Request For Estimate Of Withdrawal Tax For Managed Forest Land (Mfl)

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Request for Estimate of Withdrawal Tax for Managed Forest Land (MFL)

DNR Order Number

(Section 77.88 (5g), Wis. Stats.)

Please read instructions on the reverse side before completing this form.

To Instructions

Section 1: Land Information (see example on reverse side)

TVC

Section

Legal

Parcel

Number

Town

Range

Type

Number

Description

Number

of Acres

County

Municipality

Number

Total Acres . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ►

0.00

Section 2: Calculation of Fee for Estimate (see examples on reverse side)

Submit the GREATER of $100 OR

Make check payable to: Wisconsin Department of Revenue

No. of Acres

X $5 = $

0.00

Mail your request, with full payment to:

Amount of fee to include with request: $

100.00

Wisconsin Department of Revenue

Local Government Services Section 6-97