.
- Check ‘Water Service Excise Tax’ for type of refund you are claiming.
- Check the box the corresponds to your specific operation as for the reason to claim.
- Include a brief note in the reason for refund.
- IE Water used for agricultural purposes or by a tax-exempt entity.
Second Page:
- Claim Period:
- These can be filed monthly, quarterly, biannually, or annually. There is no specific
- Iowa Tax Schedule:
- Original Tax Paid
- This will be the total in entity of the bills you’ll be submitting for reimbursement.
- Corrected Amount
- This will be the total of the bills with the sales tax taken off.
- Iowa Tax to be refunded
- This will be the total of tax paid for the period.
- Original Tax Paid
- You will NOT need to fill out anything regarding the local option sales tax at this time due to current wet excise tax policies.
- Complete the form with your signature, date, printed name, title, & phone number.
Third Page:
Includes further instructions from the Iowa Department of Revenue
Mail the complete form & any necessary documentation to:
Compliance Services
Iowa Department of Revenue
PO Box 10456
Des Moines, IA 50306-0456
Please direct further questions to Iowa Department of Revenue 515-281-3114, 8-4:30CT