WISCONSIN RENTAL VEHICLE FEE RETURN
Permit Number
Period Begin Date
Period End Date
Due Date
Federal Employer Identification No.
Sole Proprietor's Social Security No.
Mail to: Wisconsin Department of Revenue
PO Box 8992
Madison WI 53708-8992
*E27904992*
Complete form using BLACK INK
1
Taxable Receipts (see instructions)
1
RENTAL
VEHICLE
FEE
2
Rental Vehicle Fee (multiply Line 1 by .03)
2
Taxable Receipts (see instructions)
3
3
LIMOUSINE
RENTAL
FEE
Limousine Rental Fee (multiply Line 3 by .05)
4
4
5
TOTAL FEE DUE
(add Lines 2 and 4)
5
AMOUNT
DUE
6
Interest and Penalty (see instructions)
6
7
TOTAL AMOUNT DUE
(add Lines 5 and 6)
7
This return must be filed by the due date, even if you have no fee to report. Failure to timely file this return will result in a
late filing fee and may result in additional penalties. Please see the instructions for additional information regarding the
computation of penalties.
I hereby certify that the amounts entered on this return are true and correct to the best of my knowledge and belief.
Your Signature
Date
Phone
(
)
RV-012i (R. 5-04)
R550