Application For Permit/certificate - Wisconsin Department Of Revenue
Download a blank fillable Application For Permit/certificate - Wisconsin Department Of Revenue in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Application For Permit/certificate - Wisconsin Department Of Revenue with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Department Use Only
APPLICATION FOR PERMIT/CERTIFICATE
WISCONSIN DEPARTMENT OF REVENUE
Income, Sales, & Excise Tax Division
PO Box 8902
Allow fifteen business days for processing and mailing
Madison WI 53708-8902
of your permit/certificate.
(608) 266-2776, TDD (608) 267-1049
See instructions on attached sheet for completing this form.
Send to above address. Type or print clearly.
Check permit(s)/certificate(s) for which you are applying and enclose one $20 Business Tax Registration
fee (if applicable) regardless of the number of permits/certificates you have checked.
Seller’s Permit
Fee Required
Use Tax
Fee Required
Registration Certificate
Mobile Seller’s Permit
Fee Required
Consumer’s Use Tax
Registration Certificate
Fee Required
Employer Registration
Local Exposition Tax
Certificate
1. True Name (Corporate, Limited Liability Company, Partnership or Individual)
Federal Emp. I.D. No.
Telephone No.
–
(
)
2. Trade or Business Name
Business Telephone
(
)
3. Business Address
Business located in
County
Village
Township
City
State
Zip Code
City or Post Office
of:
4. Mailing Address (If different than business address)
City or Post Office
State
Zip Code
5. Organization (Check One)
5b
If Governmental Unit, check appropriate box
1
Sole Proprietor
Federal Government
County Government
2
Partnership
Wisconsin State Agency
Local Government
3
Wisconsin Corporation (Date Incorporated:
)
6
Limited Liability Company (Date Registered:
)
4
Out-of-State Corporation (Licensed in Wisconsin?
Yes
No)
For federal income tax purposes, will the LLC be taxed as a
5a
Other (Describe:
)
partnership or as a
corporation?
6. Principal kinds of taxable merchandise or service you intend to sell
7. Principal business (Service, Retail) (Wholesaler, Manufacturer)
8. Have you as a Sole Proprietor, Partner/s, Limited Liability Company Member/s or Corporate Officer/s ever held, or now hold a permit/certificate issued by the Wisconsin
Department of Revenue?
Yes
No (If yes, indicate type of permit, permit number and location for which it was issued.)
Seller's Permit, Use Tax or Consumer's Use Tax Registration Certificate
9. Do you have a beer or liquor license?
Yes
No
Employer Registration Applicants
Applicants
$
If yes, enter Code(s)
11. Estimated amount of Wisconsin
12.
Estimated monthly sales
state income tax to be withheld
each month
*Estimated monthly sales
$
10. Former owner and permit number(s)
subject to sales/use tax
$
*Estimated monthly purchases
$
subject to use tax
First Wisconsin withholding will
Name
occur
*If zero entered on both lines, No Permit will be issued
First Wisconsin taxable sales
will be made
month
day
year
Seller’s Permit
Wisconsin Employer ID
month
day
year
13. Check all the boxes that indicate the type of sales you will be
14. If your income year is other than the
15. Will business be operated all year?
making in the Local Exposition District.
year ending December 31, please
Yes
If no, enter
indicate your fiscal year ending date.
Food & beverages
Automobile rentals
Room rentals
No
Month Open
Month Closed
Fiscal Year Ending Date
All Applicants Must Complete and Sign on Reverse Side
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Ct-103 - Schedule Of Cigaretts Stamped For Sale Form - Wisconsin Department Of Revenue
Financial
Form Ex-012a - Local Exposition Tax Return For Annual Filers - Wisconsin Department Of Revenue
Financial
Related Categories
Parent category: Financial