Form A-006 - Affidavit Of Exempt Sales
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Form
Wisconsin Dept of Revenue
Nexus Unit 2‑233
Affidavit of Exempt Sales
A-006
PO Box 8906
Madison WI 53708‑8906
•
•
phone: (608) 266‑3969
FAX: (608) 266‑5464
website: revenue.wi.gov
The Secretary of Revenue is required to certify to the Secretary of Administration a list of vendors and their affiliates who are:
• not registered to collect and remit Wisconsin sales and use tax, unless all sales are exempt, or
• registered, but do not collect or remit such taxes.
Wisconsin state agencies and authorities may not purchase materials, supplies, equipment or contractual services from vendors
and affiliates who have been “certified” to the Secretary of Administration.
“Affiliate” means a person that controls, is controlled by, or is under common control with another person. “Control” means to
own, directly or indirectly, more than 10% of the interest in, or voting securities of a business.
Any vendor or affiliate that only makes sales that are not subject to Wisconsin sales or use tax should complete the affidavit
below. This certifies that all sales in Wisconsin are exempt from Wisconsin sales and use tax. Examples of exempt sales include:
• sales for resale
• sales to governmental units
• sales to exempt organizations
• sales of non‑taxable services
Exempt sales do not include sales of tangible personal property or taxable services not taxed solely because the vendor or
affiliate does not have activity in Wisconsin that requires them to collect and remit sales and use tax.
Any vendor or affiliate having only exempt sales in Wisconsin is not required to register to collect and remit Wisconsin sales or
use tax.
Legal name
Business name (DBA)
Mailing address
Federal ID number
Type of property sold
Type of services sold
certifies that all Wisconsin sales of its property and
services are exempt under ch. 77, Wis. Stats.
Company name
I certify that, to the best of my knowledge, the above information is accurate and complete.
Completed by (type or print)
Title
Signature
Date
(
)
Telephone number
Email address
A-006 (R. 12-16)
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