Form Pra-012 - Premier Resort Area Tax Return
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PREMIER
Wisconsin Department of Revenue
PO Box 8946
RESORT AREA
Madison WI 53708-8946
Tab to continue
TAX RETURN (PRA‑012)
SSN or FEIN
Complete form using BLACK INK
Enter
Tax Account Number
Period Begin Date (MM DD YYYY)
Period End Date (MM DD YYYY)
Due Date (MM DD YYYY)
(020 XXXXXXXXXX XX)
15-digit
Tax
Account
Number
To enter dates above, use the following format: MM DD YYYY
Check if this is an AMENDED return
Enter name and address. Hit "Enter" to start
each new line of the name and/or address.
Check if name/address change
(Note changes on the back of the form)
Check if business discontinued
(Note changes on the back of the form)
For periods beginning on or after 01‑01‑2010.
Premier Resort Area Taxable Sales
Tax Calculation
0.00
BAYFIELD
1a
x .005 = 1b
0.00
EAGLE RIVER
2a
x .005 = 2b
0.00
LAKE DELTON
3a
x .01
= 3b
0.00
WISCONSIN DELLS
4a
x .01
= 4b
0.00
5 Total premier resort tax (add lines 1b - 4b) . . . . . . . . . . . . . . . . . . . . . . 5
6 Retailer’s discount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . 6
0.00
7 Net premier resort tax (subtract line 6 from line 5) . . . . . . . . . . . . . . . . 7
8 Interest and penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
0.00
9 TOTAL DUE (add lines 7 and 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Contact Name (please print)
Signature
Date
Phone
(
)
Mail return and remittance to:
Premier Resort Tax Processing
Wisconsin Department of Revenue
PO Box 8946
Madison WI 53708-8946
Phone:
(608) 266-2776
FOR DEPARTMENT USE ONLY
E-Mail:
DORBusinessTax@revenue.wi.gov
Website:
.
PRA-012 (R. 8-12)
To Page 2
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Parent category: Financial