Form St-12x - Amended Sales And Use Tax Return - Wisconsin Department Of Revenue Page 2
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4PERMIT OR CERTIFICATE NO.
AMENDED SALES AND USE TAX RETURN
Form ST-12X
CIRCLE YOUR REPORTING PERIOD – MONTHLY,
QUARTERLY,
ANNUAL.
If more than three reporting periods are involved, attach additional Forms ST-12X
DO NOT COMBINE SEPARATE REPORTING PERIODS INTO ONE COLUMN
SPECIAL INSTRUCTIONS
• Do NOT take credit on a current or future return for an overpayment.
• If you are amending a period that has been previously adjusted, use the most recently adjusted figures.
• If a prior sale has now been found to be tax exempt, the period in which the original sale was made should be amended, and
only the appropriate deduction should be adjusted. Do not adjust gross receipts unless originally reported in error.
• Receipts that are now bad debts, if originally included in taxable receipts, are to be deducted on the sales tax return for the period
in which the bad debt is recognized on your income tax return.
• Lines 1-10 must be positive numbers.
Period Ending
Period Ending
Period Ending
19
19
19
11.
GROSS RECEIPTS
DEDUCTIONS
12.
Resale Certificate Sales
13.
Exemption Certificate Sales (includes government sales)
14.
Sales Tax Included in Line 1
15.
Sales in Interstate Commerce
16.
Sales of Exempt Property & Services
17.
Sales of Groceries & Highway Fuel
18.
Sales Returns, Allowances & Bad Debts
19.
Other
10.
TOTAL DEDUCTIONS (Add Lines 2 Through 9)
SALES TAX COMPUTATION
11.
STATE TAXABLE RECEIPTS (Line 1 Less Line 10)
12a. STATE SALES TAX (multiply Line 11 x .05)
12b. COUNTY SALES TAX: Enter tax from Line B page 3
12c. STADIUM SALES TAX: Enter tax from Line C page 3
13.
TOTAL SALES TAX (Add Lines 12a, 12b, and 12c)
14.
DISCOUNT (see instructions)
15.
NET SALES TAX (Line 13 less Line 14)
USE TAX COMPUTATION
16.
Asset Additions
17.
Repair & Supply Items
18.
Other (promotional or research materials, dealer plates, etc.)
19.
TOTAL PURCHASES SUBJECT TO USE TAX (Add Lines 16, 17, and 18)
20a. STATE USE TAX (multiply line 19 by .05)
20b. COUNTY USE TAX: Enter tax from Line B page 4
20c. STADIUM USE TAX: Enter tax from Line C page 4
21.
TOTAL USE TAX (add Lines 20a, 20b, 20c)
TOTAL TAX COMPUTATION
22.
TOTAL SALES AND USE TAXES (Add Lines 15 and 21)
23.
TAX AMOUNT PREVIOUSLY PAID (See Instructions on Front Page)
24.
AMOUNT DUE OR OVERPAYMENT (Line 22 Less Line 23)
25.
INTEREST ON AMOUNT DUE (See Instructions on Front Page)
26.
TOTAL (Add Lines 24 and 25)
27.
For Department Use Only
*Please complete Schedule CT-12X, County/Stadium Sales Tax (which appears on page 3) and/or County/Stadium Use Tax (which appears on page 4), if you are amending
periods with county or stadium sales and/or use tax liability.
Page 2
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