Consumer Use Tax Return Ut-5 Form Wisconsin Department Of Revenue

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UT-5
Form
Tax Account Number
Consumer Use Tax Return
Period Begin Date (MM DD YYYY)
Tab to navigate
Wisconsin Department of Revenue
Use BLACK INK Only
Period End Date (MM DD YYYY)
Name
Address (number and street)
Social Security Number
City
State
Zip Code
Federal Employer Identification No .
Part A
Computation of Use Tax
Tax
Tax
Purchases
Rate
(Purchases x Tax Rate)
1 Purchases subject to 5% state use tax . . . . . . . . . . . . . . .
1a
x .05 = 1b
2 Purchases subject to 0 .5% county use tax (from line 11) .
2a
x .005 = 2b
For line 2 purchases - Fill in Part B information below.
3 Purchases subject to 0 . 1 % baseball stadium use tax . . . .
3a
x .001 = 3b
prior to October 1, 2015 subject to 0 .5%
4 Purchases
football stadium use tax
4a
x .005 = 4b
Important! The football
stadium tax ended 9-30-15 .
5 Total use tax (add lines 1b, 2b, 3b, and 4b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Credit for state and/or local sales or use tax paid to another state on purchases included on
lines 1a-4a . See line 6 instructions on next page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Net use tax (line 5 minus line 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Interest and penalty (see instructions on the back of the return) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Total Amount Due (add lines 7 and 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Part B
County Information for Purchases Subject to County Use Tax
10 Enter the county name, code and purchases which are subject to that
county’s 0 .5% county use tax .
NOTE
To report county use tax for more than
County
County Name
Purchases
Code
(first 5 letters)
6 counties, leave lines 10a-10f blank,
and complete and enclose Schedule CT .
10a
To obtain a Sch . CT, call (608) 266-1961
10b
or go to
revenue .wi .gov
10c
Mail to:
10d
Wisconsin Department of Revenue
PO Box 8946
10e
Madison WI 53708-8946
10f
11 Total County Purchases . 11
•
Add lines 10a through 10f
•
Enter line 11 total on line 2a
I hereby certify that this return, including any accompanying schedules and statements, has been examined by me and to the best of
my knowledge and belief is a true, correct, and complete return.
Contact Name (please print clearly)
Signature
Phone Number
Date
Remember to sign your
return after printing.
SU-050 (R . 10-15)

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