Form St-12x - Amended Sales And Use Tax Return - Wisconsin Department Of Revenue Page 3

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COUNTY/STADIUM SALES TAX
SCHEDULE CT-12X
(See instructions for completing this schedule. Leave lines blank if no receipts to report; do not enter zeros.)
The county tax effective date follows the name of the county. The stadium tax is effective January 1, 1996.
Receipts Subject to Stadium Sales Tax
COUNTY
Receipts Subject to County Sales Tax
Period Ending
Period Ending
Period Ending
Period Ending
Period Ending
Period Ending
________ 19 ____
________ 19 ____
NAME
CODE
________ 19 ____
________ 19 ____
________ 19 ____
________ 19 ____
ADAMS (01-94) ..............
01
ASHLAND (04-88) .........
02
BARRON (04-86) ...........
03
BAYFIELD (04-91) .........
04
BUFFALO (04-87) ..........
06
BURNETT (04-89) ..........
07
CHIPPEWA (04-91) .......
09
COLUMBIA (04-89) ........
11
CRAWFORD (04-91) .....
12
DANE (04-91) .................
13
DODGE (04-94) .............
14
DOOR (04-88) ................
15
DOUGLAS (04-91) .........
16
DUNN (04-86) ................
17
FOREST (04-95) ............
21
IOWA (04-87) .................
25
IRON (04-91) ..................
26
JACKSON (04-87) ..........
27
JEFFERSON (04-91) .....
28
JUNEAU (04-92) ............
29
KENOSHA (04-91) .........
30
LA CROSSE (04-90) ......
32
LANGLADE (04-88) .......
34
LINCOLN (04-87) ...........
35
MARATHON (04-87) ......
37
MARQUETTE (04-89) ....
39
MILWAUKEE (04-91) ....
40
MONROE (04-90) ..........
41
OCONTO (07-94) ...........
42
ONEIDA (04-87) .............
43
OZAUKEE (04-91) .........
45
PEPIN (04-91) ................
46
PIERCE (04-88) .............
47
POLK (04-88) .................
48
PORTAGE(04-89) ..........
49
PRICE (01-93) ................
50
RACINE (N/A) ................
51
RICHLAND(04-89) .........
52
RUSK (04-87) .................
54
ST CROIX (04-87) ..........
55
SAUK (04-92) .................
56
SAWYER (04-87) ...........
57
SHAWANO (04-90) ........
58
TREMPEALEAU (10-95)
61
VERNON (01-97) ...........
62
VILAS (04-88) ................
63
WALWORTH (04-87) .....
64
WASHBURN (04-91) ......
65
WASHINGTON (N/A) .....
66
WAUKESHA (N/A) .........
67
WAUPACA (04-89) ........
68
WAUSHARA (04-90) ......
69
A. TOTAL
B. 0.5% County Sales Tax (line A times
.005; Enter on line 12b.)
C. 0.1% Stadium Sales Tax (line A times
.001; Enter on line 12c)
Page 3

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