Form St-12x - Amended Sales And Use Tax Return - Wisconsin Department Of Revenue Page 4

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SCHEDULE CT-12X
COUNTY/STADIUM USE TAX
(See instructions for completing this schedule. Leave lines blank if no purchases 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.
Purchases Subject to Stadium Use Tax
Purchases Subject to County Use Tax
COUNTY
Period Ending
Period Ending
Period Ending
Period Ending
Period Ending
Period Ending
________ 19 ____
________ 19 ____
CODE
________ 19 ____
________ 19 ____
________ 19 ____
________ 19 ____
NAME
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 Use tax (line A times
.005; Enter on line 20b.)
C. 0.1% Stadium Use Tax (line A times
.001; Enter on line 20c)
Page 4

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