Form Pfp-10 - Wisconsin Police And Fire Protection Fee Worksheet
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1Wisconsin Police and
Wisconsin Tax Account Number
SSN or FEIN
Fire Protection Fee Worksheet
Company Name
Period Begin Date
Company Address
Period End Date
City
State
Zip
Due Date
PART I
Monthly Fees on Communications Service Connections
A
First 10 communications service connections with an assigned telephone
number for each subscriber (including Voice over Internet Protocol connections).
Calculate the total fee due that applies to each of the first 10 connections or lines
of a service user’s account. If a proration was used to collect for partial months,
include the prorated months in Line 1 (e.g., one-half month should be included as
0.5 on Line 1).
1. Number of connections, including connections for partial months . . . . . . . . . .
1.
2. Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
x
$
0.75
3. Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
B
Additional communications service connections for each subscriber.
Calculate the total fee due for each connection on line(s) in excess of 10 on each
subscriber’s account. The applicable fee for each connection or line after the first
10 is 1/10 of the per line fee used in Section A ($0.75 x 1/10 x $0.075). If a proration
was used to collect for partial months, include the prorated months in Line 1 (e.g.,
one-half month should be included as 0.5 on Line 4)
4. Number of additional connections, including connections for partial months
(exclude those reported in Section A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
5. Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
x
$
0.075
6. Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
7. Total police and fire protection fees for assigned telephone numbers
(Add Line 3 and Line 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.
PART II
Fees For Prepaid Transactions
A
Fees for prepaid transactions. Calculate the total fee due that applies to each
retail transaction for a prepaid wireless telecommunications plan.
8. Number of transactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
9. Refunds and credits: Enter the number of transactions for which
the fee was refunded to the purchaser and were previously reported
on a prior return or this return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.
10. Subtotal (Subtract Line 9 from Line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.
11. Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
x
$
0.38
12. Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
PART III
Total Due
13. Add Line 7 and Line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Enter uncollectible amounts and other deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.
15. Total Due or Refund Due (Subtract Line 14 from Line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15.
Your return must be filed through My Tax Account by the last day of the month following the end of the reporting
period. For more information, go to
Avoid duplicate filing. Do not mail in this worksheet.
PFP-100 (N. 9-09)
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Parent category: Financial